ESOPHAGEAL STRICTURES FOLLOWING ESOPHAGEAL ATRESIA REPAIR IN CHILDREN IN SULAIMANI CITY; FREQUENCY AND RESPONSE TO ENDOSCOPIC BALLOON DILATATION

 

Adnan Mohammed Hasan a, Mahdi Aziz Hama Marif a, and Rozhan Nabaz M. Sediq a



a Department of Pediatrics, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.  


Submitted: 4/9/2019; Accepted: 18/2/2020; Published: 21/3/2020

ABSTRACT


Background 

Anastomotic stricture is the main complication after surgical repair of esophageal atresia and balloon dilatations remain the treatment of choice for symptomatic esophageal strictures. 


Objectives 

The aim of this study was to evaluate the frequency of anastomotic stricture and the efficacy and complications of esophageal balloon dilatations for symptomatic anastomotic stricture in children with esophageal atresia treated in our center.


Patients and Methods

The medical records of 28 children operated on for esophageal atresia type C (Gross) over a 6-year period were retrospectively reviewed.


Results

Anastomotic stricture developed in 6 (21.4%) of the patients. They were submitted to 17 dilatation sessions. Stricture resolution occurred after a mean dilatation of 2.83 per patient (range, 1-7). Dilation was successful in 100% of patients. No complications were happened during or after the dilatation sessions. 


Conclusions

Anastomotic stricture, secondary to the surgical treatment of esophageal atresia, is a common complication in patients with esophageal atresia. Esophageal dilation with balloon dilators is an effective and very safe procedure in the management of strictures.



KEYWORDS

Esophageal atresia, Esophageal dilatation, Anastomotic Stricture.