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16-01-2023 | Ultrasound | Original Article–Gastroenterology

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

Authors: Kiyoaki Yabe, Aki Matsuoka, Chikako Nakata, Atsuko Hasegawa, Tadao Nakazawa, Akira Horiuchi, Katsunori Kouchi

Published in: Journal of Medical Ultrasonics | Issue 2/2023

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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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Metadata
Title
Mini-probe endoscopic ultrasound for the diagnosis of congenital esophageal or duodenal stenosis
Authors
Kiyoaki Yabe
Aki Matsuoka
Chikako Nakata
Atsuko Hasegawa
Tadao Nakazawa
Akira Horiuchi
Katsunori Kouchi
Publication date
16-01-2023
Publisher
Springer Nature Singapore
Published in
Journal of Medical Ultrasonics / Issue 2/2023
Print ISSN: 1346-4523
Electronic ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-023-01281-3

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