Document Detail


Endoscopic dilatation for benign oesophageal strictures in infants and toddlers: Experience of an expectant protocol from North African tertiary centre.
MedLine Citation:
PMID:  23250237     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose: The purpose of this study was to present the safety and effectiveness of an expectant protocol employing Savary-Gilliard dilatation in benign oesophageal stricture in infants and toddlers along a decade of experience. Patients and Methods: Thirty eight infants and toddlers with benign oesophageal stricture with age ranged between 5 and 22 months were treated by modified dilatation protocol. Complications and outcomes of the dilatation protocol were reported during a follow-up period of 12 to 100 months. Results: We have 25 cases of corrosive stricture, 4 congenital, 4 post-reflux and 5 post-anastomotic strictures. A total of 654 dilatations in 265 sessions were done. The corrosive subgroup has a mean dysphagia score of 2.6 pre-dilatation that improved at 6 months after end of dilatation to a mean of 0.3. In the non-corrosive subgroup, significant lower number of dilatation and sessions were reported. We have three failures that need surgery. Thirty five cases reach acceptable oesophageal caliber. Mucosal tear and small perforation each reported once. Small diverticulum reported twice. Conclusions: The expectant dilatation protocol is feasible in managing benign oesophageal stricture in infants and toddlers without increasing the morbidity. It is effective even in long segment or multiple corrosive strictures.
Authors:
Sherif M K Shehata; Mohamed E Enaba
Related Documents :
9044117 - Biliary obstruction in infants with cystic fibrosis requiring kasai portoenterostomy.
17321227 - Intrauterine growth retardation, duodenal and extrahepatic biliary atresia, hypoplastic...
14988877 - Maternal acute fatty liver of pregnancy and the associated risk for long-chain 3-hydrox...
7189317 - Transient hyperphosphatasemia of infancy.
21219107 - Significant qt interval prolongation and long qt in young adult ex-preterm newborns wit...
11036807 - Ureaplasma urealyticum and its association with chronic lung disease in asian neonates.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African journal of paediatric surgery : AJPS     Volume:  9     ISSN:  0974-5998     ISO Abbreviation:  Afr J Paediatr Surg     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101255062     Medline TA:  Afr J Paediatr Surg     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  187-92     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, Internal Medicine, Tanta University Hospital, Tanta, Egypt.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  The Cost-Effectiveness of Duloxetine in Chronic Low Back Pain: a Quebec Societal Perspective.
Next Document:  Recombinant-activated factor VII in the paediatric cardiac surgery: Single unit experience.