Hua Kaiyun,Zhao Yong,Gu Yichao,et al.Diagnosis and treatment of congenital esophageal stenosis: a report of 4 cases[J].Journal of Clinical Pediatric Surgery,,19():342-346.[doi:10.3969/j.issn.1671-6353.2020.04.012]
Diagnosis and treatment of congenital esophageal stenosis: a report of 4 cases
- CLC:
- R655.4;R726
- Abstract:
- Objective To explore the diagnosis and treatment of congenital esophageal stenosis (CES). Methods Retrospective analysis was conducted for the clinical data of 4 CES boys from June 2015 to December 2018.The ages of admission were 61,50,10 and 43 months respectively. Results Case 1 was diagnosed as achalasia cardia after admission.During laparoscopic esophageal myotomy,ectopic cartilage in lower esophagus was removed with intact esophageal mucosa.Case 2 had CES associated with esophageal atresia.Lower esophageal stenosis was missed for several times.And thoracoscopic stenosis resection and re-anastomosis were performed.Case 3 had stenosis of lower esophagus and balloon-dilate was performed for 4 times.Case 4 had CES with multiple duodenal obstructions and laparoscopy was performed for relieving the obstruction of duodenum.After 7 months,thoracoscopic esophagectomy and anastomosis were performed. Conclusion CES often has concomitant gastrointestinal malformations easily to be neglected.Treatment has remained controversial and endoscopy is both feasible and effective.
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Memo
收稿日期:2019-02-19。
通讯作者:黄金狮,Email:jsdr2002@126.com