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Mini-probe endoscopic ultrasound for the diagnosis of congenital esophageal or duodenal stenosis

  • Original Article–Gastroenterology
  • Published:
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Abstract

Purpose

The usefulness of endoscopic ultrasound (EUS) in pediatric populations has been recently appreciated; however, published studies on mini-probe EUS in the diagnosis of congenital esophageal stenosis (CES) or congenital duodenal stenosis (CDS) in pre-school patients remain scarce. This study aimed to report the utility of mini-probe EUS for the diagnosis of CES or CDS in pre-school patients based on the etiology.

Methods

We retrospectively reviewed the medical records of pediatric patients with CES or CDS who underwent mini-probe EUS through the stenotic segments at our hospital between December 2006 and December 2021.

Results

Five patients with CES and one with CDS were enrolled. The median age and body weight when EUS was performed were 12.5 months and 8.5 kg, respectively. Hypoechoic lesions were observed on EUS in three patients, which were assessed as cartilage; one patient had no hypoechoic lesion but had a focal thickness of the muscular layer. They were diagnosed with tracheobronchial remnants based on EUS. The full circumferential wall thickness of the esophagus was visualized in one patient with fibromuscular hypertrophy. The histopathological findings confirmed the diagnoses. In the patient with CDS, EUS findings revealed pancreatic parenchyma encircling the stenotic part of the duodenum. The preoperative diagnosis was annular pancreas. The patient underwent duodenoduodenostomy, and intraoperative findings confirmed the diagnosis.

Conclusion

Mini-probe EUS can be recommended as a feasible and safe technique for infants and toddlers. It can effectively diagnose CES or CDS based on etiology and can inform treatment strategies for pre-school patients.

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Data availability

The datasets generated and/or analyzed during the current study are not publicly available due to contact with Tokyo Women’s Medical University but are available from the corresponding author on reasonable request.

References

  1. DiMagno EP, Buxton JL, Regan PT, et al. Ultrasonic endoscope. Lancet. 1980;1:629–31.

    Article  CAS  PubMed  Google Scholar 

  2. Attila T, Adler DG, Hilden K, et al. EUS in pediatric patients. Gastrointest Endosc. 2009;70:892–8.

    Article  PubMed  Google Scholar 

  3. Sharma M, Wani ZA, Bansal R, et al. Utility of narrow caliber echo-bronchoscope in pre-school pediatric population: a case series (with video). Endosc Ultrasound. 2013;2:96–101.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Lakhole A, Liu QY. Role of endoscopic ultrasound in pediatric disease. Gastrointest Endosc Clin N Am. 2016;26:137–53.

    Article  PubMed  Google Scholar 

  5. Mochizuki K, Yokoi A, Urushihara N, et al. Characteristics and treatment of congenital esophageal stenosis: a retrospective collaborative study from three Japanese children’s hospitals. J Pediatr Surg. 2021;56:1771–5.

    Article  PubMed  Google Scholar 

  6. Ramesh JC, Ramanujam TM, Jayaram G. Congenital esophageal stenosis: report of three cases, literature review, and a proposed classification. Pediatr Surg Int. 2001;17:188–92.

    Article  CAS  PubMed  Google Scholar 

  7. Win MKK, Mensah C, Kaushik K, et al. Duodenal stenosis: a diagnostic challenge in a neonate with poor weight gain. Cureus. 2020;12: e8559.

    PubMed  PubMed Central  Google Scholar 

  8. Huang MH, Bian HQ, Liang C, et al. Gastroscopic treatment of membranous duodenal stenosis in infants and children: report of 6 cases. J Pediatr Surg. 2015;50:413–6.

    Article  PubMed  Google Scholar 

  9. McCollum MO, Jamieson DH, Webber EM. Annular pancreas and duodenal stenosis. J Pediatr Surg. 2002;37:1776–7.

    Article  PubMed  Google Scholar 

  10. Kouchi K, Yoshida H, Matsunaga T, et al. Endosonographic evaluation in two children with esophageal stenosis. J Pediatr Surg. 2002;37:934–6.

    Article  PubMed  Google Scholar 

  11. Takamizawa S, Tsugawa C, Mouri N, et al. Congenital esophageal stenosis: therapeutic strategy based on etiology. J Pediatr Surg. 2002;37:197–201.

    Article  PubMed  Google Scholar 

  12. Usui N, Kamata S, Kawahara H, et al. Usefulness of endoscopic ultrasonography in the diagnosis of congenital esophageal stenosis. J Pediatr Surg. 2002;37:1744–6.

    Article  PubMed  Google Scholar 

  13. Okanobu H, Hata J, Haruma K, et al. A classification system of echogenicity for gastrointestinal neoplasms. Digestion. 2005;72:8–12.

