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Article: Endoscopic Balloon Dilatation of Esophageal Strictures in Infants and Children: 17 Years' Experience and a Literature Review

TitleEndoscopic Balloon Dilatation of Esophageal Strictures in Infants and Children: 17 Years' Experience and a Literature Review
Authors
KeywordsEndoscopic balloon dilatation
Esophageal strictures
Outcome
Issue Date2003
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurg
Citation
Journal Of Pediatric Surgery, 2003, v. 38 n. 12, p. 1712-1715 How to Cite?
AbstractPurpose: Whereas endoscopic balloon dilatation (EBD) of benign esophageal strictures is an established mode of therapy in adults, this has not been accepted universally in the pediatric population. The aim of this study is to report the safety, efficacy, and long-term results of EBD for children in the authors' center. Methods: Between 1986 and 2002, a total of 77 children (median age, 1.8 years; range, 2 months to 20 years) were treated by EBD for various causes: 2 had achalasia, and 75 had esophageal strictures (postesophageal atresia repair, 63; reflux esophagitis, 7; postfundoplication, 2; caustic injury, 3). Dilatations were performed using flexible endoscopy and fluoroscopic screening under general anesthesia. Results: A total of 260 dilatations were carried out with the mean number of EBD per patient being 3.4 (range, 1 to 19). A mean period of 5 months (maximum, 28 months) for each patient was required. Four complications of esophageal perforations (1.5%) were observed, but only one required surgical repair because of persistent leakage. The remaining patients have undergone long-term follow-up (median follow-up, 6. 6 years), and all are asymptomatic. Conclusions: This large series has shown that EBD can provide a safe and effective mean of relieving esophageal strictures with good long-term results. © 2003 Elsevier Inc. All rights reserved.
DescriptionPresented at the 36th Annual Meeting of the Pacific Association of Pediatric Surgeons, Sydney, Australia, 12-16 May 2003.
Persistent Identifierhttp://hdl.handle.net/10722/83977
ISSN
2015 Impact Factor: 1.733
2015 SCImago Journal Rankings: 0.802
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLan, LCLen_HK
dc.contributor.authorWong, KKYen_HK
dc.contributor.authorLin, SCLen_HK
dc.contributor.authorSprigg, Aen_HK
dc.contributor.authorClarke, Sen_HK
dc.contributor.authorJohnson, PRVen_HK
dc.contributor.authorTam, PKHen_HK
dc.date.accessioned2010-09-06T08:47:28Z-
dc.date.available2010-09-06T08:47:28Z-
dc.date.issued2003en_HK
dc.identifier.citationJournal Of Pediatric Surgery, 2003, v. 38 n. 12, p. 1712-1715en_HK
dc.identifier.issn0022-3468en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83977-
dc.descriptionPresented at the 36th Annual Meeting of the Pacific Association of Pediatric Surgeons, Sydney, Australia, 12-16 May 2003.-
dc.description.abstractPurpose: Whereas endoscopic balloon dilatation (EBD) of benign esophageal strictures is an established mode of therapy in adults, this has not been accepted universally in the pediatric population. The aim of this study is to report the safety, efficacy, and long-term results of EBD for children in the authors' center. Methods: Between 1986 and 2002, a total of 77 children (median age, 1.8 years; range, 2 months to 20 years) were treated by EBD for various causes: 2 had achalasia, and 75 had esophageal strictures (postesophageal atresia repair, 63; reflux esophagitis, 7; postfundoplication, 2; caustic injury, 3). Dilatations were performed using flexible endoscopy and fluoroscopic screening under general anesthesia. Results: A total of 260 dilatations were carried out with the mean number of EBD per patient being 3.4 (range, 1 to 19). A mean period of 5 months (maximum, 28 months) for each patient was required. Four complications of esophageal perforations (1.5%) were observed, but only one required surgical repair because of persistent leakage. The remaining patients have undergone long-term follow-up (median follow-up, 6. 6 years), and all are asymptomatic. Conclusions: This large series has shown that EBD can provide a safe and effective mean of relieving esophageal strictures with good long-term results. © 2003 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jpedsurgen_HK
dc.relation.ispartofJournal of Pediatric Surgeryen_HK
dc.subjectEndoscopic balloon dilatationen_HK
dc.subjectEsophageal stricturesen_HK
dc.subjectOutcomeen_HK
dc.subject.meshAdolescent-
dc.subject.meshBalloon Dilation - adverse effects-
dc.subject.meshChild-
dc.subject.meshChild, Preschool-
dc.subject.meshEsophageal Stenosis - therapy-
dc.titleEndoscopic Balloon Dilatation of Esophageal Strictures in Infants and Children: 17 Years' Experience and a Literature Reviewen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-3468&volume=38&issue=12&spage=1712&epage=1715&date=2003&atitle=Endoscopic+balloon+dilatation+of+esophageal+strictures+in+infants+and+children:+17+years%27+experience+and+a+literature+reviewen_HK
dc.identifier.emailWong, KKY: kkywong@hkucc.hku.hken_HK
dc.identifier.emailTam, PKH: paultam@hkucc.hku.hken_HK
dc.identifier.authorityWong, KKY=rp01392en_HK
dc.identifier.authorityTam, PKH=rp00060en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jpedsurg.2003.08.040en_HK
dc.identifier.pmid14666449-
dc.identifier.scopuseid_2-s2.0-0344738926en_HK
dc.identifier.hkuros85336en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0344738926&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume38en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1712en_HK
dc.identifier.epage1715en_HK
dc.identifier.isiWOS:000187173100003-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLan, LCL=7005687228en_HK
dc.identifier.scopusauthoridWong, KKY=24438686400en_HK
dc.identifier.scopusauthoridLin, SCL=8213776500en_HK
dc.identifier.scopusauthoridSprigg, A=6603955518en_HK
dc.identifier.scopusauthoridClarke, S=54790526700en_HK
dc.identifier.scopusauthoridJohnson, PRV=9274082200en_HK
dc.identifier.scopusauthoridTam, PKH=7202539421en_HK

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