Pediatric Radiology

, Volume 17, Issue 6, pp 454–458 | Cite as

The treatment of post-operative and peptic esophageal strictures after esophageal atresia repair

A program including dilatation with balloon catheters
  • F. A. Hoffer
  • H. S. Winter
  • K. E. Fellows
  • J. Folkman


Nine patients, 6 weeks to 17 years of age with esophageal atresia (EA), developed esophageal strictures and were treated with 26 balloon catheter dilatations over a period of 3 years; 6 are now asymptomatic. Five of the 9 patients had suspected reflux esophagitis, confirmed in 3 by biopsy and treated medically prior to dilatation. Seven of the 9 patients had a primary anastomosis, 1 a gastric tube, and 1 a colonic interposition. Most dilatations in the group of 7 were performed with balloon (B) ≥ the diameter of the distal esophagus (E) (B/E≥1). The 3 residually symptomatic patients include an infant dilated conservatively (B/E<1) to facilitate later bouginage, 1 patient with a recurrent stricture after stopping medical therapy and home bouginage, and 1 infant who had a persistent anastomotic stricture, suspected but untreated reflux esophagitis, and a perforation during the second balloon dilatation. Balloon catheter esophageal dilatation, as an alternative to bouginage, is usually a safe and effective procedure when reflux esophagitis is diagnosed and treated prior to dilatation.


Perforation Balloon Dilatation Balloon Catheter Gastric Tube Reflux Esophagitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Pieretti R, Shandling B, Stephens C (1974) Resistant esophageal stenosis associated with reflux after repair of esophageal atresia: a therapeutic approach. J Pediatr Surg 9: 355PubMedGoogle Scholar
  2. 2.
    Dawson SL, Mueller PR, Ferrucci JT, Jr, Richter JM, Schapiro RH, Butch RJ, Simeone JF (1984) Severe esophageal strictures: Indications for balloon catheter dilatation. Radiology 153: 631PubMedGoogle Scholar
  3. 3.
    Starck E, Paolucci V, Herzer M, Crummy AB (1984) Esophageal stenosis: Treatment with balloon catheters. Radiology 153: 637PubMedGoogle Scholar
  4. 4.
    Kollath J, Starck E, Paolucci V (1984) Dilation of esophageal stenosis by balloon catheter. Cardiovasc Intervent Radiol 7: 35PubMedGoogle Scholar
  5. 5.
    Lindor KD, Ott BJ, Hughes RW, Jr (1985) Balloon dilatation of upper digestive tract strictures. Gastroenterology 89: 545PubMedGoogle Scholar
  6. 6.
    Ball WS, Strife JL, Rosenkrantz J, Towbin RB, Nospworthy J (1984) Esophageal strictures in children. Radiology 150: 263PubMedGoogle Scholar
  7. 7.
    Goldthorn JF, Ball WS, Wilkinson LG, Seigel RS, Kosloske AM (1984) Esophageal strictures in children: treatment by serial balloon catheter dilatation. Radiology 153: 655PubMedGoogle Scholar
  8. 8.
    Dux AEW, Hall CM, Spitz L (1984) Balloon catheter dilatation of oesophageal strictures in children. Br J Radiol 57: 251PubMedGoogle Scholar
  9. 9.
    Johnsen A, Jensen LI, Mauritzen K (1986) Balloon dilatation of esophageal strictures in children. Pediatr Radiol 16: 388PubMedCrossRefGoogle Scholar
  10. 10.
    LaBerge JM, Kerlan RK, Jr., Pogany AC, Ring EJ (1985) Esophageal ruptures: complication of balloon dilatation. Radiology 157: 56PubMedGoogle Scholar
  11. 11.
    Leichtmann GA, Novis BH, Samara M (1984) Instrumental dilatation of esophageal or gastric strictures using the Grüntzig balloon-catheter and the Celestin dilator. Preliminary results. Gastroenterol Clin Biol 8: 616PubMedGoogle Scholar
  12. 12.
    Goyal RK, Biancani P, Phillips A, Spiro HM (1971) Mechanical properties of the esophageal wall. J Clin Invest 50: 1456PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • F. A. Hoffer
    • 1
  • H. S. Winter
    • 2
  • K. E. Fellows
    • 1
  • J. Folkman
    • 3
  1. 1.Department of RadiologyThe Children's Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Department of PediatricsThe Children's Hospital and Harvard Medical SchoolBostonUSA
  3. 3.Department of SurgeryThe Children's Hospital and Harvard Medical SchoolBostonUSA

Personalised recommendations