Year 2022 / Volume 114 / Number 12
Letter
Endoscopic radial incision to treat a congenital esophageal stenosis in a 10-year-old child

751-752

DOI: 10.17235/reed.2022.8931/2022

Zhong Huang, Fang Cheng, Wei Wei,

Abstract
A 10-year-old boy was admitted to our hospital because of frequent vomiting and impaired growth. Esophagogastroduodenoscopy showed there was a benign annular stenosis (diameter 0.6 cm) of the middle esophagus. Then, using an ultrafine painless gastroscope, we observed that the narrowed segment was approximately 2.0 cm in length. The stenosis of the esophagus was diagnosed as congenital esophageal stenosis (CES). Then,the patient was referred for endoscopic radial incision (ERI) under general anesthesia. We used an insulated-tip knife to perform ERI. A radial incision was made to cut the muscle layer along the line that connects the esophageal lumen on the oral side and the lumen on the anal side in the 3 and 6 o’clock directions . The diameter of the esophagus was approximately 1.0 cm post-operation. The gastroscopy was able to pass through smoothly. The operation time was approximately 30 minutes. The child’s oral liquid diet started on postoperative day 1 and was discontinued on postoperative day 4. Vomiting was significantly relieved for the patient. No intraoperative and postoperative complications were detected. An endoscopy performed 3 months post-operation showed smooth esophageal mucosa, and the diameter of the esophageal lumen increased to approximately 1.0 cm without recurrent stenosis .
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References
1. Kurian JJ, Jehangir S, Varghese IT, Thomas RJ, Mathai J, Karl S. Clinical profile and management options of children with congenital esophageal stenosis: A single center experience. J Indian Assoc Pediatr Surg. 2016;21(3):106-109.
2. Amae S, Nio M, Kamiyama T, et al. Clinical characteristics and management of congenital esophageal stenosis: a report on 14 cases. J Pediatr Surg. 2003;38(4):565-570
3. Mizusawa T, Kobayashi M, Terai S. Radial incision and cutting for refractory benign esophageal stricture. Dig Endosc. 2019;31:e46–7.
4. Huang Z, Wei W, Cheng F. Endoscopic radial incision method for two strictures of the esophagus after endoscopic submucosal dissection: a case report. World J Surg Oncol. 2020;18(1):38.
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Huang Z, Cheng F, Wei W. Endoscopic radial incision to treat a congenital esophageal stenosis in a 10-year-old child. 8931/2022


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Publication history

Received: 13/05/2022

Accepted: 18/05/2022

Online First: 31/05/2022

Published: 12/12/2022

Article Online First time: 18 days

Article editing time: 213 days


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