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esophageal balloon dilation pediatric

Yuyong Tan, Hongyi Zhu, Chenjie Li, Yi Chu, Jirong Huo, Deliang Liu
BACKGROUND: Both peroral endoscopic myotomy (POEM) and endoscopic balloon dilation (EBD) are effective method for pediatric achalasia, however little is known about the comparison between them. Herein we compare the safety and efficacy of them for primary treatment of pediatric achalasia. METHODS: We retrospectively reviewed the medical records of pediatric patients who received POEM or EBD for their primary therapy of achalasia at our hospital from January 2007 to June 2015, they were divided into the POEM group and EBD group...
October 2016: Journal of Pediatric Surgery
Kanefumi Yamashita, Hironari Shiwaku, Ryuichiro Hirose, Hiroki Kai, Ryo Nakashima, Daisuke Kato, Richiko Beppu, Shinsuke Takeno, Takamitsu Sasaki, Satoshi Nimura, Akinori Iwasaki, Haruhiro Inoue, Yuichi Yamashita
Achalasia is a primary motility disorder with incomplete lower esophageal sphincter relaxation; it has an annual incidence of 0.11 cases per 100 000 children. Peroral endoscopic myotomy (POEM) is a new endoscopic treatment method for achalasia. Reports about POEM in pediatric patients are rare. We herein report the case of a 9-year-old female patient with achalasia who underwent POEM. The patient underwent endoscopic balloon dilatation because medication was not effective at a previous hospital; however, endoscopic balloon dilatation was not effective either...
November 2016: Asian Journal of Endoscopic Surgery
Jessica A Zagory, Jamie M Golden, Natalie E Demeter, Yen Nguyen, Henri R Ford, Nam X Nguyen
INTRODUCTION: Achalasia is an uncommon disorder in children. Currently, there is no consensus regarding the optimal treatment for achalasia. We investigate the effectiveness of symptom relief in patients who underwent endoscopic treatments versus Heller myotomy (HM). METHODS: We conducted a retrospective review of all children (age 0-18 years) treated for achalasia at two pediatric hospitals from 2004 to 2014. Demographics, presenting symptoms, outcomes, and complications were analyzed...
June 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Luigi Dall'Oglio, Tamara Caldaro, Francesca Foschia, Simona Faraci, Giovanni Federici di Abriola, Francesca Rea, Erminia Romeo, Filippo Torroni, Giulia Angelino, Paola De Angelis
Post-esophageal atresia anastomotic strictures and post-corrosive esophagitis are the most frequent types of cicatricial esophageal stricture. Congenital esophageal stenosis has been reported to be a rare but typical disease in children; other pediatric conditions are peptic, eosinophilic esophagitis and dystrophic recessive epidermolysis bullosa strictures. The conservative treatment of esophageal stenosis and strictures (ES) rather than surgery is a well-known strategy for children. Before planning esophageal dilation, the esophageal morphology should be assessed in detail for its length, aspect, number and level, and different conservative strategies should be chosen accordingly...
February 25, 2016: World Journal of Gastrointestinal Endoscopy
F Savino, V Tarasco, S Viola, E Locatelli, M Sorrenti, A Barabino
Esophageal stenosis is a relatively uncommon condition in pediatrics and requires an accurate diagnostic approach. Here we report the case of a 9-month old female infant who presented intermittent vomiting, dysphagia and refusal of solid foods starting after weaning. She was treated for gastroesophageal reflux. At first, radiological investigation suggested achalasia, while esophagoscopy revelaed a severe congenital esophageal stenosis at the distal third of the esophagus. She underwent four endoscopic balloon dilatations that then allowed her to swallow solid food with intermittent mild dysphagia...
2015: Italian Journal of Pediatrics
Lusine Ambartsumyan, Leonel Rodriguez
The most common and challenging gastrointestinal motility disorders in children include gastroesophageal reflux disease (GERD), esophageal achalasia, gastroparesis, chronic intestinal pseudo-obstruction, and constipation. GERD is the most common gastrointestinal motility disorder affecting children and is diagnosed clinically and treated primarily with acid secretion blockade. Esophageal achalasia, a less common disorder in the pediatric patient population, is characterized by dysphagia and treated with pneumatic balloon dilation and/or esophagomyotomy...
