Balloon Catheter Dilatation of Benign Esophageal Strictures in Children

Equipment for pediatric endoscopy

“…Balloon dilation can be performed in infants who will not tolerate a standard gastroscope by using a guidewire and over-the-wire dilation balloons (eg, biliary dilation balloons) under fluoroscopic guidance. 72,74 Biliary dilation balloons are available in sizes ranging from 4 to 10 mm with lengths from 2 to 8 cm and can be used with endoscopically placed 0.035-inch guidewires.…”

Esophageal stenting in children: indications, application, effectiveness, and complications

“…1 The methods of treatment have long been dilation and surgical resection. More recently, endoluminal stents have been used to manage esophageal disease in adults.…”

Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

“…The authors also found that most of the patients with balloon dilatations only needed further dilatations within the first year [14]. Weintraub et al [1] have demonstrated similar results in 49 children with benign oesophageal strictures. In our study, we also found that a median of two procedures was performed for each patient and that 44 % of the patients only required one dilatation session in order to achieve clinical success.…”

“…Compared with bougienage, balloon dilatation seems more effective in terms of reducing the total number and frequency of procedures [1,10,14,16]. In one study, a median of 8.5 bougienages were required, while only a median of two balloon dilatations were needed to achieve the same clinical success rate for children with OA [14].…”

“…Balloon dilatation is a well-accepted treatment for symptomatic benign oesophageal strictures in both children and adults [1,2]. One of the most serious complications associated with balloon dilatation is oesophageal rupture [2,3].…”