Guide wire dilatation of anastomotic strictures secondary to surgical repair of esophageal atresia

To evaluate the efficacy of esophageal guide wire dilatation of stricture after surgical treatment of esophageal atresia. This prospective and descriptive study was carried out at Department of Pediatric Surgery, The children's hospital, Pakistan Institute of Medical Sciences [PIMS], Islamabad from January 2008 to December 2011. It included 23 patients, 15 males and 8 females, aged one month to 3 years with esophageal stricture secondary to esophageal atresia who underwent guide wire esophageal dilatation with savary Gilliard Dilators. All procedures were performed under general anesthesia. Associated gastroesophageal reflux [GER]. was noted in 13 patients. Dilatation relieved the stricture in all patients over a follow-up period varying from 3 months to 3 years. Only two patients developed esophageal perforation, which was treated conservatively. Guide wire dilatation is a safe and effective method of treatment in the management of strictures secondary to surgical repair of esophageal atresia

Unusual cause of upper gastrointestinal tract bleeding in a child

We report a case of gastric teratoma in six years old female child who presented with abdominal pain, vomiting and hematemesis. Child underwent exploratory laparotomy and the mass was excised completely. On histopathology it came out mature gastric teratoma

Anterior urethral valves: a rate cause of urethral obstruction in children

Anterior urethral valves are uncommon cause of urethral obstruction in children and diagnosis may be delayed due to rarity of condition. The symptoms mimic those of posterior urethral valves. We are reporting a four years old boy who presented with recurrent urinary tract infections, difficulty in micturition and dribbling of urine. Ultrasound showed bilateral hydronephrosis, hydrouerter and a large bladder with 100 ml of post voiding residual urine. Micturating cystourethrogram showed trabeculated bladder with dilated urethra to the navicular fossa. Cystoscopy revealed fibrous valves just proximal to the navicular fossa. Ablation of valves caused immediate relief of symptoms. Child remained symptoms free at six months follow-up