Wang An,Xie Chuanping,Li Guantong,et al.Research advances in the diagnosis and endoscopic treatment of congenital esophageal stenosis in children[J].Journal of Clinical Pediatric Surgery,2025,(09):897-900.[doi:10.3760/cma.j.cn101785-202410059-019]
儿童先天性食管狭窄的诊断及内镜治疗进展
- Title:
- Research advances in the diagnosis and endoscopic treatment of congenital esophageal stenosis in children
- 摘要:
- 先天性食管狭窄是一种罕见的儿童消化道先天畸形，其病因尚不明确，通过造影、超声内镜等手段可以对先天性食管狭窄作出诊断。先天性食管狭窄合并先天性食管闭锁的诊断是目前的一大挑战，需要临床医师高度重视，仔细观察术后早期造影结果，对本病予以诊断及鉴别诊断。超声内镜作为一种无创性检查手段，能在术前诊断患者病理分型，从而指导后续治疗方案。内镜下球囊扩张是目前治疗先天性食管狭窄的一线方法，多种内镜治疗方法联合使用为先天性食管狭窄的治疗提供了更多可能。本文基于既往研究，对先天性食管狭窄的病因、诊断及内镜下治疗方法进行综述。
- Abstract:
- Congenital esophageal stenosis (CES) is a rare congenital malformation of digestive tract in children.Its cause has remained elusive.A definite diagnosis is based upon contrast radiography and endoscopic ultrasound.Diagnosing congenital esophageal stenosis plus congenital esophageal atresia is a major challenge in current researches.Surgeons should pay close attention and carefully observe early postoperative imaging results to make diagnosis and differential diagnosis.As a non-invasive examination modality, endoscopic ultrasound may diagnose the pathological type preoperatively to guide follow-up treatment plan.Endoscopic balloon dilation is currently a first-line treatment for CES and combining multiple endoscopic treatments provides more possibilities for managing CES.Based upon previous researches, this review focused upon the etiology, diagnosis and endoscopic treatment of CES.
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备注/Memo
收稿日期:2024-10-27。
基金项目:北京市科学技术委员会(Z211100002921062)；西藏自治区自然科学基金会(XZZR202402020(W))
通讯作者:黄金狮, Email: jsdr2002@126.com