Abstract

Objective: The aim of this study is to assess the clinical response, nutritional outcome, and safety of endoscopic esophageal dilatation in pediatric esophageal stricture at KFSH-Dammam, Saudi Arabia.

Method: Charts of children between the age of 1 month and 16 years old with esophageal stricture who underwent endoscopic esophageal dilatation at King Fahad specialist Hospital-Dammam over a 5 years period from January 2014 until January 2019, was retrospectively reviewed. Patient’s characteristics, procedure modality for stricture dilatation, clinical response, post dilatation catch up growth, and complications were reviewed and evaluated.

Result: A total of 17 patients (median age, 2.7 years were identified. The median follow-up period was 2 years. Post esophageal atresia repair stricture (47.1%) and corrosive esophageal injury (17.6%) were the leading cause of strictures. The main presenting symptoms were dysphagia (88.2%) followed by vomiting (64.7%) and then chronic cough (35.3%). Majority of strictures were short segment < 2 cm in length (70.6%). A total of 74 dilatation sessions were performed with an average of 4.3 sessions per patient. 70.8% underwent balloon dilatation. Complete response was achieved in (70.6%) while partial response in (29.4%). Complications of dilatation including esophageal perforation were reported in 1.3%, and post-dilatation chest pain in 2.7%. The mean weight-for-age z-score improved significantly after ED therapy from -1.8 ± 0.79 SD at presentation to -1.01 ± 0.85 SD (P value = 0.003).

Conclusion: Our single centre experience demonstrates that endoscopic dilatation is an effective and safe procedure for symptomatic esophageal stricture in children with different etiology. The choice of dilator device is based on multiple factors with minimal reported complications. Maintaining an age appropriate esophageal lumen by dilatation is very crucial to allow for satisfactory oral intake and promote catch-up growth which is the ultimate goal of dilatation.

Keywords: Esophageal Dilatation; Children; Esophageal Strictures (ES)

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Citation

Citation: Abdelhai Hammo., et al. “Esophageal Dilatation in Children with Esophageal Strictures, Outcome and Safety at Single Center Experience”. Acta Scientific Gastrointestinal Disorders 3.4 (2020): 06-11.

Copyright

Copyright: © 2020 Abdelhai Hammo., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.