title: Endoscopic balloon dilatation of benign esophageal strictures in childhood: a 15-year experience.
abstract: The study aims to evaluate the effectiveness and safety of endoscopic balloon dilatation (EBD) in childhood benign esophageal strictures. The medical records of 38 patients who underwent EBD from 1999 to 2013 were retrospectively reviewed. Demographic features, diagnoses, features of strictures, frequency and number of EBD, complications, outcome, and recurrence data were recorded. Median age was 1.5 years (0-14), and female/male ratio was 17/21 (n = 38). Primary diagnoses were corrosive esophageal stricture (n = 19) and esophageal atresia (n = 19). The length of strictures were less than 5 cm in 78.9% (n = 30). No complication was seen in 86.8% (n = 33). Perforation was seen in 10.5% (n = 4), and recurrent fistula was seen in 2.7% (n = 1). Total treatment lasted for 1 year (1-11). Dysphagia was relieved in 60.5% (n = 23). Recurrence was seen in 31.6% (n = 12). Treatment effectiveness was higher, and complication rates were lower in strictures shorter than 5 cm compared with longer ones (70% vs. 25%, P < 0.05, and 3.4% vs. 37.5%, P < 0.05). Although there was no statistical difference, treatment effectiveness rates were lower and complication and recurrence rates were higher in corrosive strictures compared with anastomotic ones (P > 0.05). EBD is a safe and efficient treatment choice in esophageal strictures, especially in strictures shorter than 5 cm and anastomotic strictures.
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Cakmak
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkey.
authors.forename: O
authors.initials: O
authors.lastname: Boybeyi
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Gollu
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: G
authors.initials: G
authors.lastname: Kucuk
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Bingol-Kologlu
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Yagmurlu
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Aktug
authors.affiliation: Department of Pediatric Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Dindar
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004106:Dilatation / Q000295:instrumentation / Q000379:methods*; D004940:Esophageal Stenosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: balloon dilatation; corrosive ingestion; endoscopy; esophageal atresia; esophageal stricture