UFUK ATEŞ ERGUN ERGÜN EGE EKİYOR PARİ KHALİLOVA MELTEM BİNGÖL KOLOĞLU AYDIN YAĞMURLU AHMET MURAT ÇAKMAK GÜLNUR GÖLLÜ
Ankara Üniversitesi Tıp Fakültesi Mecmuası - 2024;77(1):81-86
Objectives: Endoscopic balloon dilation (EBD) is a frequently used method in the treatment of esophageal strictures in patients with esophageal atresia. The aim of this article is to convey our 19 years of experience in EBD performed in patients with esophageal atresia. Materials and Methods: Thirty-seven patients with esophageal atresia who developed esophageal stricture and underwent EBD between 2003 and 2022 were included in the study. The number of EBD sessions, the time elapsed between dilations, the size of the dilated balloon, the development of complications after the procedure, additional surgical intervention and the follow-up periods were evaluated. Results: In patients with esophageal atresia, EBD was performed at an average of 0.72-month (2 weeks-29 months) intervals, average of 3.3 months after the primary repair. EBD was performed only one time in 6 patients (16.2%), after the single procedure, the patients did not have clinical symptoms or need for dilation. Time between two last dilation procedure is 4.5 months (1-48). Esophageal perforation was seen in 7 cases (8.8%) and was managed with conservative treatment. In 14 of the patients, it was observed that the need for dilation was continued. Conclusion: EBD is minimally invasive and safe method for esophageal strictures after primary esophageal atresia repair. It prolongs the time required for dilation with a higher success rate in anastomotic strictures. The optimal number of dilations should be determined and accompanying comorbidities should be treated primarily.
