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esophageal balloon dilation pediatric

https://read.qxmd.com/read/38523834/experience-in-the-treatment-of-long-gap-esophageal-atresia-by-intraluminal-esophageal-stretching-elongation
#1
JOURNAL ARTICLE
Ning Zhang, Wenjie Wu, Yujia Zhuang, Weipeng Wang, Weihua Pan, Jun Wang
OBJECTIVE: To summarize the experience with intraluminal esophageal stretching elongation (ILESE) in the successful treatment of long-gap esophageal atresia (LGEA) at a single center. METHODS: Clinical data of 68 neonates who underwent LGEA between February 2015 and January 2022 were retrospectively analyzed. Four patients died of multiple associated severe malformations and did not undergo ILESE. Esophageal anastomosis was successfully performed in 60 cases (93...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38517524/balloon-dilatation-for-congenital-esophageal-stenosis-associated-with-esophageal-atresia
#2
JOURNAL ARTICLE
Koichi Deguchi, Masafumi Kamiyama, Kazunori Masahata, Motonari Nomura, Miho Watanabe, Takehisa Ueno, Yuko Tazuke, Hiroomi Okuyama
PURPOSE: Congenital esophageal stenosis (CES) associated with esophageal atresia (EA) is rare, and no standard treatment has been established. We reviewed cases of EA-associated CES to assess the clinical characteristics and treatment outcomes, especially the feasibility of endoscopic dilatation. METHODS: We retrospectively examined patients with EA-associated CES. We also compared treatment outcomes of EA-associated CES with those of EA patients without CES who developed postoperative anastomotic stricture...
March 22, 2024: Pediatric Surgery International
https://read.qxmd.com/read/38374546/complex-esophageal-stricture-managed-with-balloon-dilation-and-fully-covered-metal-stent
#3
JOURNAL ARTICLE
Brett Hoskins, Kenneth Ng
No abstract text is available yet for this article.
February 2024: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/38312432/repair-of-complex-esophageal-atresia-with-tracheobronchial-remnant-using-special-magnets
#4
Charlotte Reich, Elena Weigl, Anne-Sophie Holler, William Lee, Michael Harrison, Oliver J Muensterer
Esophageal atresia (EA) repair can be complicated by associated malformations such as a tracheobronchial remnant in the distal esophagus. We describe our experience with a patient found to have long-gap EA with a distal cartilaginous ring who was managed using a combination of esophageal lengthening and magnetic compression anastomosis. A 5-month-old girl was referred to us from an outside hospital with type C EA including a very high upper pouch. She had undergone a prior thoracotomy with fistula ligation during which a clip was placed on the lower esophagus, leaving a 2-cm diverticulum on the trachea and a short lower esophageal pouch...
January 2024: European Journal of Pediatric Surgery Reports
https://read.qxmd.com/read/37884732/outcomes-of-pneumatic-dilation-in-pediatric-caustic-esophageal-strictures-a-descriptive-and-analytic-study-from-a-developing-country
#5
JOURNAL ARTICLE
Ben Youssef Sabrine, Marwa Messaoud, Belhassen Samia, Ben Fredj Meriem, Ben Salah Radhouane, Ben Mansour Maha, Chakroun Sawsen, Sfar Sami, Mosbahi Sana, Ksia Amine, Gara Amel, Zemni Imen, Sahnoun Lassaad, Mekki Mongi, Belghith Mohsen
OBJECTIVES: Corrosive substance ingestion in children represents a significant public health issue due to its long-term health sequelae. Esophageal stricture, main complication of this dangerous condition, is treated by pneumatic dilation and eventually by esophageal replacement. We aimed, through this study, to report the outcomes of esophageal pneumatic dilation complicating corrosive substance ingestion in children in a developing country. METHODS: This cross-sectional study was performed on the population of pediatric patients with caustic esophageal stenosis between January 2005 and December 2020...
