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Outcomes of pneumatic dilation in pediatric caustic esophageal strictures: a descriptive and analytic study from a

Ben Youssef Sabrine1,2, Marwa Messaoud3,4, Belhassen Samia3,4

  • 1Pediatric Surgery Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia. Sabrine.benyoussef@yahoo.com.

Surgical Endoscopy
|October 26, 2023
PubMed

Insights

Pneumatic balloon dilation is effective for treating pediatric corrosive esophageal strictures, with an 80.4% success rate. However, stricture severity and multiple dilations predict failure, guiding surgical decisions.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Public Health

Background:

  • Corrosive substance ingestion in children causes long-term health issues, primarily esophageal strictures.
  • Esophageal stricture management involves pneumatic dilation or surgical replacement.

Purpose of the Study:

  • To evaluate the outcomes of pneumatic dilation for pediatric corrosive esophageal strictures in a developing country.

Main Methods:

  • A cross-sectional study of pediatric patients with caustic esophageal stenosis from 2005-2020.
  • Pneumatic balloon dilation was performed on all patients.
  • Logistic regression and ROC curve analysis were used to predict dilation success/failure.

Main Results:

  • The success rate of pneumatic balloon dilation was 80.4%.
  • Stricture severity and the number of dilation sessions were independent risk factors for dilation failure.
  • ROC curve analysis indicated moderate predictive performance (AUC=71.7%).

Conclusions:

  • Pneumatic balloon dilation is efficacious for pediatric caustic esophageal strictures.
  • Surgeons should consider stricture severity and dilation history to decide on timely surgical intervention.
Abstract

Keywords:
Balloon dilationCausticEsophageal strictureManagementOutcomes

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