Endoscopic dilatation of esophageal strictures in children and adolescents.

IF 2.8 4区医学 Q1 PEDIATRICS Jornal de pediatria Pub Date : 2006-03-01 DOI:10.2223/JPED.1459

Paulo Fernando Souto Bittencourt, Simone Diniz Carvalho, Alexandre Rodrigues Ferreira, Suzana Fonseca Oliveira Melo, Denise Oliveira Andrade, Paulo Pimenta Figueiredo Filho, Walton Albuquerque, Edivaldo Fraga Moreira, Francisco José Penna

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引用次数: 30

Abstract

Objective: To assess the causes of esophageal stricture in pediatric patients and their response to endoscopic dilatation.

Methods: Retrospective analysis of clinical and endoscopic data obtained from children and adolescents with esophageal stricture submitted to endoscopic dilatation between July 1993 and January 2003.

Results: A total of 125 patients aged between 1 month and 16 years were included in the study. Among the types of stenosis, postoperative (43.2%), corrosive (27.2%) and peptic (21.6%) strictures were the most prevalent. Those patients with corrosive esophageal stricture needed more dilatation sessions. Five cases of esophageal perforation and one case of hemorrhage occurred due to complications during the procedure. Good response to endoscopic treatment was described in 74.4% of cases, but better results were obtained from patients with peptic esophageal stricture.

Conclusions: Endoscopic treatment of esophageal strictures in children and adolescents yields good results and has a low rate of complications. Corrosive esophageal strictures have a higher morbidity and require more dilatation sessions.

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儿童和青少年食管狭窄的内镜扩张。

目的:探讨小儿食管狭窄的原因及对内镜扩张的反应。方法:回顾性分析1993年7月至2003年1月间经内镜扩张治疗的儿童和青少年食管狭窄的临床和内镜资料。结果:共纳入125例患者，年龄在1个月至16岁之间。在狭窄类型中，术后狭窄(43.2%)、腐蚀性狭窄(27.2%)和消化性狭窄(21.6%)最为常见。腐蚀性食管狭窄的患者需要更多的扩张疗程。术中并发症致食管穿孔5例，出血1例。74.4%的病例对内镜治疗反应良好，但消化性食管狭窄患者的效果更好。结论:内镜下治疗儿童、青少年食管狭窄效果好，并发症发生率低。腐蚀性食管狭窄有较高的发病率，需要更多的扩张疗程。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.