Evaluation of endoscopic radial incision for benign esophageal stenosis in children / 中华消化内镜杂志

ABSTRACT

Objective To evaluate the efficacy and safety of endoscopic radial incision ( ERI) for treatment of benign esophageal stenosis in children. Methods A retrospective analysis was performed on clinical data of 20 children with benign esophageal stenosis who underwent ERI from January 2013 to May 2018 in Xi′an Children′s Hospital. The procedure, improvement of clinical symptoms, and complications related to the operation were analyzed. Results All 20 patients were successfully treated with ERI, with median operation time of 10 min (5-25 min), and median number of narrow ring incision of 4 times (1-8 times) . No fever, poststernal pain, bleeding or perforation was found in any child after operation. The hospital stay was 4-7 days, with a median of 4. 5 days. The postoperative follow-up was 3-24 months, with an average of 7. 9 months. At one month after operation, the stenosis diameter of 20 cases was enlarged[ 1. 0 cm ( 0. 6-1. 5 cm) VS 0. 3 cm ( 0. 1-0. 5 cm) , t=11. 018, P<0. 001] , and dysphagia score was lower[ 0 ( 0-2) VS 2. 5 (2-4), Z=4. 027, P<0. 001] compared with that before. The median weight of 19 children increased by 2 kg ( 1-4 kg ) three months after operation. There was no significant correlation between improvement of dysphagia after ERI and sex, age, times of preoperative treatment and diameter of stenosis ( all P>0. 05) , but there was a negative correlation between improvement of dysphagia after ERI and the length of stenosis ( r=-0. 514, P=0. 020) . Conclusion ERI is safe and effective for treatment of benign esophageal stenosis in children, which can be recommended in clinic.