Clinical analysis of endoscopic esophageal dilation for the treatment of corrosive esophageal strictures in children

TANG Lu-Jing; LOU Jin-Gan; ZHAO Hong; PENG Ke-Rong; YU Jin-Dan

doi:10.7499/j.issn.1008-8830.2305106

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (12) : 1265-1269. DOI: 10.7499/j.issn.1008-8830.2305106

CLINICAL RESEARCH

Clinical analysis of endoscopic esophageal dilation for the treatment of corrosive esophageal strictures in children

TANG Lu-Jing, LOU Jin-Gan, ZHAO Hong, PENG Ke-Rong, YU Jin-Dan

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Abstract

Objective To investigate the clinical application of endoscopic esophageal dilation in the treatment of corrosive esophageal strictures in children. Methods A retrospective analysis was performed on the clinical data of 15 children with corrosive esophageal strictures who underwent endoscopic esophageal dilation in Children's Hospital, Zhejiang University School of Medicine. The clinical features, treatment modality of endoscopic esophageal dilation, number of dilations, complications, and prognosis were reviewed. Results A total of 96 esophageal dilations were performed in the 15 children with corrosive esophageal strictures, with a median of 6 dilations per child. Among them, 9 children (60%) underwent 6 or more dilations. The children with a stricture length of >3 cm had a significantly higher number of dilations than those with a stricture length of ≤3 cm (P<0.05). The children with strictures in a single segment had a significantly better treatment outcome than those with strictures in multiple segments (P=0.005). No complication was observed during all sessions of dilation. The overall effective rate (including significant improvement and improvement) of endoscopic esophageal dilation treatment was 87%, with 2 cases of failure. Conclusions Endoscopic esophageal dilation is an effective and relatively safe treatment method for corrosive esophageal strictures in children, and children with strictures in a single segment tend to have a better treatment outcome than those with strictures in multiple segments.

Key words

Corrosive esophageal stricture / Endoscopic esophageal dilation / Child

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TANG Lu-Jing, LOU Jin-Gan, ZHAO Hong, PENG Ke-Rong, YU Jin-Dan. Clinical analysis of endoscopic esophageal dilation for the treatment of corrosive esophageal strictures in children[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(12): 1265-1269 https://doi.org/10.7499/j.issn.1008-8830.2305106

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