A case of Gross A type esophageal atresia : Dilatation of esophageal stricture occurred after the repair of esophageal atresia, and aggressive support for habitual oral feeding

Abstract

A successful management of esophageal stricture in a case of Gross A type esophageal atresia is reported. The postoperative esophageal stenosis was associated with gastroesophageal reflux, and moreover, was complicated by a perforation at an attempt to dilate the stenosis, which resulted in a complete stricture. Endoscopically a quide wire was introduced into a pinhole stricture of the esophagus, then pulled by a string through from the mouth to the gastrostomy. A string-guided bougienage using a newly developed vinyl chloride cement apparatus was successfully performed. Sucking milk, allowed during the preoperative period with the aid of continuous suction of the proximal esophageal pouch, seemed to have prevented from the later difficult feeding problem. the patient is currently 4 years old and has normal baruim swallow without stricutre of gastroesophageal reflux.