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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
Originals

Abstract

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.

Keywords

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.

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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

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