Pediatr Gastroenterol Hepatol Nutr.  2017 Dec;20(4):211-215. 10.5223/pghn.2017.20.4.211.

Management of Benign Esophageal Strictures in Children

Affiliations
  • 1Kidz Health Castle, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium. yvan.vandenplas@uzbrussel.be

Abstract

Esophageal strictures are seldom in children. In many countries, accidental ingestion of corrosives is a major cause of risk for stricture formation. Therefore, their management is a challenge. Safety and long-term efficacy of esophageal dilation for benign esophageal strictures has been confirmed in children. Because most children with structures are toddlers or younger, balloon dilatation is often preferred over bouginage. There is increasing evidence that short duration administration of high doses steroids may be of benefit in some specific situation (IIb esophagitis according to Zargar classification). Mytomycin-C application needs to be further evaluated. Stenting was reported to be successful in some refractory cases.

Keyword

Esophgeal stricture; Dilatation; Caustic substance; Mitomycin; Corticosteroid

MeSH Terms

Caustics
Child*
Constriction, Pathologic*
Dilatation
Eating
Esophagitis
Humans
Mitomycin
Stents
Steroids
Caustics
Mitomycin
Steroids
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