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

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

View larger version (97K): [in a new window]   Figure 1. Oesophagogram. (a) Anteroposterior view and (b) lateral view of a 1-month-old girl demonstrating severe stricture (arrow) at the oesophageal atresia anastomosis site. *, oesophagus lower pouch.

View larger version (104K): [in a new window]   Figure 2. 3-month-old boy with oesophageal anastomotic stricture secondary to oesophageal atresia repair. (a) Anteroposterior and (b) lateral views show the oesophageal stricture "balloon waist" (arrowheads) on an inflated 12 mm diameter, 6 cm long balloon catheter.

View larger version (135K): [in a new window]   Figure 3. A 2-month-old boy with oesophageal stricture following oesophageal atresia surgery. (a) Anteroposterior and (b) lateral chest radiographs demonstrate disappearance of oesophageal stricture print (arrow) after application of 2 atmospheres pressure over 2 min.

View larger version (108K): [in a new window]   Figure 4. 1-month-old girl with oesophageal stricture following oesophageal atresia surgery. A water soluble contrast oesophagogram obtained at the end of the second session of balloon dilatation (8 mm diameter, 5.5 cm length) shows a leakage of contrast material (arrowheads) in the mediastinum at the level of the oesophageal stricture (arrow).