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• W1898678165 abstract "Esophageal strictures remain the most frequent complication after esophageal atresia (EA) repair despite refinements in operative techniques. With an incidence of anastomotic stricture between 8% and 49%, EA is the most frequent cause of benign esophageal stricture in children. The mainstay of treatment for esophageal stricture is dilatation with a 58–96% success rate. In order to relieve dysphagia, between 1 and 15 dilatations will be required in each EA patient with an esophageal stricture. However dilatations may lead to complications including perforation (0.1–0.4% of all esophageal benign strictures) and sociopsychological morbidity. Fifty percent of EA strictures will improve in 6 months. However, 30% will persist and require repeat dilatations. The present article explores the variety of non-surgical alternative treatments for anastomotic strictures after EA repair, focusing on triamcinolone acetonide, mitomycin C and esophageal stents. We propose an algorithm for a more standardized therapeutic approach, with the hope that an international panel of experts could meet and establish a consensus." @default.
• W1898678165 created "2016-06-24" @default.
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• W1898678165 date "2013-05-01" @default.
• W1898678165 modified "2023-09-25" @default.
• W1898678165 title "Refractory strictures post-esophageal atresia repair: what are the alternatives?" @default.
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• W1898678165 doi "https://doi.org/10.1111/dote.12047" @default.
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