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- W2019077037 abstract "Dilatation of pediatric esophageal strictures has usually been performed in the hospital during general anesthesia. Over a four-year period, we performed 211 dilatations in 13 pediatric patients (ages 15mo-14yr, median 3yr) in the outpatient department without anesthesia; 72% were performed without any sedation. Strictures' etiologies were simple peptic (2), anastomotic after esophageal atresia repair (5), anastomotic after stricture resection or colon interposition (3), and undetermined (due to nasogastric tube, chronic vomiting, or chemotherapy, 2). Increases in esophageal lumen diameter (to at least 36Fr in 12 patients, 40Fr in 6) and in tolerance of food boluses occurred in all of the children. Growth accelerated in 5/10 who were below the 10%ile and remained parallel to the curve in 5/10. Six strictures are resolved (after 4-27 procedures over 4-24mo); four require dilatation twice-yearly (after 3-13 dilatations over 10-29mo); and three still undergo dilatation at intervals less than five months (after 11-62 visits over 2-33mo). Dilatation without anesthesia or sedation was preferred by all of the parents and by those children old enough to express a preference. Estimated reduction of medical costs by more than $100,000 were realized. No episode of perforation, significant hemorrhage, documentable aspiration, or neurologic complication occurred. Outpatient dilatation without anesthesia is an effective method of treating esophageal strictures in children." @default.
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- W2019077037 date "1984-04-01" @default.
- W2019077037 modified "2023-10-18" @default.
- W2019077037 title "ESOPHAGEAL STRICTURE DILATATION IN AWAKE CHILDREN" @default.
- W2019077037 doi "https://doi.org/10.1203/00006450-198404001-00684" @default.
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