October 26, 2023: Surgical Endoscopy
https://read.qxmd.com/read/37838619/lessons-learned-from-the-first-in-human-compassionate-use-of-connect-ea%C3%A2-in-ten-patients-with-esophageal-atresia
#6
JOURNAL ARTICLE
William G Lee, Lauren L Evans, Caressa S Chen, Julie R Fuchs, Irving J Zamora, Matias Bruzoni, Michael R Harrison, Oliver J Muensterer
INTRODUCTION: Delayed primary repair of esophageal atresia in patients with high-risk physiologic and anatomic comorbidities remains a daunting challenge with an increased risk for peri-operative morbidity and mortality via conventional repair. The Connect-EA device facilitates the endoscopic creation of a secure esophageal anastomosis. This follow-up study reports our long-term outcomes with the novel esophageal magnetic compression anastomosis (EMCA) Connect-EA device for EA repair, as well as lessons learned from the ten first-in-human cases...
September 21, 2023: Journal of Pediatric Surgery
https://read.qxmd.com/read/37796851/protocol-for-an-international-multicenter-randomized-controlled-trial-assessing-treatment-success-and-safety-of-peroral-endoscopic-myotomy-vs-endoscopic-balloon-dilation-for-the-treatment-of-achalasia-in-children
#7
JOURNAL ARTICLE
Carlijn Mussies, Marinde van Lennep, Johanna H van der Lee, Maartje J Singendonk, Marc A Benninga, Barbara A Bastiaansen, Paul Fockens, Albert J Bredenoord, Michiel P van Wijk
INTRODUCTION: Achalasia is a rare neurodegenerative esophageal motility disorder characterized by incomplete lower esophageal sphincter (LES) relaxation, increased LES tone and absence of esophageal peristalsis. Achalasia requires invasive treatment in all patients. Conventional treatment options include endoscopic balloon dilation (EBD) and laparoscopic Heller's myotomy (LHM). Recently, a less invasive endoscopic therapy has been developed; Peroral Endoscopic Myotomy (POEM). POEM integrates the theoretical advantages of both EBD and LHM (no skin incisions, less pain, short hospital stay, less blood loss and a durable myotomy)...
2023: PloS One
https://read.qxmd.com/read/37679876/image-of-the-month-complex-esophageal-stricture-managed-with-balloon-dilation-and-fully-covered-metal-stent
#8
JOURNAL ARTICLE
Brett Hoskins, Kenneth Ng
No abstract text is available yet for this article.
September 8, 2023: Journal of Pediatric Gastroenterology and Nutrition
https://read.qxmd.com/read/37530047/analysis-of-mortality-and-long-term-outcomes-of-pediatric-patients-with-tracheoesophageal-fistula-esophageal-atresia
#9
JOURNAL ARTICLE
Suat Cal, Serkan Arslan, Mehmet Hanifi Okur, Erol Basuguy, Bahattin Aydogdu
BACKGROUND/PURPOSE: This study analyzed factors that affect mortality in patients surgically treated for EA, then explored the long-term problems encountered by these patients. MATERIALS AND METHODS: Among 252 patients with EA who were either diagnosed, treated, and subsequently followed at the Department of Pediatric Surgery, Dicle University Medical Faculty Hospital, or were treated surgically elsewhere but followed at our center, between January 2010 and January 2020,214 patients were included in the study...
2023: Annali Italiani di Chirurgia
https://read.qxmd.com/read/37485561/the-results-of-pneumatic-balloon-dilatation-treatment-in-children-with-achalasia-a-single-center-experience
#10
JOURNAL ARTICLE
Selen Güler, Betül Aksoy, M Onur Öztan, Yeliz Ç Appak, Sinem Kahveci Çelik, Şenay Onbaşı Karabağ, Gökhan Köylüoğlu, Maşallah Baran
BACKGROUND/AIMS: Achalasia is a primary motility disorder characterized by a relaxation disorder of the lower esophageal sphincter. In pneumatic balloon dilatation, which is one of the treatment methods, the muscle fibers are torn with an endoscopically inflated balloon in the lower esophageal sphincter. This study aimed to evaluate the results of long-term pneumatic balloon dilatation treatment in our clinic for children diagnosed with achalasia. MATERIALS AND METHODS: Pediatric patients who underwent pneumatic balloon dilatation with a diagnosis of achalasia in our pediatric gastroenterology clinic between 2016 and 2021 were included in the study...
