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
Related Articles
- EP ID EP377479
- DOI 10.9790/0853-1707102328.
- Views 60
- Downloads 0
A Comparative Study of Halothane versus Sevoflurane for Induction of Anaesthesia and Tracheal Intubation in Children
Inhalational anaesthesia is the most commonly employed technique in paediatric age group since it is associated with rapid induction and emergence. Halothane has been very popular as it is non-irritant and well tolerated...
Periodontist’s Role In Forensic Odontology
Periodontist’s Role In Forensic Odontology : Society is faced with various challenges in every step. Despite leaps in modern technology, medical breakthroughs and the geographical changes that the last century has brough...
Evaluation of Uthira Vatha Suronitham (Rheumatoid Arthritis) Through Siddha Urinary Examination Neerkkuri & Neikkuri
Siddha system of medicine has its own diagnostic techniques to clench the diagnosis and assess prognosis of the disease. This study was aimed to determine the usefulness of Neerkkuri and Neikkuri that is one of the eight...
Adnexal Mass in Adolescents And Their Management
Introduction: Adnexal lesions present in 2.6 per 1,00,000 of adolescents and is a source of concern for the patient and her parents. They usually present with pain abdomen and rarely mass per abdomen. Adnexal lesions in...
Overview of Retained Products of Conception And its Management
Introduction: Partial or complete retention of products of conception after delivery or abortion is referred to as “RPOC”. RPOCs are suspected whenever a female presents with sustained or prolonged vaginal bleeding after...