Gu Yichao,Huang Jinshi,Chen Yongwei,et al.Analysis of effectiveness of endoscopy-guided balloon dilatation for anastomotic strictures after repairing esophageal atresia[J].Journal of Clinical Pediatric Surgery,,18():450-455.[doi:10.3969/j.issn.1671-6353.2019.06.004]
Analysis of effectiveness of endoscopy-guided balloon dilatation for anastomotic strictures after repairing esophageal atresia
- Keywords:
- Gastroseopy; Esophageal Atresia/SU; Esophageal Atresia/TH; Stomas
- CLC:
- R655.4;R616.5
- Abstract:
- Objective To evaluate the safety and effectiveness of endoscopy-guided balloon dilatation for anastomotic strictures (AS) after repairing esophageal atresia (EA). Methods A retrospective study was conducted for clinical data of 61 AS children undergoing endoscopy-guided balloon dilatation for repairing EA from October 31,2017 to November 1,2018.And 12 of them were operated at our hospital.According to the addition status of food supplements,they were divided into four groups of <3 months (n=19),3-6 months (n=12),6-12 months (n=9) and >1 year (n=21).Short-term success was defined as symptom relief for >1 month and there was no need for dilation.And symptom relief of medium-term success lasted >3 months and no dilation was required.Results A total of 61 children underwent 331 dilatations and the median/quartile number of dilations was 5(3-7).For those children whose initial dilations were performed at an age of <3 months,the median/quartile number of dilations was 4(3-7).And the median terminal diameter of balloon was 8.3 1.2 mm,the median/quartile number of dilation 5(3.25-7.0) and the median terminal diameter of balloon 10.1 2.0 mm in children whose initial dilations were performed at an age of 3 to 6 months.Among those children with initial dilation at an age of 6-12 months,the median/quartile number of dilations was 9(6.5-11.5) and the median terminal diameter of balloon 12.3 2.3 mm.For those children with initial dilation at an age of >12 months,the median/quartile number of dilations was 4(2-6) and the median terminal diameter of balloon 13.6 1.7 mm.The difference of dilation numbers was significant among four groups (H=94.258,P<0.001).There is a significant statistical difference on the terminal diameter in the 4 groups (F=33.147,P<0.001).The percentages of short and medium-term success were 72.1% and 59.0% respectively.And only one case of esophageal perforation was cured with conservative measures.And the rate of perforation was 0.3% (1/331). Conclusion Endoscopy-guided balloon dilatation has excellent outcomes with few complications and it may be a priority choice for treatment.
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Memo
收稿日期:2019-04-20。
通讯作者:黄金狮,Email:jsdr2002@126.com