Predictors of outcomes of endoscopic balloon dilatation in strictures after esophageal atresia repair: A retrospective study

作     者：Dong-Ling Dai Chen-Xi Zhang Yi-Gui Zou Qing-Hua Yang Yu Zou Fei-Qiu Wen 

作者机构：Department of Gastroenterology Shenzhen Children’s Hospital 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2020年第26卷第10期

页      面：1080-1087页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Supported by the Shenzhen Innovation and Technology Committee,No.JCYJ20180228175150018 the Guangdong Medical Research Foundation(CN),No.A2018550 

主　　题：Children Endoscopic balloon dilatation Esophageal stricture Outcome Predictor 

摘      要：BACKGROUND Endoscopic balloon dilatation (EBD) has become the first line of therapy for benign esophageal strictures (ESs);however,there are few publications about the predictive factors for the outcomes of this *** To assess the predictive factors for the outcomes of EBD treatment for strictures after esophageal atresia (EA) *** Children with anastomotic ES after thoracoscopic esophageal atresia repair treated by EBD from January 2012 to December 2016 were *** procedures were performed under tracheal intubation and intravenous anesthesia using a three-grade controlled radial expansion balloon with *** were recorded and predictors of the outcomes were *** A total of 64 patients were included in this *** rates of response,complications,and recurrence were 96.77%,8.06%,and 2.33%,*** number of dilatation sessions and complications were significantly higher in patients with a smaller stricture diameter (P=0.013 and 0.023,respectively) and with more than one stricture (P=0.014 and 0.004,respectively).The length of the stricture was significantly associated with complications of EBD (P=0.001).A longer interval between surgery and the first dilatation was related to more sessions and a poorer response (P=0.017 and 0.024,respectively).CONCLUSION The diameter,length,and number of strictures are the most important predictive factors for the clinical outcomes of endoscopic balloon dilatation in pediatric *** interval between surgery and the first EBD is another factor affectingresponse and the number of sessions of dilatation.