Osuga Tatsuya, Ikura Yoshihiro, Hasegawa Kazunori, Hirano Seiichi
Department of Gastroenterology, Takatsuki General Hospital, 1-3-13, Kosobecho, Takatsuki, 569-1192, Japan.
Department of Pathology, Takatsuki General Hospital, Takatsuki, Japan.
Esophagus. 2018 Jan;15(1):47-51. doi: 10.1007/s10388-017-0595-3. Epub 2017 Nov 9.
Endoscopic balloon dilation (EBD) is an established therapy for esophageal stenosis. To assess its usefulness in children, we reviewed 11 years of pediatric cases of EBD in our hospital. Over the last 11 years, EBD was performed on 14 pediatric patients (10 boys and four girls; 7 months-11 years) at our hospital. All EBD sessions were performed under general anesthesia and fluoroscopic monitoring. The sessions were repeated every week or alternate weeks until resolution of dysphagia or development of smooth endoscope passage. Stenosis was resolved in 14 of 14 patients (100%). None of the patients (0%) showed recurrence of stenosis. As for postoperative complications, mediastinitis occurred only in one patient (7.1%). The median number of session repeats for an individual patient was three (range 1-10). EBD is a safe and effective therapeutic modality for esophageal stenosis in children.
内镜下球囊扩张术（EBD）是治疗食管狭窄的一种既定疗法。为评估其在儿童中的有效性，我们回顾了我院11年来儿科EBD病例。在过去11年中，我院对14例儿科患者（10名男孩和4名女孩；年龄7个月至11岁）进行了EBD治疗。所有EBD治疗均在全身麻醉和透视监测下进行。每周或隔周重复治疗，直至吞咽困难缓解或内镜能顺利通过。14例患者中有14例（100%）狭窄得到缓解。无一例患者（0%）出现狭窄复发。术后并发症方面，仅1例患者（7.1%）发生纵隔炎。单个患者重复治疗的中位数次数为3次（范围1至10次）。EBD是治疗儿童食管狭窄的一种安全有效的治疗方式。
