Gilat T, Rozen P
Am J Dig Dis. 1975 Aug;20(8):781-5. doi: 10.1007/BF01070837.
A 9-month-old infant suffering from dysphagia to solids presented with esophageal bolus obstruction. Using an adult fiberoptic esophagoscope, a congenital web was found at the junction of the middle and distal thirds of the esophagus. Previous direct rigid esophagoscopy and roentgenologic examination had not visualized the web. The web was successfully ruptured and dilated by inserting a guide wire under fiberscopic control and then inserting metal olives, followed later by blind mercury bougienage. This report illustrates the use of adult fiberoptic instruments for diagnosis and treatment in pediatric patients.
一名9个月大的婴儿出现固体食物吞咽困难，伴有食管团块梗阻。使用成人纤维食管镜检查，发现食管中、下段交界处有一个先天性蹼。之前的直接硬食管镜检查和X线检查均未发现该蹼。在纤维镜控制下插入导丝，然后插入金属橄榄头，成功地使该蹼破裂并扩张，随后进行了盲目水银探条扩张术。本报告说明了成人纤维器械在儿科患者诊断和治疗中的应用。
