Characteristics and management of congenital esophageal stenosis: findings from a multicenter study |
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| Authors: | Laurent?Michaud,Frédéric?Coutenier,Guillaume?Podevin,Arnaud?Bonnard,Fran?ois?Becmeur,Naziha?Khen-Dunlop,Frédéric?Auber,Aude?Maurel,Thomas?Gelas,Martine?Dassonville,Corinne?Borderon,Alain?Dabadie,Dominique?Weil,Christian?Piolat,Anne?Breton,Djamal?Djeddi,Alain?Morali,Florence?Bastiani,Thierry?Lamireau,Frédéric?Gottrand author-information" > author-information__contact u-icon-before" > mailto:frederic.gottrand@chru-lille.fr" title=" frederic.gottrand@chru-lille.fr" itemprop=" email" data-track=" click" data-track-action=" Email author" data-track-label=" " >Email author |
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| Affiliation: | 1.Reference Centre for Congenital and Malformative Esophageal Diseases,Lille,France;2.Pediatric Surgery Department,Nantes,France;3.Pediatric Surgery Department,Paris Robert Debré,France;4.Pediatric Surgery Department,Strasbourg,France;5.Pediatric Surgery Department,Paris Necker,France;6.Pediatric Surgery Department,Paris Trousseau,France;7.Pediatric Surgery Department,Saint Pierre de la Réunion,France;8.Pediatric Surgery Department,Lyon,France;9.Pediatric Surgery Department,Bruxelles,Belgium;10.Pediatric Department,Clermont Ferrand,France;11.Pediatric Department,Rennes,France;12.Pediatric Surgery Department,Angers,France;13.Pediatric Surgery Department,Grenoble,France;14.Pediatric Department,Toulouse,France;15.Pediatric Department,Amiens,France;16.Pediatric Surgery Department,Nancy,France;17.Pediatric Surgery Department,Nice,France;18.Pediatric Department,Bordeaux,France |
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| Abstract: | BackgroundCongenital esophageal stenosis (CES) is a rare condition frequently associated with esophageal atresia (EA). There are limited data from small series about the presentation, treatment, and outcomes of CES.MethodsMedical records of all patients with CES included in the French Network on Esophageal Malformations and Congenital Diseases were reviewed retrospectively with regard to diagnosis, treatment, and outcome.ResultsOver 18 years, 61 patients (30 boys) had CES, and 29 (47%) of these patients also had EA. The mean age at diagnosis was 24 months (1 day to 14 years) and was younger in patients with CES and EA than in those with isolated CES (7 vs. 126 months, p? ConclusionsCS diagnosis can be delayed when associated with EA. Dilation may be effective for treating patients with FMS and MS, but surgical repair is often required for those with TBR. Our results show clearly that, regardless of the therapeutic option, dysphagia occurs frequently, and patients with CES should be followed over the long term. |
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