A novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy to dilate a completely obstructed distal esophageal stricture in a child following fundoplication.
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.
Isaiah
J H
JH
General Pediatrics, University of Alberta, Edmonton, Canada.
Jones
A B
AB
Lalor
E
E
Evans
M
M
Dhunno
I
I
Huynh
H Q
HQ
D002675:Child, Preschool; D004106:Dilatation / Q000379:methods*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D004942:Esophagitis, Peptic / Q000150:complications*; D004945:Esophagoscopy / Q000379:methods*; D018662:Fundoplication; D005773:Gastroscopy / Q000379:methods*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*