July 24, 2023: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://read.qxmd.com/read/37435166/is-re-rex-shunt-a-better-choice-for-patients-with-failed-rex-shunt
#11
JOURNAL ARTICLE
Zhe Wen, Jieqin Wang, Chao Yang, Tao Liu, Qifeng Liang, Jiankun Liang, Yu Ning, Fuyu You, Xiaoling Bai, Miao Hong
PURPOSE: To review our single-center surgical outcomes of redo operations after failed Rex shunt procedures. METHODS: From September 2017 to October 2021, a total of 20 patients (11 males, 9 females; median age: 8.6 years) with Rex shunt occlusions were admitted to our hospital. Two of these patients were previously operated on in our hospital, and the remaining 18 were from other centers. All patients underwent repeat operations after detailed preoperative evaluations...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/37200733/endoscopic-assessment-and-serial-balloon-dilatation-in-a-toddler-with-dyskeratosis-congenita-hoyeraal-hreidarsson-syndrome-following-bone-marrow-transplant-a-case-report
#12
Kurt Rodriguez, Ryan Shargo, Morgan Ekblad, Gauri Sunkersett, Sara Karjoo, Marisol Betensky, Michael J Wilsey
We report a 3-year-old patient with suspected oropharyngeal graft-versus-host disease (GVHD) who developed progressive dysphagia to solids and liquids. The patient has a history of Dyskeratosis Congenita-Hoyeraal-Hreidarsson Syndrome with associated bone marrow failure requiring a nonmyeloablative matched sibling hematopoietic stem cell transplant. Esophagram revealed significant narrowing in the cricopharyngeal region. Subsequent esophagoscopy showed a proximal, high-grade pinhole esophageal stricture that was very difficult to visualize and cannulate...
May 2023: JPGN reports
https://read.qxmd.com/read/37200730/a-child-with-an-esophageal-web-treated-with-functional-lumen-imaging-probe
#13
Brenna Hohl, Brett Hoskins, Kenneth Ng
A 14-month-old male presented to the emergency department with a 4-day history of vomiting after the intake of liquids or solids. During the admission, imaging studies revealed an esophageal web, a form of congenital esophageal stenosis. He was treated with a combination of Endoluminal Functional Lumen Imaging Probe (EndoFLIP) and controlled radial expansion (CRE) balloon dilation, followed by EndoFLIP and EsoFLIP dilation 1 month later. The patient's vomiting resolved after treatment, and he was able to gain weight...
May 2023: JPGN reports
https://read.qxmd.com/read/37198410/esophageal-dilation-with-esoflip-is-faster-than-cre-balloon-dilation-combined-with-endoflip-in-children
#14
JOURNAL ARTICLE
Brett Hoskins, Erik Almazan, Brenna Hohl, Kenneth Ng
BACKGROUND: Controlled radial expansion (CRE) balloon dilators are traditionally used to dilate esophageal strictures during an esophagogastroduodenoscopy (EGD). EndoFLIP is a diagnostic tool used during an EGD to measure important parameters of the gastrointestinal lumen, capable of assessing treatment before and after dilation. EsoFLIP is a related device that combines a balloon dilator with high-resolution impedance planimetry to provide some of the luminal parameters in real time during dilation...
May 17, 2023: Surgical Endoscopy
https://read.qxmd.com/read/36566169/our-experience-of-using-losartan-for-esophageal-stenosis-in-children-with-dystrophic-form-of-congenital-epidermolysis-bullosa
#15
JOURNAL ARTICLE
Vladislav Oldakovskiy, Nikolay Murashkin, Maksim Lokhmatov, Aleksey Gusev, Artem Tupylenko, Tatiana Budkina, Sergey Yatzik, Elena Dyakonova, Rasul Abaykhanov, Andrey Fisenko
INTRODUCTION: Dystrophic epidermolysis bullosa (DEB) is one of the most severe forms of congenital epidermolysis bullosa and characterized by the formation of many surgical complications. Esophageal stenosis is a common complication of DEB and occurs in almost 76% of cases. Balloon dilatation (BD) under X-ray control is the main therapeutic technique, however conservative treatment is necessary to prevent restenosis. The use of the drug losartan is promising due to its antifibrotic effect through the suppression of transforming growth factor-β1 (TGF-β1)...
