| 篇名 |
Endoscopic Guided Antegrade Esophageal Dilatation in Children |
| 作者 |
Hai-Chyi Peng, Hou-Chuan Chen, Wuu-Tay Chang |
| 卷期/出版年月 |
30卷2期 (1997/4) |
| 頁次 |
111-115 |
| 摘要 |
Esophageal dilatation is usually regarded as an effective therapy in a majority of esophageal strictures in children. However, there is no conclu-sion on the technique of dilatation. We made a retrospective analysis of the efficiency of 70 antegrade esophageal dilatation procedures performed with the fiber-optic endoscope in 19 children with esophageal stricture from November 1992 to August 1996. Three children with lye ingestion were excluded because the dilator could not pass the stricture. Of the other 16 children, each patient underwent 1 to 20 procedures. Seven children had a postoperative anastomotic stricture following repair of esophageal atresia or colon interposition for caustic stricture, and eight children had an es-ophageal stricture following caustic ingestion. Only one child had a peptic stricture following gastroesophageal reflux. All procedures were performed under general anesthesia as an outpatient procedure. There were no com-plications. Five children are still in the dilatation program now. In the other eleven children who finished the treatment, the strictures were successfully resolved with an average 2.5 year period of follow up (range, 13 months to 43 months). We conclude this procedure is well tolerated and effective especially for anastomotic stricture and can be considered as a first line treatment for a child with an acquired esophageal stricture. |
| 關鍵詞 |
esophageal stricture, esophageal dilatation, endoscopy |
| 分類 |
Original Article |
