|
KMID : 1033420180210010151
|
|
Journal of Korean Society of Cardio-Vascular Interventional Technology
2018 Volume.21 No. 1 p.151 ~ p.151
|
|
|
Large Balloon Dilatation for Congenital Esophageal Stenosis in Children
|
|
Kim Tae-Hyung
Hu Hong?Tao
Shin Ji-Hoon
|
|
|
Abstract
|
|
|
Purpose : Large balloon dilatation using an angiographic balloon catheter rather than a bougie or a dilator, has been suggested for children with various esophageal strictures. However, there have been a few reports of balloon dilatation focusing on congenital esophageal stenosis in children. To evaluate the safety and clinical effectiveness of fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children.
Materials and Methods : Our study included seven children with congenital esophageal stenosis, and who underwent a total of ten balloon dilatation sessions. The technical success, clinical success, recurrence of dysphagia, and complications were retrospectively evaluated.
Results : Technical and clinical success rates were 100%. During the mean 38-month follow-up period the first balloon dilatation, three patients underwent only one additional balloon dilatation four to five months after the first balloon dilatation for dysphagia recurrence. Two of them showed improvement without further recurrence, while the remaining one underwent partial esophagectomy. Well-contained transmural esophageal rupture (type 2) occurred in two patients and during two balloon dilatation sessions. All ruptures were successfully treated conservatively.
Conclusion : Fluoroscopically guided balloon dilatation seems to be a simple and effective primary treatment technique for congenital esophageal stenosis in children. This article published in Japanese Journal of Radiology 2 June 2015.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|