The use of a retrievable self-expanding stent in treating childhood benign esophageal strictures.

Abstract

BACKGROUND/PURPOSE:

Esophageal stenting is a popular form of treatment of esophageal strictures in adults but is not widely used in children. The aim of the current study was to investigate whether esophageal stents could be used safely and effectively in the treatment of esophageal stenosis in children.

METHODS:

Covered retrievable expandable nitinol stents were placed in 8 children with corrosive esophageal stenosis. The stents were removed 1 to 4 weeks after insertion.

RESULTS:

The stents were placed in all patients without complications and were later removed successfully. After stent placement, all patients could take solid food without dysphagia. Stent migration occurred in one patient and so the insertion procedure was repeated to reposition the stent. During the 3-month follow-up period after stent removal, all children could eat satisfactorily. After 6 months, 2 children required balloon dilation (3 times in one and 5 times in the other). The dysphagia score improved in all patients.

CONCLUSIONS:

The use of the covered retrievable expandable stent is an effective and safe method in treating childhood corrosive esophageal stenosis.

• Authors: Chi Zhang, Ju-Ming Yu, Guo-Ping Fan, Cheng-Ren Shi, Shi-Yao Yu, Han-Ping Wang, Li Ge, Wei-Xing Zhong
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 40 Issue 3 Pg. 501-4 (Mar 2005) ISSN: 1531-5037 [Electronic] United States
• PMID: 15793725 (Publication Type: Evaluation Study, Journal Article)

Chemical References

• Alloys
• Caustics
• Sulfuric Acids
• nitinol
• Sodium Hydroxide
• Hydrogen Peroxide
• sulfuric acid
• Hydrochloric Acid

Topics

• Alloys
• Burns, Chemical (etiology, therapy)
• Catheterization
• Caustics (toxicity)
• Chest Pain (etiology)
• Child
• Child, Preschool
• Conscious Sedation
• Deglutition Disorders (etiology)
• Device Removal
• Esophageal Stenosis (chemically induced, therapy)
• Female
• Fluoroscopy
• Follow-Up Studies
• Foreign-Body Migration (etiology)
• Humans
• Hydrochloric Acid (toxicity)
• Hydrogen Peroxide (toxicity)
• Male
• Pliability
• Radiography, Interventional
• Severity of Illness Index
• Sodium Hydroxide (toxicity)
• Stents (adverse effects)
• Sulfuric Acids (toxicity)
• Temperature
• Treatment Outcome
• Vomiting (etiology)