Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 25, 2016; 8(4): 212-219
Published online Feb 25, 2016. doi: 10.4253/wjge.v8.i4.212
Published online Feb 25, 2016. doi: 10.4253/wjge.v8.i4.212
Endoscopic management of esophageal stenosis in children: New and traditional treatments
Luigi Dall’Oglio, Tamara Caldaro, Francesca Foschia, Simona Faraci, Giovanni Federici di Abriola, Francesca Rea, Erminia Romeo, Filippo Torroni, Giulia Angelino, Paola De Angelis, Digestive Endoscopy and Surgery Unit, Bambino Gesù Children Hospital, IRCCS, 00165 Roma, Italy
Author contributions: Dall’Oglio L wrote the paper and was the coordinator of these therapeutic procedures; Angelino G provided the review activity; the other authors contributed equally to this work supporting the paper with references and their clinical activity.
Conflict-of-interest statement: The authors have no conflict of interest to report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Luigi Dall’Oglio, MD, Digestive Endoscopy and Surgery Unit, Bambino Gesù Children Hospital, IRCCS, Piazza Sant’Onofrio 4, 00165 Roma, Italy. luigi.dalloglio@opbg.net
Telephone: +39-06-68592841 Fax: +39-06-68593910
Received: May 25, 2015
Peer-review started: May 26, 2015
First decision: August 31, 2015
Revised: October 14, 2015
Accepted: December 16, 2015
Article in press: December 18, 2015
Published online: February 25, 2016
Peer-review started: May 26, 2015
First decision: August 31, 2015
Revised: October 14, 2015
Accepted: December 16, 2015
Article in press: December 18, 2015
Published online: February 25, 2016
Core Tip
Core tip: The paper reviews the conservative treatment of esophageal stenosis and strictures (ES) in children. Different types of ES are discussed, including post-esophageal atresia anastomotic strictures, congenital esophageal stenosis and dystrophic recessive epidermolysis bullosa strictures. Endoscopic techniques are reviewed, including balloon and semirigid dilators, esophageal stents and different adjuvant treatment strategies, like corticosteroids (either systemically or locally injected), the local application of mitomycin C, and ES incision. Conservative management must be considered also for complications, such esophageal perforations, except for patients with severe pleural cavity involvement, who require surgery.