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

• Published in: Endoscopy 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
• Language: English
• 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
• DOI: 10.1055/s-2005-870163
• ISSN: 0013-726X

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.