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Balloon dilatation of children with anastomotic strictures following repair of esophageal atresia



Balloon dilatation of children with anastomotic strictures following repair of esophageal atresia



Fudan Xuebao 33(4): 535-536,551



Purpose To evaluate the efficiency and safety of balloon dilation treating anastomotic strictures secondary to repair of esophageal atresia in children.Methods Twenty cases had an anastomotic stricture following surgical repair of esophageal atresia. A total of 45 balloon dilatation sessions were performed under fluoroscopic guidance with a range of 1-5 procedures per patient. The diameter,of balloons were 6-15 mm. Each case had an oesophagraphy pre-dilatation to confirm the stricture, and a series of oesophagraphy post-dilatation to identify the effect of ballonn dilation. Dilatation was considered successful and effective when the final stricture index (SI) decreased to at least 10%, when swallowing problems were relieved up to 3 months after dilatation and when weight gain and growth were satisfactory.Results Totally 40 of 45 (88.9%) balloon dilatation sessions were successful and there was no esophageal perforation. And 16 of 20 (80%) patients were symptom free in the follow-up period varied from 3-6 months.Conclusions Balloon catheter dilation presented in the paper is a safe and efficient procedure to treat infants with anastomotic esophageal stricture secondary to repair of esophageal atresia.

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Accession: 012840895

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