Role of Endoscopy in Paediatric Stricture Oesophagus
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Aim: To study outcomes of endoscopic dilatations in various cases of stricture esophagus. Materials & methods : Retrospective study done in Paediatric Surgery Department, Coimbatore Medical College Hospital, 2012-2016. Number of cases – 12 ( 7 males and 5 females). Age group – 1-12years of age (proven cases of stricture esophagus , diagnosed by contrast studies or Upper Gastrointestinal Endoscopy (UGIE) directly). The cases included post Tracheo esophageal fistula (TEF) stricture (8), corrosive stricture(2), foreign body strictures(FB)(1) and peptic stricture(1). Dysphagia / vomiting was the presenting complaint in most of the cases. Mid esophageal stricture was present in 9 cases and lower esophageal stricture in 3 cases. Dilatation was effective in most cases with 7 being totally cured (TEF – 4, corrosive- 2,FB -1), 2 on regular follow up (TEF), 2 of them underwent surgery (Acid Peptic Disease -1, TEF -1) and 1 mortality. Number of dilatations required were less than 3 in 4 cases, 3 - 5 in 6 cases and more than 5 in 2 cases.UGIE works on the principle of Controlled Radial Expansion. Under Guide wire( if necessary) UGIE Dilatation was done for 1min to 2 mins .Mechanism is by rupturing the anastomotic/ strictured fibres resulting in luminal dilatation.Pressure used is 8- 9k Pa for 1- 2mins resulting in a minimal dilatation of 8mm upto 12mm.This study is presented to emphasise the effectiveness of endoscopic dilatation in paediatric age groups and its mandate in TEF cases for improved life style in the long run.
Authors and Affiliations
Dr. N. Venkatesh, Dr. K. Srinivasan, Dr. G. Rajamani
Keywords
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- EP ID EP377479
- DOI 10.9790/0853-1707102328.
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