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Congenital esophageal stenosis
1Department of Pediatric Surgery, Karadeniz Technical University Faculty of Medicine Trabzon, Turkey.
Insights
Congenital esophageal stenosis in infants, often due to membranous webs, can cause respiratory issues or food impactions. Prompt diagnosis and surgical or dilatation treatments effectively relieve symptoms in affected infants.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Abnormalities
Background:
- Congenital esophageal stenosis is a rare condition.
- Membranous webs are a specific cause of this stenosis.
- This condition can present with varied symptoms in infants.
Purpose of the Study:
- To report on three cases of congenital esophageal stenosis caused by membranous webs in infants.
- To discuss the etiology, diagnostic methods, and management strategies for this rare condition.
- To highlight the successful outcomes following intervention.
Main Methods:
- Case series involving three infants with congenital esophageal stenosis.
- Diagnosis confirmed via intraoperative findings and esophagoscopy.
- Treatment included resection and anastomosis for one patient and hydrostatic dilatations for two patients.
Main Results:
- All three infants presented with symptoms related to esophageal obstruction (respiratory distress or food impaction).
- Diagnosis was established through surgical exploration and endoscopic examination.
- All patients experienced symptom relief after their respective treatments.
Conclusions:
- Congenital esophageal stenosis due to membranous webs is a treatable condition in infants.
- Timely diagnosis and appropriate management are crucial for positive outcomes.
- This case series underscores the effectiveness of surgical and non-surgical interventions.
Abstract:
Congenital esophageal stenosis caused by membranous webs occurred in three infants. There were no associated anomalies. First patient applied with respiratory symptoms while the second and third patients reported food impactions. Correct diagnosis was performed during intraoperative (first patient) and esophagoscopic examination (second and third patients). Resection and anastomosis were performed in the first patient and hydrostatic dilatations in the second and third patients. In three patients, symptoms were relieved following treatment. In this report, etiology, diagnostic aids and management of this rare pathology are discussed.