EN
TÜRKÇE
Poster - 54
Esophageal stenosis: is home catheter balloon dilation a solution for an unsolved problem?
O Diez, B Diez-Mendiondo, J Hencke, S Loff
Department of Pediatric Surgery, Klinikum Stuttgart, Olgahospital, Stuttgart, Germany
Purpose
In this retrospective clinical study, children were treated with balloon catheter home dilation (BHD) as an alternative to surgical procedures.
Methods
The stenosis width and length were measured using a standard esophagoscopy.
From the baseline value, balloon dilation was then performed in 1-mm increments with a maximum of 2 mm/session.
When the target diameter was reached, a corresponding home catheter was inserted.
BHD was performed twice a day and left for 1 minute. After each dilation, the balloon catheter home dilator was completely emptied.
BHD was set at 2x 1 block of 4 weeks. 4 weeks was the maximum period for which the catheter could be used. During the entire period of BHD, children were able to eat and drink.
Results
Patients with refractory esophageal stenosis were treated with BHD.
There were no cases of catheter dislocation.
All children were able to eat and drink normally during the therapy.
Eight children tolerated BHD without difficulty. The need for analgesia was reduced or discontinued over time.
Seven children had been treated sufficiently so that they did not require further dilation.
Two children still require balloon dilation at varying time intervals.
In one patient, the therapy had to be discontinued because the child showed desaturations.
In 5 patients, the parents discontinued the treatment. 3 of these parents resumed the treatment one month later and were highly satisfied with BHD.
No life-threatening complications occurred at any time.
Conclusion
BHD is an alternative method to existing therapeutic methods of refractory esophageal stenosis of all causes. It can be performed well and safely, but requires good parental compliance and continuous care by the clinic.