A novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy to dilate a completely obstructed distal esophageal stricture in a child following fundoplication

We report a successful dilation of a completely obstructed distal esophageal stricture in a 4-year-old boy with combined immune deficiency syndrome, at 2 and half years after fundoplication and gastrostomy tube insertion. Barium studies and esophagoscopy had revealed complete obstruction of the lowe...

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Bibliographic Details
Published inEndoscopy Vol. 37; no. 8; p. 776
Main Authors Isaiah, J H, Jones, A B, Lalor, E, Evans, M, Dhunno, I, Huynh, H Q
Format Journal Article
LanguageEnglish
Published Germany 01.08.2005
Subjects
Child, Preschool
Dilatation - methods
Esophageal Stenosis - etiology
Esophageal Stenosis - therapy
Esophagitis, Peptic - complications
Esophagoscopy - methods
Fundoplication
Gastroscopy - methods
Gastrostomy
Humans
Male
Postoperative Complications - therapy
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Summary:We report a successful dilation of a completely obstructed distal esophageal stricture in a 4-year-old boy with combined immune deficiency syndrome, at 2 and half years after fundoplication and gastrostomy tube insertion. Barium studies and esophagoscopy had revealed complete obstruction of the lower esophagus. Transgastrostomy gastroscopy demonstrated a pinhole lumen through the fundoplication wrap; a guide wire was passed into the esophagus; and the stricture was dilated with Savary dilators. We presumed that the stricture was secondary to chronic esophagitis. The stricture was identified and successfully dilated using a novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy.
ISSN:0013-726X
DOI:10.1055/s-2005-870163