V K Jayakrishnan1, A G Wilkinson. 1. Department of Radiology, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Abstract
PURPOSE: To compare the technical feasibility and procedural complications of fluoroscopically guided balloon dilatation with conventional surgical bouginage for the treatment of oesophageal strictures in children. MATERIALS AND METHODS: A retrospective analysis of 125 balloon dilatations in 37 children with oesophageal strictures of varying aetiology. Twenty-four of the 37 children also underwent 88 procedures of surgical bouginage and comparison was made between the methods. RESULTS: Fluoroscopic balloon dilatation had fewer technical failures (0/125 vs. 4/88, P<0.02) and fewer iatrogenic perforations (2/125 vs. 5/88 P = 0.1) than surgical bouginage. CONCLUSION: Fluoroscopically guided balloon dilatation is safer and has fewer technical failures than surgical bouginage and should be considered the first line of treatment for oesophageal strictures in children.
PURPOSE: To compare the technical feasibility and procedural complications of fluoroscopically guided balloon dilatation with conventional surgical bouginage for the treatment of oesophageal strictures in children. MATERIALS AND METHODS: A retrospective analysis of 125 balloon dilatations in 37 children with oesophageal strictures of varying aetiology. Twenty-four of the 37 children also underwent 88 procedures of surgical bouginage and comparison was made between the methods. RESULTS: Fluoroscopic balloon dilatation had fewer technical failures (0/125 vs. 4/88, P<0.02) and fewer iatrogenic perforations (2/125 vs. 5/88 P = 0.1) than surgical bouginage. CONCLUSION: Fluoroscopically guided balloon dilatation is safer and has fewer technical failures than surgical bouginage and should be considered the first line of treatment for oesophageal strictures in children.
Authors: Raf Bisschops; Miguel Areia; Emmanuel Coron; Daniela Dobru; Bernd Kaskas; Roman Kuvaev; Oliver Pech; Krish Ragunath; Bas Weusten; Pietro Familiari; Dirk Domagk; Roland Valori; Michal F Kaminski; Cristiano Spada; Michael Bretthauer; Cathy Bennett; Carlo Senore; Mário Dinis-Ribeiro; Matthew D Rutter Journal: United European Gastroenterol J Date: 2016-08-21 Impact factor: 4.623
Authors: Ahmed A Al Sarkhy; Anjum Saeed; Yassin H Hamid; Mona M Al Asmi; Tariq I Altokhais; Anhar A Ullah; Asaad M Assiri Journal: Saudi Med J Date: 2018-08 Impact factor: 1.484
Authors: Chantal A Ten Kate; Renato Tambucci; John Vlot; Manon C W Spaander; Frederic Gottrand; Rene M H Wijnen; Luigi Dall'Oglio Journal: Surg Endosc Date: 2020-08-03 Impact factor: 4.584