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Thoracoscopic resection of congenital esophageal stenosis
Author(s) -
Saka Ryuta,
Okuyama Hiroomi,
Sasaki Takashi,
Nose Satoko,
Oue Takaharu
Publication year - 2017
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12371
Subject(s) - medicine , surgery , failure to thrive , dysphagia , stenosis , perforation , mediastinitis , resection , esophageal stenosis , impaction , reflux , esophagus , radiology , materials science , disease , metallurgy , punching
Congenital esophageal stenosis (CES) is rare and usually manifests in infants as dysphagia, failure to thrive, and food impaction. Dilatation is considered to be the first‐line therapy for CES, but the incidence of complications (perforation and mediastinitis) is relatively high. We report two cases of CES treated by thoracoscopic resection without prior dilatation. Both infants recovered without recurrent stenosis and were able to eat solid food soon after surgery. One had postoperative gastroesophageal reflux and eventually required fundoplication. Thoracoscopic resection could be a valid option for CES.