Sharp recanalization of an esophageal occlusion after repair of esophageal atresia and tracheoesophageal stricture.
Esophageal atresia with an associated tracheoesophageal fistula is a congenital anomaly requiring surgical correction. Recurrent stricture is the most common complication of surgical repair and is usually treated with mechanical dilation. Rarely, a recurrent completely obstructive stricture can cause obliteration of the anastomosis, preventing passage of a wire for dilation. This condition requires operative correction. In the case presented herein, the obliterated esophageal lumen from an obstructing stricture was operatively corrected with use of a novel transluminal technique. The obstruction was successfully crossed with a modified Chiba biopsy needle covered in a dilator through a gastrostomy. After subsequent balloon dilation, the lumen has remained patent for more than 3 years without significant complication.
Vo
Nghia-Jack
NJ
Department of Radiology, Division of Pediatric Interventional Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Avenue, Cincinnati, Ohio 45229-3039, USA. jnvo71@aol.com
Racadio
John M
JM
Inge
Thomas H
TH
D002404:Catheterization; D004933:Esophageal Atresia / Q000628:therapy*; D004940:Esophageal Stenosis / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014135:Tracheal Stenosis / Q000628:therapy*; D014138:Tracheoesophageal Fistula / Q000628:therapy; D016896:Treatment Outcome