January 2014: Gastroenterology & Hepatology
A Avanoğlu, O Mutaf
Between 1975 and 1994, nine patients with achalasia were treated surgically at the Department of Pediatric Surgery, Ege University Hospital. The mean age was 8.3 years; there were 4 boys and 5 girls; and dysphagia was the leading symptom. There was also significant growth retardation in most of the patients. A modified Heller's myotomy was performed in all cases via a transthoracic approach without an antireflux procedure. In one patient the myotomy resulted in significant gastroesophageal reflux, but this could be controlled medically...
March 1996: Pediatric Surgery International
Cristiane Hallal, Carlos O Kieling, Daltro L Nunes, Cristina T Ferreira, Guilherme Peterson, Sérgio G S Barros, Cristina A Arruda, José C Fraga, Helena A S Goldani
PURPOSE: Although achalasia is a rare disorder in children, its symptom may mimic common childhood diseases. This study aimed to assess the diagnosis and management of achalasia in children and adolescents in a Brazilian single center during a 12-year period. METHODS: Patients with achalasia were identified from a database built during the period of January 2000-January 2012 from a Pediatric Gastroenterology reference center. Information regarding demographic data, clinical symptoms, diagnosis, treatment, and long-term follow-up were described...
December 2012: Pediatric Surgery International
A Ksia, S Mosbahi, M Ben Brahim, L Sahnoun, R Laamiri, K Maazoun, I Krichene, M Mekki, M Belguith, A Nouri
UNLABELLED: Esophageal stricture is a rare but often severe complication of recessive dystrophic epidermolysis bullosa in children. The purpose of the study was to review this digestive complication with emphasis on diagnostic modalities and therapeutic management. PATIENTS AND METHODS: This was a retrospective study of two pediatric cases of esophageal stenosis that occurred during generalized recessive dystrophic epidermolysis bullosa of the Hallopeau-Siemens type...
December 2012: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Giovanni Di Nardo, Paolo Rossi, Salvatore Oliva, Marina Aloi, Denis A Cozzi, Simone Frediani, Adriano Redler, Saverio Mallardo, Federica Ferrari, Salvatore Cucchiara
BACKGROUND: The use of pneumatic dilation (PD) is well established in adults with achalasia; however, it is less commonly used in children. OBJECTIVE: To evaluate the efficacy of PD in pediatric achalasia and to define predictive factors for its treatment failure. DESIGN: Single-center, prospective cohort study. SETTING: Academic tertiary referral center. PATIENTS: Twenty-four patients with achalasia were enrolled from January 2004 to November 2009 and were followed for a median of 6 years...
November 2012: Gastrointestinal Endoscopy
M P Korolev, S V Gol'bits, A P Ivanov, M I Komissarov
Nowadays not only diagnostic but also therapeutic interventions are widely used in pediatric endoscopy. The authors analyze 25 cases of esophageal stenosis of different genesis (caustic, peptic, anastomotic and congenital esophageal obstructions) in children aged from 1.6 to 15 years. The endoscopic treatment was successfully performed by mechanical dilators with a guidewire and balloon dilator in all patients. The age less than 2 years, previous complications, subtotal stenosis can not be considered absolute contraindication for endoscopic treatment...
2012: Vestnik Khirurgii Imeni I. I. Grekova
Kayo Ikeda, Shinobu Ida, Hisayoshi Kawahara, Koji Kawamoto, Yuri Etani, Akio Kubota
BACKGROUND: Cow's milk allergy (CMA) can cause functional bowel symptoms. This can lead to confusion and difficulty in managing pediatric surgical patients who also have CMA. We examined CMA's effect on the management of pediatric surgical patients in our institute. METHODS: With institutional review board approval, 14 pediatric surgical patients with CMA were reviewed. Cow's milk allergy was diagnosed according to clinical findings and stimulation index (normal range <300%) of the lymphocyte stimulation test...
December 2011: Journal of Pediatric Surgery
Chih-Feng Chang, Shih-Pin Kuo, Hung-Chih Lin, Chun-Chun Chuang, Tien-Kai Tsai, Shu-Fen Wu, An-Chyi Chen, Walter Chen, Ching-Tien Peng
Esophageal strictures in children may be caused by congenital anomaly, caustic agent or foreign body ingestion, complication of reflux esophagitis, and after esophageal surgery. Accidental ingestion of alkaline fluid is the most common cause of corrosive esophagitis in children in Taiwan. In this article, we studied 10 pediatric patients who had esophageal strictures and required endoscopic balloon dilatation (EBD) therapy under general anesthesia from January 2003 to June 2009. The median age of the studied children who received their first EBD treatment was 36...
