Analysis of endoscopic balloon dilation in children with esophageal stenosis caused by chemical alkali burns

doi:10.3877/cma.j.issn.2095-8765.2018.04.006

Abstract

Abstract:

Objective

To investigate the characteristics of children's esophageal stricture caused by chemical burns in Xinjiang area, as well as to discuss the safety and clinical value of endoscopic balloon dilation therapy.

Methods

20 children with esophageal stricture following alkali burns were firstly diagnosed through digestive tract radiography and gastroscopy, then they both received endoscopic balloon dilation.

Results

The endoscopic balloon dilation therapy was successful in all 20 cases, no esophageal perforation and death were happened, the symptoms of esophageal stenosis such as dysphasia and vomiting occurred in 17 cases (85%).

Conclusions

Chemical etchant could burn the mucous membrane and muscular layer of esophagus, the alkaline solution is able to permeate the whole membrane of the esophagus. The damage of muscular layer would lead to the cicatricial stenosis, even cause the complete obstruction of esophagus. This group of children with esophageal stenosis were treated with balloon dilation through gastroscope. This operation is safe and nonradiative, the treatment result is effective and satisfactory.

Key words: Alkali burns, Esophageal stenosis, Balloon dilation, Treatment

Abudureyimu Abudusaimi·, sufu Yu, Kai Li, Jun He, Dong Liu, Yanfang Liu, Aziguli, Ling Zhou, Shuixue Li. Analysis of endoscopic balloon dilation in children with esophageal stenosis caused by chemical alkali burns[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(04): 164-166.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8765.2018.04.006

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2018/V05/I04/164

References 10

1	Hirdes MM, Vleggaar FP, Siersema PD. Siersema,Stent placement for esophageal strictures: an update [J]. Expert Rev Med, Devices, 2011, 8 (6): 733-755.
2	刘斌，高英茂．人体胚胎学[M]．北京：人民卫生出版社, 1996, 270.
3	张义平．食道狭窄扩张和支架置入序贯疗法的分析[J]．医用放射技术杂志, 2003, (10): 61-61.
4	李赟，马静，柒琳，等．婴幼儿食管狭窄球囊扩张术的应用研究．中国耳鼻咽喉头颈外科, 2013, 20(7): 376-378.
5	雷洪波，吴春，潘征夏，等. 33例先天性食管狭窄的诊治分析．临床小儿外科杂志, 2016, 15(3): 268-271.
6	孟科，刘庆森．食管良性狭窄内镜治疗现状与发展．军医进修学院学报, 2012, 33(6): 692-695.
7	Piotet E, Escher A, and Monnier P. Esophageal and pharyngeal strictures: report on 1, 862 endoscopic dilatations using the Savary- Gilliard technique [J]. Eur Arch Otorhinolaryngol, 2008, 265(3): 357-364.
8	Canena JM, Liberato MJ, Rio-Tinto RA. A comparison of the temporary placement of 3 different self-expanding stents for the treatment of refractory benign esophageal strictures: a prospective multicentre study [J]. BMC Gastroenterol, 2012, 12(1): 70.
9	Boyce WH. Dilation of Difficult Benign Esophageal Stricture [J]. Am J Gastroenterol, 2005, 100(4): 744-745.
10	樊荣，谢睿，支养兴，等．食管扩张在治疗食管贲门狭窄中的临床应用．西部医学, 2010, 22(5): 919-920.

[1]	Hongyu Wang. Application value of fixed and mobile platform prostheses in total knee arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 871-876.
[2]	Shanwu Li, Yongjie Ye, Bing Wang, Ziyi Wang, Yi Yin, Guanjun Sun, Dagang Zhang. Early efficacy comparison of open wedge high tibial osteotomy and unicompartmental knee arthroplasty [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 882-888.
[3]	Zhengwen Xu, Zhen Li, Zhenyang Hou, Changzheng Su, Biao Zhu. Platelet rich plasma combined with bone grafting for treatment of early non-traumatic osteonecrosis of femoral head [J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 773-779.
[4]	Wei Zhang. Dentoalveolar surgery: The pioneer of comfortable treatment [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(06): 386-388.
[5]	Yi He, Dongsheng Yu. Advances in diagnosis and treatment of dislocation injury of young permanent teeth [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(06): 400-406.
[6]	Xu Peng, Yongfu Shao, Duo Li, Rui Zhou, Zhenming Xing. Diagnosis and surgical treatment of hepatocolon flexure [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 108-110.
[7]	Weiqiang Ma, Binlin Ma, Zhongyu Wu, Ying Zhang. The role of microRNA in the progression of triple-negative breast cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 111-114.
[8]	Yao Chen, Boqun Xu, Zhihui Gao. Efficacy and safety of modified intermediate upper approach radical resection in the treatment of thyroid cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 619-622.
[9]	Haitao Zhang, Chanjuan Kang, Jingjie Zhai. Effect of pancreatic duct stent implantation in the treatment of acute biliary pancreatitis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 654-657.
[10]	Xue Yang, Wei Zhang, Peizhong Shang, Chuangye Song, Dandan Shang, Wei Zhang. Cholecystoduodenal fistula with stone draining through it and spontaneously healing：a case report [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 707-708.
[11]	Ming Jiang, Rui Luo, Chengchao Long. Diagnosis and treatment of obturator hernia: An experience of 73 cases over 10 years [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 706-710.
[12]	Qikun Zhang, Fuchao Shang, Qi Li, Guangming Li, Menglong Wang. Survival benefit of combined splenectomy in patients with liver cancer complicated with portal hypertension after radical resection [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 613-618.
[13]	Zhifeng Lu, Jiajia Zhou, Shu Liang. Advances in application and research of virtual reality technology in amblyopia treatment [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(08): 891-895.
[14]	Tian Li, Hong Xu, Heliang Liu. Progress in research of pneumoconiosis [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(08): 900-905.
[15]	Jun Dai, Shuo Li, Ying Cao, Shoufeng Wang, Hongmao Song, Jingjing Cai, Min Shao, Li Chen, Lei Cheng, De Huai. Efficacy of modified highly selective pterygoid canal nerve block by low temperature radiofrequency ablation under nasal endoscopy in patients with moderate to severe chronic rhinitis [J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(06): 689-693.

Please choose a citation manager

Content to export