November 19, 2022: Journal of Pediatric Surgery
https://read.qxmd.com/read/36451690/postoperative-complications-of-esophageal-atresia-and-role-of-endoscopic-balloon-dilatation-in-anastomotic-strictures
#16
JOURNAL ARTICLE
Jin Young Cho, Mea-Young Chang, Mi Hyeon Gang, Yong Wook Lee, Jun Beom Park, Jae Young Kim, Hyun Jin Kim
PURPOSE: Esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) is a congenital anomaly that can cause frequent digestive and nutritional problems, even after repair. The most common complication is anastomotic stricture, for which reoperation or balloon dilatation is performed. This study aimed to evaluate the postoperative complications of EA and the role of endoscopic balloon dilatation (EBD) in cases of anastomotic stricture. METHODS: We retrospectively analyzed patients diagnosed with EA with or without TEF between January 2000 and February 2021...
November 2022: Pediatric Gastroenterology, Hepatology & Nutrition
https://read.qxmd.com/read/36445752/innovative-endoscopic-management-of-a-duodenal-web-using-balloon-dilatation-and-a-gastrojejunal-tube-in-an-infant-with-complex-esophageal-atresia
#17
JOURNAL ARTICLE
Julia Kueppers, Oliver Muensterer
Introduction: Congenital partial duodenal obstruction (CPDO) is a rare type of intestinal obstruction, including webs and stenoses. Treatment has usually been operative by laparoscopy or laparotomy. Some have proposed endoscopic treatment due to a higher surgical risk in patients with CPDO. However, restenosis seems to be frequent after simple balloon dilatation. Material and Methods: We report on a patient with CPDO and complex esophageal atresia in whom we used a gastrojejunal tube to keep the lumen open after endoscopic balloon dilatation over a guidewire...
November 23, 2022: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/36216986/factors-influencing-outcomes-of-esophageal-balloon-dilatation-for-anastomosis-site-stenosis-after-esophageal-atresia-surgery
#18
JOURNAL ARTICLE
Seul Bi Lee, Young Hun Choi, Soo-Hyun Kim, Yeon Jin Cho, Seunghyun Lee, Jung-Eun Cheon
BACKGROUND: Esophageal balloon dilatation is an effective treatment for anastomotic strictures, but the factors affecting the outcome of dilatation remain unclear. OBJECTIVE: To investigate the predictive factors of esophageal balloon dilatation outcome in children with anastomotic stricture after esophageal atresia repair. MATERIALS AND METHODS: We retrospectively reviewed children with esophageal atresia who underwent esophageal balloon dilatation for postoperative strictures between August 2007 and February 2021...
October 11, 2022: Pediatric Radiology
https://read.qxmd.com/read/35847832/severe-esophageal-stricture-post-accidental-corrosive-substance-ingestion-a-case-report-of-balloon-endoscopic-dilation
#19
Leen Jamel Doya, Maria Naamah, Hanin Ahmed Mansour, Ali Ibrahim, Ammar Omran
Corrosive substance ingestion is a very serious home accident, mostly common in developing countries. It frequently causes esophageal burns in the acute stage and esophageal stricture, stenosis, and even cancer in the chronic stage. Severe cases of caustic esophagitis may require esophageal replacement. We describe a case of balloon endoscopy dilation in a two-year-old girl with a severe stricture of the esophagus resulting from accidental ingestion of a corrosive substance (strong alkaline liquid) which helped the patient preserve the esophagus and prevent esophageal replacement...
2022: Case Reports in Pediatrics
https://read.qxmd.com/read/35796004/endoscopic-versus-fluoroscopic-esophageal-dilatations-in-children-with-esophageal-strictures-10-year-experience
#20
JOURNAL ARTICLE
Adi Marom, Zev Davidovics, Tali Bdolah-Abram, Oren Ledder
Esophageal strictures in children may cause dysphagia, choking during feeds, and failure to thrive. They can be treated by balloon dilatations, either under endoscopic or fluoroscopic guidance; there is no literature comparing the methods. Retrospective review of the medical records of children (0-18 years) who were treated with balloon dilatations between 2010 and 2020. The primary outcome was the number of dilatation sessions required until clinical success after 3 months. Secondary outcomes were long-term success at 12 months, and complications of bleeding and perforation...
December 31, 2022: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
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