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Title: Use of self-expanding nitinol stents in the pediatric management of refractory esophageal caustic stenosis.
Authors: Alonso, Verónica
Ojha, Devicka
Nalluri, Harsha
de Agustín, Juan Carlos
metadata.dc.subject.mesh: Alloys
Child, Preschool
Drug Resistance
Endoscopy, Gastrointestinal
Esophageal Stenosis
Surgery, Computer-Assisted
Treatment Outcome
Issue Date: 2017
Abstract: The treatment of recurrent esophageal stricture secondary to the ingestion of a caustic agent is an arduous task. Self-expanding esophageal stents may be an alternative to repeated endoscopic esophageal dilations. We present the case of a two-year-old male with a severe and long esophageal stricture successfully treated by the combination of dilations and stent placement. After five months of serial pneumatic dilations, three self-expanding nitinol stents internally coated with silicone were introduced through a gastrostomy, covering the entire esophagus. The procedure was performed under endoscopic and radiological guidance. Three months later, the treatment was repeated with a single stent. A new stenosis in the proximal esophagus required surgical resection, and anastomosis followed by two pneumatic dilations for five months resulted in longer intervals where the patient was asymptomatic. The results obtained were satisfactory, allowing the patient to conserve and use his own esophagus. However, this is a unique case and the optimal maintenance time and withdrawal time of the stent must be determined.
metadata.dc.identifier.doi: 10.17235/reed.2017.4959/2017
ISSN: 1130-0108
Appears in Collections:Producción 2020

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