Analysis of Clinical Efficacy of Surgical Progressive Treatment for Corrosive Esophageal Stricture in Children
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View abstract on PubMed
Summary
This summary is machine-generated.Progressive, individualized surgical treatments effectively manage corrosive esophageal stricture in children. These methods, including balloon dilation and esophageal reconstruction, show promising clinical outcomes for pediatric patients.
Area Of Science
- Pediatric Surgery
- Gastroenterology
- Otolaryngology
Background
- Corrosive esophageal stricture poses a significant challenge in pediatric care.
- Ingestion of acidic substances, alkaline substances, and button batteries are common causes.
- Timely and effective intervention is crucial to prevent long-term complications.
Purpose Of The Study
- To evaluate the clinical efficacy of a progressive, individualized surgical treatment strategy for pediatric corrosive esophageal stricture.
- To assess the outcomes of sequential interventions including balloon dilation, Mitomycin C injection, stent placement, and reconstruction.
- To determine the safety and feasibility of these progressive treatment methods.
Main Methods
- Retrospective analysis of 52 children with corrosive esophageal stricture treated between January 2017 and December 2024.
- Application of sequential treatments: direct vision gastroscopic balloon dilation, balloon dilation with Mitomycin C, esophageal stent placement, and esophageal reconstruction.
- Evaluation of outcomes using esophagography, gastroscopy, and dysphagia grading, with statistical comparison via t-test or chi-square test.
Main Results
- All 52 pediatric patients were successfully discharged.
- Simple balloon dilation yielded good results in 22 cases.
- Combined balloon dilation with Mitomycin C and subsequent stent placement or reconstruction showed good outcomes in the majority of treated cases.
- Progressive treatment steps demonstrated increasing success rates with each intervention.
Conclusions
- Progressive, individualized surgical management is effective for pediatric corrosive esophageal stricture.
- The sequential approach involving balloon dilation, Mitomycin C, stent placement, and reconstruction offers a viable treatment pathway.
- These methods are characterized by simplicity, ease of operation, and promote positive clinical outcomes.
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