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Experience with Balloon Dilatation

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Congenital Esophageal Stenosis

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Abstract

We reviewed our experience with balloon dilatations over a period of 13 years. A total of 58/126 (46%) EA patients developed post-operative symptomatic anastomotic stricture requiring balloon dilatation. The dilatations were very effective in 57 patients (98.2%) (No dysphagia to any type of food). Only one who had resection, still with effective dilatation (has dysphagia to special types of food). No perforation in 106 sessions of balloon dilatations for 58 patients. The CES patients associated with EA (13/126) required more protracted courses of dilatations than the non CES group to achieve a success point (106 dilatation sessions for 13 patients). There were worse response and effectiveness to dilatations. However, there were no complications in both groups with 212 sessions of balloon dilatations. Seven patients with isolated CES involving the GEJ mimicking cardiac achalasia, four were refractory to dilatations and required resection and primary anastomosis (TBR). The remaining three patients responded to dilatations. Four patients with CES proximal to GEJ, one of them required resection with primary anastomosis (TBR) and the rest responded to dilatations. Balloon dilatations were also done for cases of cardiac achalasia and cricopharyngeal achalasia and corrosive ingestion. Balloon dilatation (fluoroscopic wire guided) under general anesthesia is safe for a wide varieties of pathologies. We had experience with almost 305 sessions of dilatations with only two tiny perforations that could be managed conservatively.

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Authors and Affiliations

  1. Consultant Pediatric Surgeon, Armed Forces Hospital, Southern Region, King Fahad Military Hospital, Khamis Mushait, Saudi Arabia

    Ashraf Ibrahim

  2. Senior Consultant Pediatric and Neonatal Surgeon, Alhada Military Hospital, Vice President for D&Q, Taif University, Taif, Saudi Arabia

    Talal Al-Malki

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  1. Ashraf Ibrahim
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Ibrahim, A., Al-Malki, T. (2019). Experience with Balloon Dilatation. In: Congenital Esophageal Stenosis. Springer, Cham. https://doi.org/10.1007/978-3-030-10782-6_9

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  • DOI: https://doi.org/10.1007/978-3-030-10782-6_9

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