Fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children

Hong Tao Hu, Ji Hoon Shin, Jin Hyoung Kim, Jong Keon Jang, Jung Hoon Park, Tae Hyung Kim, Deok Ho Nam, Ho Young Song

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Purpose: We aimed to evaluate the safety and clinical effectiveness of fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children. Methods: Our study included seven children (mean age 4.0 years) who underwent a total of ten balloon dilatation sessions. The initial balloon diameters were 10–15 mm. The technical success, clinical success (improved food intake and reduced dysphagia within 1 month following the first balloon dilatation), dysphagia recurrence, and complications were retrospectively evaluated. Results: Technical and clinical success rates were 100 %. During the mean 38-month follow-up period after the first balloon dilatation, 3 (43 %) patients underwent only one additional balloon dilatation 4–5 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 (29 %, 2/7) patients and during two (20 %, 2/10) balloon dilatation sessions. All ruptures were successfully treated conservatively. Conclusions: Our study showed that fluoroscopically guided large balloon dilatation seems to be a simple and effective primary treatment technique for congenital esophageal stenosis in children. Esophageal ruptures were not uncommon although they were not fatal.

Original languageEnglish (US)
Pages (from-to)418-423
Number of pages6
JournalJapanese Journal of Radiology
Volume33
Issue number7
DOIs
StatePublished - Jul 25 2015
Externally publishedYes

Keywords

  • Balloon dilatation
  • Congenital esophageal stenosis
  • Esophageal rupture
  • Large balloon catheter

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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