Endoscopic ultrasonography features of benign esophageal stenosis in children

TANG Yun-Ping, WEI Xu-Xia, XUE Ning, XU Jun-Jie

Chinese Journal of Contemporary Pediatrics ›› 2024, Vol. 26 ›› Issue (2) : 169-173.

PDF(669 KB)
HTML
PDF(669 KB)
HTML
Chinese Journal of Contemporary Pediatrics ›› 2024, Vol. 26 ›› Issue (2) : 169-173. DOI: 10.7499/j.issn.1008-8830.2309045
CLINICAL RESEARCH

Endoscopic ultrasonography features of benign esophageal stenosis in children

  • TANG Yun-Ping, WEI Xu-Xia, XUE Ning, XU Jun-Jie
Author information +
History +

Abstract

Objective To investigate the endoscopic ultrasonography (EUS) features of benign esophageal stenosis in children. Methods A retrospective analysis was conducted on the medical data of the children who were diagnosed with benign esophageal stenosis from February 2019 to February 2022. The clinical manifestations, EUS findings, and treatment outcome were analyzed to summarize the EUS features of benign esophageal stenosis in children. Results A total of 42 children with benign esophageal stenosis were included. Among these children, 19 (45%) had anastomotic stenosis after surgery for esophageal atresia, with unclear echogenic boundary of the esophageal walls and uneven thicknesses of the surrounding wall on EUS, and had 0-12 sessions of endoscopic treatment (average 2.1 sessions); 5 children (12%) had corrosive esophageal stenosis and 1 child (2%) had physical esophageal stenosis, with unclear stratification of the esophageal walls on EUS, and they had 2-9 sessions of endoscopic treatment (average 5.3 sessions); 1 child (2%) had patchy irregular hypoechoic areas of the esophageal walls on EUS and was diagnosed with tracheobronchial remnants with reference to pathology; 16 children (38%) had unexplained esophageal stenosis and unclear stratification of the esophageal walls on EUS, among whom 6 received endoscopic treatment. During follow-up, 95% (40/42) of the children had significant alleviation of the symptoms such as vomiting and dysphagia. Conclusions For benign esophageal stenosis in children, EUS can help to evaluate the degree of esophageal wall involvement in esophageal stenosis lesions, possible etiologies, and the relationship between the esophagus and the lesion and provide an important basis for selecting treatment modality and avoiding complications, thereby helping to optimize the treatment regimen.

Key words

Benign esophageal stenosis / Endoscopic ultrasonography / Child

Cite this article

Download Citations
TANG Yun-Ping, WEI Xu-Xia, XUE Ning, XU Jun-Jie. Endoscopic ultrasonography features of benign esophageal stenosis in children[J]. Chinese Journal of Contemporary Pediatrics. 2024, 26(2): 169-173 https://doi.org/10.7499/j.issn.1008-8830.2309045

References

1 Daniel P, Samanta J, Gulati A, et al. Can high-frequency mini-probe endoscopic ultrasonography predict outcome of endoscopic dilation in patients with benign esophageal strictures?[J]. Endosc Int Open, 2020, 8(10): E1371-E1378. PMID: 33015340. PMCID: PMC7508664. DOI: 10.1055/a-1223-1377.
2 Fugazza A, Repici A. Endoscopic management of refractory benign esophageal strictures[J]. Dysphagia, 2021, 36(3): 504-516. PMID: 33710389. DOI: 10.1007/s00455-021-10270-y.
3 中华医学会消化内镜学分会消化内镜隧道技术协作组, 中国医师协会内镜医师分会, 北京医学会消化内镜学分会. 中国食管良恶性狭窄内镜下防治专家共识(2020, 北京)[J]. 中华消化内镜杂志, 2021, 38(3): 173-185. DOI: 10.3760/cma.j.cn321463-20201208-00948.
4 Atkinson M, Ferguson R, Ogilvie AL. Management of malignant dysphagia by intubation at endoscopy[J]. J R Soc Med, 1979, 72(12): 894-897. PMID: 552458. PMCID: PMC1437232. DOI: 10.1177/014107687907201206.
5 Kochman ML, McClave SA, Boyce HW. The refractory and the recurrent esophageal stricture: a definition[J]. Gastrointest Endosc, 2005, 62(3): 474-475. PMID: 16111985. DOI: 10.1016/j.gie.2005.04.050.
6 胡亦懿, 杜国平, 李国华, 等. 内镜超声引导下反向切开术治疗食管良性难治性狭窄的初步应用[J]. 中华消化内镜杂志, 2020, 37(8): 558-561. DOI: 10.3760/cma.j.cn321463-20200316-00199.
7 Wang J, Zhao L, Wu R, et al. Appropriate duration of endoscopic dilation for postoperative benign esophageal strictures[J]. Surg Endosc, 2022, 36(2): 1263-1268. PMID: 33689010. DOI: 10.1007/s00464-021-08400-6.
8 Rana SS, Sharma R, Gupta R. High-frequency miniprobe endoscopic ultrasonography for evaluation of indeterminate esophageal strictures[J]. Ann Gastroenterol, 2018, 31(6): 680-684. PMID: 30386117. PMCID: PMC6191862. DOI: 10.20524/aog.2018.0307.
9 Rana SS, Bhasin DK, Singh K. Role of endoscopic ultrasonography (EUS) in management of benign esophageal strictures[J]. Ann Gastroenterol, 2011, 24(4): 280-284. PMID: 24713797. PMCID: PMC3959337.
10 Shahein AR, Krasaelap A, Ng K, et al. Esophageal dilation in children: a state of the art review[J]. J Pediatr Gastroenterol Nutr, 2023, 76(1): 1-8. PMID: 36122370. DOI: 10.1097/MPG.0000000000003614.
11 Rana SS, Sharma R, Kishore K, et al. High-frequency miniprobe endoscopic ultrasonography in the management of benign esophageal strictures[J]. Ann Gastroenterol, 2020, 33(1): 25-29. PMID: 31892794. PMCID: PMC6928478. DOI: 10.20524/aog.2019.0436.
12 K?l?? ?S, Serdar ?skit H. Management and clinical outcomes of congenital esophageal stenosis in pediatric patients: experience of a tertiary referral center[J]. J Pediatr Surg, 2022, 57(3): 518-525. PMID: 34229876. DOI: 10.1016/j.jpedsurg.2021.06.006.
13 Usui N, Kamata S, Kawahara H, et al. Usefulness of endoscopic ultrasonography in the diagnosis of congenital esophageal stenosis[J]. J Pediatr Surg, 2002, 37(12): 1744-1746. PMID: 12483646. DOI: 10.1053/jpsu.2002.36711.
14 Boregowda U, Goyal H, Mann R, et al. Endoscopic management of benign recalcitrant esophageal strictures[J]. Ann Gastroenterol, 2021, 34(3): 287-299. PMID: 33948052. PMCID: PMC8079876. DOI: 10.20524/aog.2021.0585.
PDF(669 KB)
HTML

Accesses

Citation

Detail

Sections
Recommended

/