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Esophageal dilation in pediatric patients using balloon along the side of the endoscope
S A Nanivadekar1, U R Dave, P Sawant
1Department of Gastroenterology, L T M G Hospital, Sion, Bombay.
Insights
This study presents a novel technique for esophageal stricture dilation in pediatric patients. By passing balloons alongside the endoscope, effective treatment is now possible for children previously excluded from this procedure.
Area of Science:
- Pediatric Gastroenterology
- Interventional Endoscopy
Background:
- Esophageal strictures are common in children, often requiring endoscopic dilation.
- Standard through-the-scope (TTS) balloons are incompatible with pediatric endoscopes due to channel size limitations.
Purpose of the Study:
- To describe a modified balloon dilation technique for pediatric esophageal strictures.
- To evaluate the feasibility and efficacy of using TTS balloons alongside pediatric endoscopes.
Main Methods:
- A novel technique involving passing TTS balloons alongside the endoscope was developed.
- This method was applied to four pediatric patients with esophageal strictures.
Main Results:
- Successful esophageal dilation was achieved in all four pediatric patients.
- The alongside-the-endoscope technique proved feasible for pediatric esophageal stricture treatment.
Conclusions:
- This adapted balloon dilation technique expands treatment options for pediatric esophageal strictures.
- The alongside-the-endoscope method offers a viable alternative when standard TTS balloons cannot be used in pediatric patients.
Abstract:
Balloon dilation is an effective modality of treatment for esophageal strictures. As standard through-the-scope balloons do not pass through the biopsy channel of pediatric endoscopes, we have developed a technique by which these balloons can be used in pediatric patients by passing them alongside the endoscope. We report our experience of dilation in four patients using this technique.