Kim I O, Yeon K M, Kim W S, Park K W, Kim J H, Han M C
Department of Radiology, Seoul National University Children's Hospital, Korea.
Radiology. 1993 Dec;189(3):741-4. doi: 10.1148/radiology.189.3.8234699.
The authors retrospectively reviewed their experience with balloon dilation of esophageal strictures in infants and children to determine the prevalence of esophageal perforation during this procedure.
Balloon dilation was performed in 32 patients with esophageal stricture due to either congenital or postoperative stenosis. The total number of procedures was 141; each patient underwent one to 12 procedures.
Four cases of esophageal perforation occurred during balloon dilation and were detected immediately after the procedure. Perforation in three of these patients was treated nonoperatively with parenteral fluid and antibiotics, and one patient was treated surgically with resection and creation of an anastomosis. The clinical course after treatment was favorable in all cases.
Although esophageal perforation during balloon dilation of benign strictures has been reported as a rare complication, four perforations were observed in 32 patients. Esophageal perforation can occur in infants and children more frequently than previously reported.
作者回顾性分析了他们对婴儿和儿童食管狭窄进行球囊扩张的经验，以确定该操作过程中食管穿孔的发生率。
对32例因先天性或术后狭窄导致食管狭窄的患者进行了球囊扩张。手术总数为141次；每位患者接受了1至12次手术。
球囊扩张过程中发生了4例食管穿孔，术后立即被发现。其中3例患者的穿孔采用胃肠外补液和抗生素进行非手术治疗，1例患者接受了手术切除并进行吻合术。所有病例治疗后的临床过程均良好。
尽管良性狭窄球囊扩张过程中的食管穿孔被报道为一种罕见的并发症，但在32例患者中观察到了4例穿孔。食管穿孔在婴儿和儿童中发生的频率可能比之前报道的更高。
