Sato Y, Frey E E, Smith W L, Pringle K C, Soper R T, Franken E A
Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City 52242.
AJR Am J Roentgenol. 1988 Mar;150(3):639-42. doi: 10.2214/ajr.150.3.639.
Balloon dilatation of benign esophageal strictures is an accepted mode of therapy in adults. This report describes balloon dilatation in 20 consecutive infants and children. The lesions treated include 11 strictures at surgical anastomotic sites, seven restrictive Nissen fundoplications, and three nonanastomotic esophageal strictures. One patient had two lesions. Most dilatations were performed on an outpatient basis without anesthesia. All strictures responded immediately to dilatation. In most cases, long-term resolution occurred after three or fewer procedures. A subgroup of patients was identified in which a prolonged course of treatment was needed. These included patients with long strictures due to esophageal atresia, patients with chronic severe esophagitis, and patients with strictures at the site of esophageal perforation. No significant complications were encountered. Balloon dilatation of esophageal stenosis in children is effective and safe and should be considered before other methods of treatment are used.
球囊扩张术治疗成人良性食管狭窄已被广泛接受。本报告描述了对20例婴幼儿及儿童进行球囊扩张术的情况。治疗的病变包括11处手术吻合口狭窄、7处限制性Nissen胃底折叠术所致狭窄以及3处非吻合口食管狭窄。1例患者有两处病变。大多数扩张术在门诊进行，无需麻醉。所有狭窄经扩张后立即缓解。在大多数情况下，经过三次或更少次数的操作即可实现长期缓解。有一组患者需要延长治疗疗程，包括食管闭锁所致长段狭窄患者、慢性重度食管炎患者以及食管穿孔部位狭窄患者。未出现严重并发症。儿童食管狭窄的球囊扩张术有效且安全，在采用其他治疗方法之前应予以考虑。
