BACKGROUND Congenital esophageal stenosis(CES)is a rare malformation of the digestive tract.Endoscopic dilation and thoracotomy have been the main treatments for CES.However,there is no well-defined management protoco...BACKGROUND Congenital esophageal stenosis(CES)is a rare malformation of the digestive tract.Endoscopic dilation and thoracotomy have been the main treatments for CES.However,there is no well-defined management protocol.Magnetic compression stricturoplasty(MCS)has been used in refractory esophageal stricture in children after esophageal atresia.CASE SUMMARY We describe the first case of MCS for CES in one female child patient.The child(aged 3 years and 1 mo)was admitted due to frequent vomiting and choking after eating complementary food since 7 mo old.Esophagography and gastroendoscopy showed that there was stenosis in the lower esophagus,suggesting a diagnosis of CES.The patient did not receive any treatment for esophageal stricture including surgery or endoscopic dilation procedures before MCS.MCS procedure was smoothly conducted without complications.At 24 mo after MCS,durable esophageal patency without dysphagia was achieved.CONCLUSION MCS may serve as an alternative and efficient method for patients with CES.展开更多
Esophageal stricture refers to a pathological narrowing of the esophageal lumen,causing dysphagia and impairing the patient's quality of life.There are various etiologies including esophageal malignancy,peptic inj...Esophageal stricture refers to a pathological narrowing of the esophageal lumen,causing dysphagia and impairing the patient's quality of life.There are various etiologies including esophageal malignancy,peptic injury,caustic ingestion,postsurgical anastomosis,radiation therapy,and inflammatory disorders such as eosinophilic esophagitis.The primary goal in managing esophageal strictures is to relieve dysphagia by maintaining luminal patency.Endoscopic dilation remains the mainstay of treatment for most benign strictures,with either bougie or balloon dilators.For patients who develop refractory or recurrent strictures that are difficult to manage with dilation alone,adjunctive therapies like intralesional steroid injections,topical or injected mitomycin C,incisional therapy,stent placement,and finally surgery may enhance outcomes and reduce the frequency of repeat procedures.The present review focuses on the basics of dilation and adjunctive strategies for the management of esophageal stricture.展开更多
基金Supported by the National Natural Science Foundation of China,No.82170676Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain(Cluster)-Social Development Project,No.2020ZDLSF02-03the Special Fund for High-level Talents of Xijing University,No.XJ20B04.
文摘BACKGROUND Congenital esophageal stenosis(CES)is a rare malformation of the digestive tract.Endoscopic dilation and thoracotomy have been the main treatments for CES.However,there is no well-defined management protocol.Magnetic compression stricturoplasty(MCS)has been used in refractory esophageal stricture in children after esophageal atresia.CASE SUMMARY We describe the first case of MCS for CES in one female child patient.The child(aged 3 years and 1 mo)was admitted due to frequent vomiting and choking after eating complementary food since 7 mo old.Esophagography and gastroendoscopy showed that there was stenosis in the lower esophagus,suggesting a diagnosis of CES.The patient did not receive any treatment for esophageal stricture including surgery or endoscopic dilation procedures before MCS.MCS procedure was smoothly conducted without complications.At 24 mo after MCS,durable esophageal patency without dysphagia was achieved.CONCLUSION MCS may serve as an alternative and efficient method for patients with CES.
文摘Esophageal stricture refers to a pathological narrowing of the esophageal lumen,causing dysphagia and impairing the patient's quality of life.There are various etiologies including esophageal malignancy,peptic injury,caustic ingestion,postsurgical anastomosis,radiation therapy,and inflammatory disorders such as eosinophilic esophagitis.The primary goal in managing esophageal strictures is to relieve dysphagia by maintaining luminal patency.Endoscopic dilation remains the mainstay of treatment for most benign strictures,with either bougie or balloon dilators.For patients who develop refractory or recurrent strictures that are difficult to manage with dilation alone,adjunctive therapies like intralesional steroid injections,topical or injected mitomycin C,incisional therapy,stent placement,and finally surgery may enhance outcomes and reduce the frequency of repeat procedures.The present review focuses on the basics of dilation and adjunctive strategies for the management of esophageal stricture.
