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Japanese Journal of Radiology
Published in: Japanese Journal of Radiology 7/2015

01-07-2015 | Original Article

Fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children

Authors: Hong-Tao Hu, Ji Hoon Shin, Jin-Hyoung Kim, Jong Keon Jang, Jung-Hoon Park, Tae-Hyung Kim, Deok Ho Nam, Ho-Young Song

Published in: Japanese Journal of Radiology | Issue 7/2015

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Abstract

Purpose

We aimed to evaluate the safety and clinical effectiveness of fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children.

Methods

Our study included seven children (mean age 4.0 years) who underwent a total of ten balloon dilatation sessions. The initial balloon diameters were 10–15 mm. The technical success, clinical success (improved food intake and reduced dysphagia within 1 month following the first balloon dilatation), dysphagia recurrence, and complications were retrospectively evaluated.

Results

Technical and clinical success rates were 100 %. During the mean 38-month follow-up period after the first balloon dilatation, 3 (43 %) patients underwent only one additional balloon dilatation 4–5 months after the first balloon dilatation for dysphagia recurrence. Two of them showed improvement without further recurrence, while the remaining one underwent partial esophagectomy. Well-contained transmural esophageal rupture (type 2) occurred in two (29 %, 2/7) patients and during two (20 %, 2/10) balloon dilatation sessions. All ruptures were successfully treated conservatively.

Conclusions

Our study showed that fluoroscopically guided large balloon dilatation seems to be a simple and effective primary treatment technique for congenital esophageal stenosis in children. Esophageal ruptures were not uncommon although they were not fatal.
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Metadata
Title
Fluoroscopically guided large balloon dilatation for treating congenital esophageal stenosis in children
Authors
Hong-Tao Hu
Ji Hoon Shin
Jin-Hyoung Kim
Jong Keon Jang
Jung-Hoon Park
Tae-Hyung Kim
Deok Ho Nam
Ho-Young Song
Publication date
01-07-2015
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 7/2015
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-015-0441-2

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