| Esophageal Endoscopic Dilations. | |
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MedLine Citation:
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PMID: 22270040 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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INTRODUCTION:: Esophageal strictures in children are serious and require specialized care. Peptic stricture is most common in our context, caustic and congenital strictures are rare. OBJECTIVE:: This study reports our experience in esophageal endoscopic dilation while specifying the causes of esophageal strictures as well as their response to endoscopic treatment. PATIENTS AND METHODS:: This is cases study over a period of 7 years, during which 60 cases of esophageal stricture were treated with endoscopic dilation by Savary-Gilliard bougies. Our patients were divided into three groups: Group A for peptic strictures (52 patients), Group B for caustic strictures (4 patients) and Group C for strictures subsequent to esophageal atresia surgery (4 patients). RESULTS:: The age of patients is between 10 months and 17 years. Dysphagia was the main symptom and was the major reason for consultation. Two hundred forty-seven dilation sessions were performed, with an average of four sessions per patient ranging from 1 to 15 sessions. The maximum score was observed in group B (50%). Expansion was performed under deep sedation. We had two esophageal perforations: one in group A and one in group B. A good response was obtained in group A (70%) and in group B (50%). The patients in group C still required repeated sessions. CONCLUSION:: Esophagus endoscopic dilation is an effective technique especially in peptic stricture with no need of surgery in some cases. In addition, perforation was rare in this group. |
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Authors:
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Mounia Lakhdar-Idrissi; Kawtar Khabbache; Moustapha Hida |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-19 |
Journal Detail:
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Title: Journal of pediatric gastroenterology and nutrition Volume: - ISSN: 1536-4801 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8211545 Medline TA: J Pediatr Gastroenterol Nutr Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Pediatric service, University Hospital Hassan II, Fez, Morocco. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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