2020 Volume 56 Issue 1 Pages 59-65
Purpose: Congenital esophageal stenosis (CES) is a rare condition, and its standard treatment has not been completely established. The purpose of this study was to clarify the surgical indications for this disease.
Methods: Data of six patients with CES treated at our hospital from 2007 to 2017 were reviewed retrospectively. The patients were classified into the balloon dilatation only group (DG, n = 3 patients) and the surgery group (SG, n = 3 patients).
Results: The median onset age was 4 months (range: 0–28 months). All patients were diagnosed on the basis of esophagograms and underwent balloon dilatation. The average wedge ratios (WRs) of the balloon’s maximal and minimal diameters were 0.95 (0.82–1) and 0.68 (0.52–0.78) in DG and SG, respectively. The stenosis exacerbated after dilatation in one patient in DG and all patients in SG. The patient in DG was the most difficult to treat. In DG, dilatation was performed six times on average (4–10 times). In SG, the preoperative dilatation was performed six times on average (5–7 times), and all patients underwent resection of the stenotic site and end-to-end anastomosis. The pathological finding was only tracheobronchial remnant and none of the patients required postoperative dilatation. The postoperative course in both groups was uneventful.
Conclusion: WR and the presence of exacerbation of stenosis after dilatation could be the useful surgical indications for CES.
