Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

Wei Zhong Zhou, Ho Young Song, Jung Hoon Park, Ji Hoon Shin, Jin Hyoung Kim, Young Chul Cho, Pyeong Hwa Kim, Seong Chul Kim

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Objectives: The purpose of this study is to investigate the incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation (FBD) in children with benign oesophageal strictures. Methods: Sixty-two children with benign oesophageal strictures underwent FBDs. Oesophageal rupture was categorized as intramural (type 1), transmural (type 2), or transmural with free leakage (type 3). The possible risk factors for oesophageal ruptures were analyzed. Results: One hundred and twenty-nine FBDs were performed in these patients. The oesophageal rupture rate was 17.1 % (22/129). The majority (21/22) of ruptures were type 1 and type 2, both were treated conservatively. Only one patient had a type 3 rupture and underwent oesophagoesophagostomy. The patient gender, age, and the length and cause of the stricture showed no significant effect on the rupture (P > 0.05). However, for the patients ≤2 years old, the initial balloon with a diameter ≥10 mm showed a higher oesophageal rupture rate than those <10 mm during the first session (P = 0.03). Conclusions: Although the oesophageal rupture rate in children was 17.1 %, the type 3 rupture rate was 0.8 %, which usually requires aggressive treatment. For children ≤2 years old, the initial balloon diameter should be <10 mm in the first session for decreasing the risk of oesophageal rupture. Key Points: • The oesophageal rupture rate following balloon dilatation in children was 17.1 %. • The incidence of transmural rupture with free leakage is very low. • Only transmural rupture with free leakage needs aggressive treatment. • For children ≤2 years, the initial balloon diameter should be <10 mm.

Original languageEnglish (US)
Pages (from-to)105-112
Number of pages8
JournalEuropean Radiology
Volume27
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Keywords

  • Dilatation
  • Fluoroscopy
  • Oesophageal stricture
  • Paediatric
  • Rupture

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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