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Endoscopic balloon dilation of esophageal strictures in children.

Publication ,  Journal Article
Shah, MD; Berman, WF
Published in: Gastrointest Endosc
1993

A total of 17 patients, ages 3 weeks to 14 1/2 years, had 20 esophageal strictures develop after repair of esophageal atresia (9 strictures); primary gastroesophageal reflux (3 strictures); Nissen fundoplication (4 strictures); epidermolysis bullosa congenita dystrophica (1 stricture); congenital esophageal stenosis (2 strictures); or colonic interposition (1 stricture). These strictures were treated with 132 endoscopic balloon catheter dilations (average, 6.6/patient, range, 1 to 24) during a period of 42 months (average, 8 months; range, 2 to 42 months). Fifteen of the 17 patients are now asymptomatic. Thirteen of the 17 patients had documented reflux esophagitis and were also medically treated. The two residually symptomatic patients included a patient with severe proximal esophagitis secondary to epidermolysis bullosa congenita dystrophica who had only a temporary response to dilations and another patient with a tight Nissen fundoplication who did not improve after dilation but is now asymptomatic after corrective surgery. The 10 patients with tracheoesophageal fistula repair were asymptomatic within 3 to 21 months (average, 10.8 months). Only one patient had perforation develop as a result of the procedure. Sixteen of 17 patients had the procedures performed as outpatients. All patients were given oral feedings throughout the course of dilation and had normal growth.

Duke Scholars

Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

1993

Volume

39

Issue

2

Start / End Page

153 / 156

Location

United States

Related Subject Headings

  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Gastroenterology & Hepatology
  • Female
  • Esophagoscopy
  • Esophageal Stenosis
  • Child, Preschool
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shah, M. D., & Berman, W. F. (1993). Endoscopic balloon dilation of esophageal strictures in children. Gastrointest Endosc, 39(2), 153–156. https://doi.org/10.1016/s0016-5107(93)70055-3
Shah, M. D., and W. F. Berman. “Endoscopic balloon dilation of esophageal strictures in children.Gastrointest Endosc 39, no. 2 (1993): 153–56. https://doi.org/10.1016/s0016-5107(93)70055-3.
Shah MD, Berman WF. Endoscopic balloon dilation of esophageal strictures in children. Gastrointest Endosc. 1993;39(2):153–6.
Shah, M. D., and W. F. Berman. “Endoscopic balloon dilation of esophageal strictures in children.Gastrointest Endosc, vol. 39, no. 2, 1993, pp. 153–56. Pubmed, doi:10.1016/s0016-5107(93)70055-3.
Shah MD, Berman WF. Endoscopic balloon dilation of esophageal strictures in children. Gastrointest Endosc. 1993;39(2):153–156.
Journal cover image

Published In

Gastrointest Endosc

DOI

ISSN

0016-5107

Publication Date

1993

Volume

39

Issue

2

Start / End Page

153 / 156

Location

United States

Related Subject Headings

  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Gastroenterology & Hepatology
  • Female
  • Esophagoscopy
  • Esophageal Stenosis
  • Child, Preschool
  • Child