Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2022; 10(33): 12313-12318
Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12313
Endoscopic magnetic compression stricturoplasty for congenital esophageal stenosis: A case report
Rui-Xue Luo, Yi Lv, Shi-Qi Liu
Shi-Qi Liu, Department of Nursing, The Medical College, Xijing University, Xi’an 710123, Shaanxi Province, China
Yi Lv, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Rui-Xue Luo, The Corrosion & Protection Research Lab, Northwest Institute for Nonferrous Metal Research, Xi’an 710016, Shaanxi Province, China
Author contributions: Liu SQ conducted the operation, collected the data, performed data analysis and interpretation, and drafted the manuscript; Lv Y guided the operation and revised the manuscript; Luo RX assisted in magnetic ring processing and revised the contents about magnetic device.
Supported by the National Natural Science Foundation of China, No. 82170676; Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain (Cluster) - Social Development Project, No. 2020ZDLSF02-03; and the Special Fund for High-level Talents of Xijing University, No. XJ20B04.
Informed consent statement: The authors certify that they have obtained the appropriate patient consent form. In the form, the patient’s parents/guardians have given their consent for the images and other clinical information to be reported in the journal. The patient’s parents/guardians understand that the names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi Lv, MD, Professor, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Road, Xi’an 710061, Shaanxi Province, China. luyi169@126.com
Received: June 21, 2022
Peer-review started: June 21, 2022
First decision: August 1, 2022
Revised: August 24, 2022
Accepted: October 17, 2022
Article in press: October 17, 2022
Published online: November 26, 2022
Abstract
BACKGROUND

Congenital esophageal stenosis (CES) is a rare malformation of the digestive tract. Endoscopic dilation and thoracotomy have been the main treatments for CES. However, there is no well-defined management protocol. Magnetic compression stricturoplasty (MCS) has been used in refractory esophageal stricture in children after esophageal atresia.

CASE SUMMARY

We describe the first case of MCS for CES in one female child patient. The child (aged 3 years and 1 mo) was admitted due to frequent vomiting and choking after eating complementary food since 7 mo old. Esophagography and gastroendoscopy showed that there was stenosis in the lower esophagus, suggesting a diagnosis of CES. The patient did not receive any treatment for esophageal stricture including surgery or endoscopic dilation procedures before MCS. MCS procedure was smoothly conducted without complications. At 24 mo after MCS, durable esophageal patency without dysphagia was achieved.

CONCLUSION

MCS may serve as an alternative and efficient method for patients with CES.

Keywords: Congenital esophageal stenosis, Magnetic compression stricturoplasty, Endoscopy, Case report

Core Tip: Magnetic compression stricturoplasty (MCS) is a relatively safe dredge method for patients with postoperative obstruction, stricture, or dehiscence of anastomosis. For the first time, we describe the application of MCS in treating congenital esophageal stenosis (CES) without using endoscopic bougienage and dilation treatment in a child patient. The data on diagnosis, treatment, and long-term follow-up of CES are analyzed. Additionally, key properties of MCS in treating segmental fibromuscular hypertrophy stricture following CES are discussed.