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Updated: Sep 21, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Upper esophageal stenosis: two case reports
1Department of Surgery, St. Elizabeth Health Center, Youngstown, OH 44501-1790, USA.
Insights
Congenital esophageal stenosis is rare in children. Surgical web resection offered a lasting solution, while balloon dilatation required repeat treatments for strictures.
Area of Science:
- Pediatric surgery
- Gastroenterology
Background:
- Congenital esophageal stenosis is an uncommon condition in pediatric patients.
- Key forms include congenital esophageal webs, strictures from tracheobronchial remnants, and idiopathic muscular hypertrophy.
Observation:
- Two pediatric cases of upper esophageal stenosis were successfully managed.
- One patient had a congenital esophageal web, the other a congenital stricture.
Findings:
- Successful surgical resection of the esophageal web resulted in no long-term dysphagia.
- Balloon dilatation for esophageal stricture necessitated multiple repeat procedures.
Implications:
- Surgical intervention may offer a definitive solution for congenital esophageal webs.
- Congenital esophageal strictures might require long-term management strategies, including repeated dilatations.
Abstract:
Esophageal stenosis caused by an intrinsic congenital deformity is uncommon in infants and children. The main forms of stenosis are congenital esophageal web congenital stricture caused by tracheobronchial remnants, and congenital idiopathic muscular hypertrophy. The authors report on two patients who were successfully treated and managed after being diagnosed as having upper esophageal stenosis. One patient underwent resection of the web and primary anastomosis of the esophagus and was discharged 6 days after surgery. After 1 year, this patient has had no symptoms of dysphagia or other postoperative difficulties. The second patient underwent balloon dilatation of the esophageal stricture and was discharged on the day of surgery; however, this patient required numerous repeat dilatations.
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