Therapeutic effect of endoscope-guided bougie dilatation on benign esophageal stricture in children
10.3760/cma.j.issn.1007-5232.2016.06.007
- VernacularTitle:小儿食管良性狭窄内镜下扩张治疗的效果分析
- Author:
Jing YANG
;
Hui XIE
;
Liuming HUANG
;
Rongrong FAN
;
Na LI
;
Xiaojun ZHAO
;
Haihong WANG
;
Yuqi HE
;
Jianqiu SHENG
- Publication Type:Journal Article
- Keywords:
Children benign esophageal stricture;
Endoscope-guided dilatation;
Effectiveness;
Risk factor
- From:
Chinese Journal of Digestive Endoscopy
2016;33(6):375-378
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate therapeutic effect of endoscope?guided bougie dilatation on children with benign esophageal stricture. Methods Data of 71 patients with benign esophageal stricture were retrospective analyzed.Patients were divided into group A (reflux stricture),B (congenital esophageal atresia stricture) and C ( caustic injuries stricture) ,based on different causes. The expansion effectiveness and factors of the three groups were analyzed. Results A total of 885 expansions were performed on 71 patients with the total efficacy rate 94?37%( 67/71) . No statistic differences were shown in expansion effectiveness among the 3 groups; group C ( 14?9 times/case, P < 0?05 ) showed more expansion frequencies than group A (9?1 times/case,P<0?05)and group B(10?7 times/case, P<0?05),more complications than group A(1?22%VS 0,P<0?05) and group B(1?22% VS 0?31%,P<0?05). Conclusion Endoscope?guided bougie dilatation is safe and effective for childrens′ benign esophageal stricture. Caustic injuries, refractory benign esophageal stricture,need more expansions and may be accompanied with more complications.
