Endoscopic laser division of an esophageal web in a child

Successful treatment of congenital esophageal web by endoscopic electrocauterization and balloon dilatation

“…Endoscopic balloon dilatation proved unsuccessful in our patient because of the elastic nature of the web, which has been described previously [13,14]. Electrocauterization involves burning or destroying tissue using a small probe with an electric current running through it.…”

“…Esophageal webs had been successfully treated using various methods, including surgical excision [7][8][9], bougienage dilatation via esophagoscope [10], disruption with biopsy forceps via endoscope [11,12], and laser lysis via endoscope [13,14]. Resection of the membrane at thoracotomy is usually the only treatment available for a complete esophageal membrane.…”

Thoracoscopic approach for congenital esophageal stenosis

“…In the case of esophageal webs, endoscopic and open perforation-dilation procedures have been described [12].…”

Unklare Schluckstörung mit Erbrechen

“…Fälle eines "web" wurden im Rahmen einer Trisomie 21 [9], einer ösophagealen Pseudodivertikulose [3] oder eines Plummer-Vinson-Syndroms [7] beschrieben. Histologisch kön-nen sie lediglich aus Mukosa und Submukosa bestehen [1,2,4,9,11]. Bei Smith et al [10] zeigte die Histologie neben einer Hyperkeratose eine Basalzellhyperplasie bzw.…”

“…Andere Autoren plädieren für eine Lasertherapie bzw. eine Exzision der Stenose [6,9]. Als potenzielle Komplikationen sind an erster Stelle die Perforation bzw.…”