Akademik Veri Yönetim Sistemi
JOURNAL OF PEDIATRIC SURGERY, cilt.57, sa.3, ss.518-525, 2022 (SCI-Expanded)
Purpose: This study aimed to retrospectively investigate congenital esophageal stenosis (CES) cases man-aged at our institution using a non-aggressive strategy based on a step-up approach from esophageal balloon dilatations to surgery. Methods: Patients' charts with CES managed in a tertiary pediatric surgery department were ret-rospectively evaluated. Demographic characteristics, clinical features, pH-monitoring, imaging, and esophagoscopy results were recorded together with their treatments and outcomes. Results: Nineteen patients, confirmed with radiologic and endoscopic investigations, were managed. Com-plete symptom resolution was achieved in 14 patients by a median of five (2-15) recurrent esophageal balloon dilatations lasting for 7.5 (2-108) months. Two more patients, after 7 and 15 dilatations, had mild dysphagia, not interfering with their daily living. One patient, in whom the initial dilatation attempt with 3 atm was unsuccessful, and two patients with persistent symptoms and growth retardation despite on-going dilatation treatment, underwent surgery. After 48 (12-132) months of follow-up, 17 patients were symptom-free. Conclusion: Conservative treatment with esophageal balloon dilatations is an efficient and reliable modal-ity that can be used as a first-line treatment in CES. Surgical treatment option should be used when dilatation attempt is unsuccessful, or symptoms and growth retardation persist despite dilatation treatment. (c) 2021 Elsevier Inc. All rights reserved.