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2010, Number 3

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Rev Mex Cir Pediatr 2010; 17 (3)

Estenosis esofagica; Anomalias asociadas; Remanente traqueobronquial; Engrosamiento fibromuscular; Membrana o diafragama esofagico.

Fernández-Yáñez HF, Alonso-Hernández MA, Urueta-Jimenez P, Garrido-Rodriguez JR, García-Sanchez D, Tomita-Arcos VH
Full text How to cite this article

Language: Spanish
References: 8
Page: 151-154
PDF size: 191.19 Kb.


Key words:

Stenosis esofagica, Anomalies associated, Remnant bronchial, Thickening fmd, Membrane or diafragama esophageal.

ABSTRACT

The congenital esophageal stenosis is defined as an intrinsic stenosis of the esophagus caused by one of the three histologically groups: 1) tracheobronchial remnants, 2) fibromuscular thickening and 3) membranous webbing. The following anomalies can be associated in up to 17 to 33%: atresia esophageal, cardiac anomalies, intestinal atresia, cardiac anomalies, anorectal malformations and chromosomal anomalies.
The main clinically significant symptoms, vomiting and disphagia, represent a challenge for the variety of diferential diagnostic like achalasia or peptic stricture recondary to reflux esophagitis.
The surgical treatment consisted of resecting the stenotic segment and then performing a primary anastomosis whith the possibility of an antireflux procedure in those cases where the stenosis is close to the esophageal-gastric union.


REFERENCES

  1. Shintaro Amae, Masaki Nio, Takamichi Kamiyama, Tomohiro Ishii, Shigehiko Yoshida, Yutaka Hayashi. Clinical Characteristics and Management of congenital esophageal stenosis: A report on 14 cases. Journal of Pediatric Surgery 2003; 38: 565 – 570.

  2. Lu-Lu Zhao, Wu-Shiun Hsieh, Wen-Ming Hsu. Congenital esophageal stenosis owing to ectopic tracheobronchial remnants. Journal of pediatric surgery 2004; 39: 1183-1187.

  3. Hsun-Chin Chao, Shih-Yeh Chen, Man-Shran Kong. Succesful treatment of congenital esophageal web by endocopic electrocauterization and ballon dilatation. Journal of Pediatric Surgery 2008; 43: E13-E15.

  4. Satoko Nose, Akio Kubota, Nisayoshi Kawara, Hiroomi Okuyama, Takahary Oue, Yuko Tazuke. Endoscopic membranectomy whit a high frequency-wave snare/cutter for membranous stenosis in the upper gastrointestinal tract. Journal of Pediatric Surgery 2005; 40: 1486-1488.

  5. Kosaku Maeda, Chieko Hisamatsu, Tomomi Hasegawa, Hiroshi Tanaka, Yutaka Okita. Circular myectomy for the treatment of congenital esophageal stenosis owing to tracheobronchial remnant. Journal of pediatric Surgery 2004; 39: 1765-1768.

  6. Marcelo Martinez Ferro, Martin Rubio, Lisandro Praggio, Pablo Laje. Thoracoscopic approach for congenital asophageal stenosis. Journal of Pediatric Surgery 2006; 41: E5 – E7.

  7. Hisayoshi Kawahara, Takaharu Oue, Hiroomi Okuyama, Akio Kubota, Akira Okada. Esophageal Motor function in congenital esophageal stenosis. Journal of pediatric surgery 2003; 38: 1716 – 1719.

  8. Hisayoshi Kawahara, Akio Kubota, Hiroomi Okuyama, Takaharu Oue, Yuko Tazuke, Akira Okada. The uselfulness of videomanometry for studying pediatric esophageal motor disease. Journal of Pediatric Surgery 2004; 39: 1754-1757.




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Rev Mex Cir Pediatr. 2010;17