儿童及青少年食管狭窄的内镜扩张术
Endoscopic dilatation of esophageal strictures in children and adolescents.
作者信息
Bittencourt Paulo Fernando Souto, Carvalho Simone Diniz, Ferreira Alexandre Rodrigues, Melo Suzana Fonseca Oliveira, Andrade Denise Oliveira, Figueiredo Filho Paulo Pimenta, Albuquerque Walton, Moreira Edivaldo Fraga, Penna Francisco José
机构信息
Instituto Alfa de Gastroenterologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
J Pediatr (Rio J). 2006 Mar-Apr;82(2):127-31. doi: 10.2223/JPED.1459.
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.
目的
评估小儿患者食管狭窄的病因及其对内镜扩张术的反应。
方法
回顾性分析1993年7月至2003年1月间接受内镜扩张术的食管狭窄儿童及青少年的临床和内镜数据。
结果
本研究共纳入125例年龄在1个月至16岁之间的患者。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。腐蚀性食管狭窄患者需要更多的扩张治疗次数。术中并发症导致5例食管穿孔和1例出血。74.4%的病例内镜治疗效果良好，但消化性食管狭窄患者的效果更佳。
结论
儿童及青少年食管狭窄的内镜治疗效果良好，并发症发生率低。腐蚀性食管狭窄的发病率较高，需要更多的扩张治疗次数。
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