High-frequency miniprobes and 3-dimensional EUS for preoperative evaluation of the etiology of congenital esophageal stenosis in children (with video)

Buracco, Paolo; Realdon, Stefano; Eloubeidi, Mohamad A.; Diamantis, G.; Betalli, Pietro; Gamba, Piergiorgio; Zanon, Giovanni Franco; Battaglia, Giorgio

doi:10.1016/j.gie.2011.01.071

Cited by 23 publications

(22 citation statements)

References 9 publications

(9 reference statements)

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“…Endoscopic biopsy specimens are usually non-specific 3. Further imaging modalities, including CT scan and MRI, are not useful for detecting TBRs 3. In the present case, we also performed MRI, but could not identify TBRs.…”

Section: Discussionmentioning

confidence: 62%

“…Esophagoscopy can indeed visualize a membranous web; otherwise, it simply shows a non-yielding stenosis with a normal smooth mucosal lining in CES. Endoscopic biopsy specimens are usually non-specific 3. Further imaging modalities, including CT scan and MRI, are not useful for detecting TBRs 3.…”

Section: Discussionmentioning

confidence: 99%

“…In TBR, there are commonly multiple echogenic regions within the muscle layer that represent aberrant cartilaginous remnants. The echogenicity and feature of the cartilage vary by report, including the following: a sonolucent area in the fourth layer,1 multiple low echoic regions in the focally thickened muscularis propria layer,5 thickened hypoechoic area made of cartilaginous material,7 hyperechoic lesions just underneath the mucosa and deep in the muscle layer,4 a complete hyperechoic ring outside the esophageal wall,3 hyperechoic lesions with acoustic shadow within the thickened segment,8 and little hyperechoic areas in the muscular layer 6. In the present case, we could observe the hypoechoic muscle layer with echogenic regions during TAUS.…”

Section: Discussionmentioning

confidence: 99%

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Use of transabdominal (external) ultrasound during balloon dilatation to diagnose tracheobronchial remnant in congenital esophageal stenosis

Hattori

Takamizawa

Miyake

et al. 2018

World Jnl Ped Surgery

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Preoperativedifferential diagnosis between tracheobronchial remnant (TBR) and other typesof congenital esophageal stenosis (CES) is challenging, even when usingendoscopic ultrasonography (EUS). This report is the first to demonstrate theuse of transabdominal (external) ultrasound during balloon dilatation todiagnose TBR in CES. This simple technique is a promising diagnostic tool forTBR as an alternative to EUS.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of transabdominal (external) ultrasound during balloon dilatation to diagnose tracheobronchial remnant in congenital esophageal stenosis

Hattori

Takamizawa

Miyake

et al. 2018

World Jnl Ped Surgery

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“…EUS using a miniprobe was performed by inserting the working channel of a flexible conventional EGD [7]. Recently, a case was reported in which a EUS examination was performed by inserting the miniprobe into the working channel of a slim (4.9 mm) endoscope to evaluate an esophageal stenotic area [16]. The EUS miniprobe has a much smaller diameter and a higher frequency compared with conventional EUS [7].…”

Section: Discussionmentioning

confidence: 99%

“…Submucosal tumors are occasionally found in pediatric patients, also making EUS a possible method to correctly diagnose abnormal lesions on the gut wall layers in pediatric patients [15]. CT or MRI are not useful for detecting TBRs, as they are not visible on radiological imaging [16]. Therefore, miniprobe EUS is a very useful diagnostic tool, particularly in pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Diagnosis of Congenital Esophageal Stenosis Caused by Tracheobronchial Remnants Using Miniprobe Endoscopic Ultrasonography in a Child

Lee

2012

Pediatr Gastroenterol Hepatol Nutr

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Congenital esophageal stenosis (CES) can be classified into three types based on the etiology of stenosis: tracheobronchial remnants (TBRs), fibromuscular hypertrophy (FMH), and membranous diaphragm (MD). It is important to make a differential diagnosis because the therapeutic plan for CES is determined by its etiology. Most cases of FMH and MD can be managed with balloon dilatation, whereas cases of TBRs require resection and anastomosis. Thus, the preoperative distinction of TBRs is critical. Recently miniprobe endoscopic ultrasonography (EUS) with a maximum diameter of 2.5 mm has been useful for distinguishing TBRs from FMH in pediatric patients with CES. EUS shows hyperechoic lesions indicating TBR cartilage. Miniprobe EUS is recommended for choosing the correct therapeutic method for CES. We report a case of CES due to TBRs in which a preoperative diagnosis was made in a child using miniprobe EUS without any difficulties. (Pediatr Gastroenterol Hepatol Nutr 2012; 15: 52∼56)

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Endoscopic ultrasonography

Faraci¹,

Dall’Oglio²,

Angelis³

et al. 2021

Practical Pediatric Gastrointestinal Endoscopy

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High-frequency miniprobes and 3-dimensional EUS for preoperative evaluation of the etiology of congenital esophageal stenosis in children (with video)

Cited by 23 publications

References 9 publications

Use of transabdominal (external) ultrasound during balloon dilatation to diagnose tracheobronchial remnant in congenital esophageal stenosis

Use of transabdominal (external) ultrasound during balloon dilatation to diagnose tracheobronchial remnant in congenital esophageal stenosis

Preoperative Diagnosis of Congenital Esophageal Stenosis Caused by Tracheobronchial Remnants Using Miniprobe Endoscopic Ultrasonography in a Child

Endoscopic ultrasonography

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