Year 2016 / Volume 108 / Number 10
Original
Management of refractory esophageal stenosis in the pediatric age

627-636

DOI: 10.17235/reed.2016.3671/2015

Fernando Alberca de las Parras, María Navalón Rubio, Juan Egea Valenzuela,

Abstract
Introduction: Refractory esophageal stenosis (RES) is a major health problem in the pediatric population. Several techniques such as stent placement or C-mitomycin (CM) have been described as alternative treatments. We present our experience with both techniques, in our case with biodegradable stents (BS) and sometimes the association with stents and CM. Material and methods: Six patients have been included: 2 post-operative fistulas in patients with type I esophageal atresia; 1 operated atresia without fistula; and 3 caustic strictures. 5 BS were placed in 4 children: 3 of them in cases of atresia (2 prosthesis in one case) and the other one in a case of stricture. CM was used in 5 cases: in 2 of them from the beginning, and in the other 3 cases after failure of the stent. Results: When placed in fistulas, BS were fully covered. One of them successfully treated the fistula, but the other one was not effective. One stenosis was successfully treated with SB (in the case of persistent fistula), but recurrence was observed in the other 2 cases. One of these was solved with CM, and the other one needed a second stent. In the remaining 2 cases (one atresia and one caustic stricture) CM was effective after 1 and 2 sessions respectively. Overall, 5 out of 6 stenosis have been successfully treated (83.3%), and 1 out of 2 fistulas (50%). Conclusions: Association of BS and CM has been effective in the management of RES in children.
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Alberca de las Parras F, Navalón Rubio M, Egea Valenzuela J. Management of refractory esophageal stenosis in the pediatric age. 3671/2015


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Publication history

Received: 09/01/2015

Accepted: 11/06/2016

Online First: 21/09/2016

Published: 30/09/2016

Article revision time: 514 days

Article Online First time: 621 days

Article editing time: 630 days


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