Balloon dilatation for corrosive esophageal strictures in children: radiologic and clinical outcomes

• Published in: Korean journal of radiology Vol. 11; no. 2; pp. 203 - 210
• Main Authors: Youn, Byung Jae, Kim, Woo Sun, Cheon, Jung-Eun, Kim, Wha-Young, Shin, Su-Mi, Kim, In-One, Yeon, Kyung Mo
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01.03.2010; 대한영상의학회
• Subjects: Acetic Acid - poisoning; Acids; Burns, Chemical - diagnostic imaging; Burns, Chemical - therapy; Catheterization - methods; Catheters; Caustics - poisoning; Child; Child, Preschool; Deglutition Disorders - etiology; Dysphagia; Esophageal Stenosis - chemically induced; Esophageal Stenosis - diagnostic imaging; Esophageal Stenosis - therapy; Esophagus; Esophagus - diagnostic imaging; Female; Food; Humans; Infant; Lye - poisoning; Male; Medical records; Original; Patients; Performance evaluation; Radiography; Retrospective Studies; Success; Treatment Outcome; 방사선과학; East Asia; Balloon dilatation; Dysphagia; Esophageal stricture; Children; Corrosive esophagitis; Esophagus
• ISSN: 1229-6929; 2005-8330
• DOI: 10.3348/kjr.2010.11.2.203

We retrospectively evaluated the effectiveness of the esophageal balloon dilatation (EBD) in children with a corrosive esophageal stricture. The study subjects included 14 patients (M:F = 8:6, age range: 17-85 months) who underwent an EBD due to a corrosive esophageal stricture. The causative agents for the condition were glacial acetic acid (n = 9) and lye (n = 5). A total of 52 EBD sessions were performed in 14 patients (range 1-8 sessions). During the mean 15-month follow-up period (range 1-79 months), 12 patients (86%) underwent additional EBD due to recurrent esophageal stricture. Dysphagia improved after each EBD session and oral feeding was possible between EBD sessions. Long-term success (defined as dysphagia relief for at least 12 months after the last EBD) was achieved in two patients (14%). Temporary success of EBD (defined as dysphagia relief for at least one month after the EBD session) was achieved in 17 out of 52 sessions (33%). A submucosal tear of the esophagus was observed in two (4%) sessions of EBD. Only a limited number of children with corrosive esophageal strictures were considered cured by EBD. However, the outcome of repeated EBD was sufficient to allow the children to eat per os prior to surgical management.