Surgical Endoscopy

, Volume 24, Issue 9, pp 2287–2292

Long-term management of corrosive esophageal stricture with balloon dilation in children

  • Abdulkerim Temiz
  • Pelin Oguzkurt
  • Semire Serin Ezer
  • Emine Ince
  • Akgun Hicsonmez
Article

DOI: 10.1007/s00464-010-0953-x

Cite this article as:
Temiz, A., Oguzkurt, P., Ezer, S.S. et al. Surg Endosc (2010) 24: 2287. doi:10.1007/s00464-010-0953-x

Abstract

Background and purpose

There are only a few studies focused on efficacy and safety of balloon dilation in corrosive esophageal stricture in children. The aim of this study is to assess the long-term clinical results of balloon dilation in the treatment of corrosive esophageal stricture in children.

Materials and methods

We retrospectively analyzed the management of 18 children (median age 3 years) who were treated with balloon dilation because of caustic esophageal stricture between January 2001 and December 2008.

Results

A total of 295 sessions of balloon dilation were performed in all patients over an 8-year period. Technical success was achieved in all patients, whereas clinical success was achieved only in eight (44.4%) patients after first dilation. Eight (44.4%) of all patients showed recovery within the first year and another six (33.3%) patients recovered within 2 years. Esophageal perforation occurred in one (5%) patient, during one dilation session (0.33%). The average number of dilation sessions was 12.7, 2.8, and 1, respectively, in the first, second, and third year. There was significant difference between the mean number of dilation sessions in the first and second year, and second and third year (p < 0.01 and p = 0.043).

Conclusion

Short-segment esophageal strictures, improvement of food intake capacity, and increase in intervals of dilation sessions are good patient indicators. We suggest that esophageal balloon dilatation is a safe and effective method of treatment in caustic esophageal strictures and recommend that balloon dilation program be performed for at least 2 years before deciding that dilation has failed and preferring other treatment modalities which have higher risk of complications.

Keywords

CorrosiveEsophagusStrictureBalloon

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Abdulkerim Temiz
    • 1
  • Pelin Oguzkurt
    • 1
    • 2
  • Semire Serin Ezer
    • 1
  • Emine Ince
    • 1
  • Akgun Hicsonmez
    • 1
  1. 1.Department of Pediatric SurgeryBaskent University Faculty of MedicineAnkaraTurkey
  2. 2.Adana Uygulama ve Araştırma Hastanesi, Çocuk Cerrahisi Anabilim DalıBaşkent Üniversitesi Tıp FakültesiAdanaTurkey