Abstract
Therapeutic endoscopy has an important role in congenrital pediatric surgical disease. Endoscopic balloon dilatation was performed in 8 cases from 2 months to 6 years old, who had the severe stenosis and stricture in upper digestive tract, during the period from February, 1987 to June, 1989. Anastomotic strictures after the surgical repair of congenital esophageal atresia with tracheo-esophageal fistula occarred in five cases. Congenital esophageal stenosis, postoperative stricture of Heller's procedure for achalasia and secondary stenosis caused by esophagitis due to gastroesophageal reflux were seen in one case each. All cases underwent endoscopic balloon dilatation with the Rigiflex TTS balloon dilatation system under genieral anesthesia. The esophageal strictures and stenosis were effectively released without complications in six cases. The efficacy and safety of the endoscopic Rigiflex TTS balloon dilatation system was evaluated in pediatric cases with upper digestive tract stenosis and stricture.
