BJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
British Journal of Radiology (2003) 76, 26-31
© 2003 British Institute of Radiology
doi: 10.1259/bjr/64412147
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Said, M
Right arrow Articles by Ganouni, A
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Said, M
Right arrow Articles by Ganouni, A

Full Paper

Balloon dilatation of anastomotic strictures secondary to surgical repair of oesophageal atresia

M Said, MD1, M Mekki, MD2, M Golli, MD1, F Memmi, MD1, C Hafsa, MD1, R Braham, MD1, M Belguith, MD1, M Letaief, MD3, M Gahbiche, MD4, A Nouri, MD2 and A Ganouni, MD1

Departments of 1 Medical Imaging, 2 Pediatric Surgery, 3 Epidemiology and Preventive Medecine 4 Anaesthesia, Fattouma Bourguiba University Hospital of Monastir, 5019 Monastir, Tunisia

Correspondence: Mourad Said, MD, 6-Rue du Caire, 5016 Cite Erriadh, Ksar Hellal, Tunisia

The purpose of this study was to evaluate the efficiency and safety of oesophageal balloon dilatation in strictures secondary to surgical treatment of oesophageal atresia in 25 children. Patients comprised 15 males and 10 females, aged 1–36 months. Median age was 4 months (interquartile range (IQR)=19). The strictures were more than 50% of oesophageal lumen and the delay from surgical treatment to balloon dilatation varied from 1 month to 36 months. Associated gastroesophageal reflux was noted in 15 patients. All procedures were performed under sedation using fluoroscopic guidance. Balloons of increasing diameter, 4–20 mm were used. Water soluble contrast swallow was performed after each dilatation session. A total of 115 balloon dilatation sessions were performed with a range of 1–14 procedures per patient (median 4 dilatations, IQR=4.5). Dilatation relieved the stricture in all patients over a follow-up period varying from 4 months to 33 months. The best results were noted in children under 6 months, who needed two or few dilatation sessions, with relative risk (RR) of 0.52 and 95% confidence interval of 0.29–0.92. The presence of associated gastroesophageal reflux indicated a high risk (RR of 12, p<0.001) for undergoing more than two balloon dilatation sessions. The only serious complications observed were two cases of oesophageal perforation, which were treated conservatively. Fluoroscopically guided balloon dilatation is a safe and effective treatment in the management of strictures secondary to surgical repair of oesophageal atresia, especially when started early (within 6 months of surgery) and not associated with gastroesophageal reflux.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
BJR DMFR IMAGING  ALL BIR JOURNALS 
Copyright © 2003 by the British Institute of Radiology.