    Article  PubMed  Google Scholar 

  14. Yabe K, Kouchi K, Takenouchi A, et al. Diagnosis of annular pancreas with congenital duodenal stenosis by endoscopic ultrasound in a paediatric patient. J Pediatr Gastroenterol Nutr. 2021;73: e79.

    Article  PubMed  Google Scholar 

  15. Tagawa M, Morita A, Imagawa K, et al. Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in children. Dig Endosc. 2021;33:1045–58.

    Article  PubMed  Google Scholar 

  16. Barth BA, Banerjee S, ASGE Technology Committee, et al. Equipment for pediatric endoscopy. Gastrointest Endosc. 2012;76:8–17.

    Article  PubMed  Google Scholar 

  17. Terui K, Saito T, Mitsunaga T, et al. Endoscopic management for congenital esophageal stenosis: a systematic review. World J Gastrointest Endosc. 2015;7:183–91.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Bocus P, Realdon S, Eloubeidi MA, et al. High-frequency miniprobes and 3-dimensional EUS for preoperative evaluation of the etiology of congenital esophageal stenosis in children (with video). Gastrointest Endosc. 2011;74:204–7.

    Article  PubMed  Google Scholar 

  19. Singh M, Chin KJ, Chan VW, et al. Use of sonography for airway assessment: an observational study. J Ultrasound Med. 2010;29:79–85.

    Article  PubMed  Google Scholar 

  20. Kshirsagar AY, Sulhyan SR, Vasisth G, et al. Duodenal stenosis in a child. Afr J Paediatr Surg. 2011;8:92–4.

    Article  CAS  PubMed  Google Scholar 

  21. Goring J, Isoldi S, Sharma S, et al. Natural orifice endoluminal technique (NOEL) for the management of congenital duodenal membranes. J Pediatr Surg. 2020;55:282–5.

    Article  PubMed  Google Scholar 

  22. Wang D, Kang Q, Shi S, et al. Annular pancreas in China: 9 years’ experience from a single center. Pediatr Surg Int. 2018;34:823–7.

    Article  CAS  PubMed  Google Scholar 

  23. Gress F, Yiengpruksawan A, Sherman S, et al. Diagnosis of annular pancreas by endoscopic ultrasound. Gastrointest Endosc. 1996;44:485–9.

    Article  CAS  PubMed  Google Scholar 

  24. Papachristou GI, Topazian MD, Gleeson FC, et al. EUS features of annular pancreas (with video). Gastrointest Endosc. 2007;65:340–4.

    Article  PubMed  Google Scholar 

  25. Thakkar K, El-Serag HB, Mattek N, et al. Complications of pediatric EGD: a 4-year experience in PEDS-CORI. Gastrointest Endosc. 2007;65:213–21.

    Article  PubMed  Google Scholar 

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Acknowledgements

We would like to thank Editage (http://www.editage.jp) for English language editing.

Funding

No funds, grants, or other means of support were received in relation to the conduct of this study.

Author information

Authors and Affiliations

  1. Department of Pediatric Surgery, Tokyo Women’s Medical University Yachiyo Medical Center, 477-96 Owadasinden, Yachiyo-Shi, Chiba, Japan

    Kiyoaki Yabe, Aki Matsuoka, Chikako Nakata & Katsunori Kouchi

  2. Digestive Disease Center, Showa Inan General Hospital, Nagano, Japan

    Kiyoaki Yabe & Akira Horiuchi

  3. Department of Pathology, Tokyo Women’s Medical University Yachiyo Medical Center, Chiba, Japan

    Atsuko Hasegawa & Tadao Nakazawa

Authors
  1. Kiyoaki Yabe
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  2. Aki Matsuoka
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  3. Chikako Nakata
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  4. Atsuko Hasegawa
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  5. Tadao Nakazawa
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  6. Akira Horiuchi
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  7. Katsunori Kouchi
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Contributions

All authors contributed to the conception and design of the study. Material preparation, data collection, and analysis were performed by KY, AM, and CN. Histopathological assessment was performed by AH and TN. The manuscript was written by KY. Supervision was performed by AH and KK. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Kiyoaki Yabe.

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Conflict of interest

Kiyoaki Yabe, Aki Matsuoka, Chikako Nakata, Atsuko Hasegawa, Tadao Nakazawa, Akira Horiuchi, and Katsunori Kouchi declare no conflicts of interest.

Ethical approval

All procedures in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the Declaration of Helsinki of 1964 (revised in 2013). This retrospective study was approved by the Ethics Committee of Tokyo Women’s Medical University. The requirement for obtaining written informed consent was waived because of the retrospective nature of the study.

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Yabe, K., Matsuoka, A., Nakata, C. et al. Mini-probe endoscopic ultrasound for the diagnosis of congenital esophageal or duodenal stenosis. J Med Ultrasonics 50, 177–185 (2023). https://doi.org/10.1007/s10396-023-01281-3

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  • DOI: https://doi.org/10.1007/s10396-023-01281-3

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