Clinical analysis of endoscopic esophageal dilation for the treatment of corrosive esophageal strictures in children.
10.7499/j.issn.1008-8830.2305106
- VernacularTitle:内镜下食管扩张治疗儿童腐蚀性食管狭窄的临床分析
- Author:
Lu-Jing TANG
1
;
Jin-Gan LOU
1
;
Hong ZHAO
1
;
Ke-Rong PENG
1
;
Jin-Dan YU
1
Author Information
1. Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health, Hangzhou 310052, China (Lou J-G, Email: jingan@zju.edu. cn).
- Publication Type:Journal Article
- Keywords:
Child;
Corrosive esophageal stricture;
Endoscopic esophageal dilation
- MeSH:
Child;
Humans;
Esophageal Stenosis/therapy*;
Constriction, Pathologic/complications*;
Dilatation/methods*;
Caustics;
Retrospective Studies;
Treatment Outcome
- From:
Chinese Journal of Contemporary Pediatrics
2023;25(12):1265-1269
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To investigate the clinical application of endoscopic esophageal dilation in the treatment of corrosive esophageal strictures in children.
METHODS:A retrospective analysis was performed on the clinical data of 15 children with corrosive esophageal strictures who underwent endoscopic esophageal dilation in Children's Hospital, Zhejiang University School of Medicine. The clinical features, treatment modality of endoscopic esophageal dilation, number of dilations, complications, and prognosis were reviewed.
RESULTS:A total of 96 esophageal dilations were performed in the 15 children with corrosive esophageal strictures, with a median of 6 dilations per child. Among them, 9 children (60%) underwent 6 or more dilations. The children with a stricture length of >3 cm had a significantly higher number of dilations than those with a stricture length of ≤3 cm (P<0.05). The children with strictures in a single segment had a significantly better treatment outcome than those with strictures in multiple segments (P=0.005). No complication was observed during all sessions of dilation. The overall effective rate (including significant improvement and improvement) of endoscopic esophageal dilation treatment was 87%, with 2 cases of failure.
CONCLUSIONS:Endoscopic esophageal dilation is an effective and relatively safe treatment method for corrosive esophageal strictures in children, and children with strictures in a single segment tend to have a better treatment outcome than those with strictures in multiple segments.