August 2011: Pediatrics and Neonatology
Pornthep Tanpowpong, A J Katz
Esophageal heterotopic gastric mucosa (HGM) is not uncommon and can be seen in up to 10% of the general population among numerous reports and epidemiologic studies which have been essentially performed in adult population. Pediatric data are still limited. Diagnosis requires clinician awareness of symptomatic cases who present with dysphagia or swallowing difficulties, and thorough endoscopic examination is crucial. Early detection of cases provides favorable clinical outcome and may prevent potential significant or serious long-term consequences such as esophageal stricture or web, Barrett's esophagus or malignant transformation in pediatric population...
May 2011: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
Deiadra Garrett, Dean Anselmo, Henri Ford, Fombe Ndiforchu, Nam Nguyen
PURPOSE: Minimally invasive esophagectomy and gastric pull-up is a widely accepted method in adults. However, the experience in the pediatric population is limited. Minimally invasive esophagectomy represents a new alternative technique to the conventional open approach. We wish to report our small case series of minimally invasive esophagectomy and gastric pull-up in pediatric patients. The aim of the study is to evaluate the feasibility, safety, and outcomes of the procedure. METHODS: Three patients (2 girls and 1 boy) with average age 46 months (34-57 months) and average weight 12...
July 2011: Pediatric Surgery International
Derek J Roebuck, Mark J Hogan, Bairbre Connolly, Clare A McLaren
The scope for image-guided intervention in the chest is very wide and encompasses procedures in the heart, pulmonary and systemic vasculature, lungs and pleural cavities, airway, and esophagus. This review describes the most important procedures that are usually performed by radiologists. Percutaneous drainage is now the most common method of treating both empyemas and lung abscesses in children. Although most lung biopsies are carried out by other means, percutaneous biopsy and localization are important alternatives for the diagnosis of focal lung lesions...
March 2011: Techniques in Vascular and Interventional Radiology
Douglas W Jones, Shaun M Kunisaki, Daniel H Teitelbaum, Nitsana A Spigland, Arnold G Coran
Congenital esophageal stenosis (CES) is a rare congenital abnormality that is difficult to diagnose and often masquerades as other types of structural esophageal disease. We report three cases of CES with different presenting symptoms. We advocate for balloon dilation as the preferred first approach to therapeutic intervention. CES is an important clinical entity in the evaluation of pediatric esophageal disorders and should be suspected in young infants with dysphagia.
May 2010: Pediatric Surgery International
Dimitri Coumaros, Anne Schneider, Niki Tsesmeli, Stephan Geiss, François Becmeur
BACKGROUND: Esophageal duplication is a rare congenital lesion. Surgery is the standard treatment. Tubular duplication is extremely rare, with esophageal communication in very few cases. OBJECTIVE: The aim of this study was to document the feasibility of the endoscopic management of tubular esophageal duplication. DESIGN: Case report. INTERVENTION: A 14-year-old boy presented with acute dysphagia and acute retrosternal pain...
April 2010: Gastrointestinal Endoscopy
Carlos Robles-Medranda, Florence Villard, Catherine le Gall, Hannah Lukashok, Christine Rivet, Raymonde Bouvier, Jerome Dumortier, Alain Lachaux
BACKGROUND: Esophageal stricture is one of the most severe complications in eosinophilic esophagitis (EoE). Clinical practice is based on limited data and some treatments are still considered controversial. We report on our experience in the treatment of severe dysphagia and esophageal strictures in EoE, especially using balloon dilation, showing the clinical practice in our pediatric population. PATIENTS AND METHODS: This was a single-center retrospective study between December 2002 to November 2007, identifying all of the pediatric patients with severe dysphagia in the context of EoE...
May 2010: Journal of Pediatric Gastroenterology and Nutrition
Yeming Wu, Zhilong Yan, Li Hong, Ming Hu, Sheng Chen
PURPOSE: The aim of this study was to introduce the recent development of the one-stage esophageal anastomosis by using thoracoscopic surgery to repair neonatal esophageal atresia in mainland China. Two successful cases at the Shanghai Children's Medical Center (SCMC; Shanghai, China) are discussed. METHODS: In 2007, fistula ligation and the one-stage esophageal anastomosis were performed successfully at SCMC by thoracoscopy on 2 infants with congenital esophageal atresia...
June 2009: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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