Guide wire dilatation of anastomotic strictures secondary to surgical repair of esophageal atresia.Mansoor Mahmood, Nadeem Akhtar, Saqib Ismail, Shazia Yousaf, Zakir Hussain, Matti Rehman Bangash.
Objective: The aim of the study was to evaluate the efficacy of esophageal guide wire dilatation in stricture to surgical treatment of esophageal atresia and its outcome.
Patients and Methods
This prospective and descriptive study was carried out at Department of pediatric surgery, the children’s hospital, Pakistan institute of medical sciences (PIMS), Islamabad from January 2008 to December 2011. Twenty three patients out of them 15 were males and 8 females, aged one month to 3 years with esophageal stricture secondary to esophageal atresia underwent guide wire esophageal dilatation with savary Gilliard Dilators. Associated gastroesophageal reflux (GER), was noted in 13 patients. All procedures were performed under general anesthesia. Dilatation relieved the stricture in all patients over a follow-up period varying from 3 months to 3 years. Only two patients developed esophageal perforation, which were treated conservatively.
Conclusions: Guide wire dilatation is a safe and effective method of treatment in the management of strictures secondary to surgical repair of esophageal atresia.
Key words: Esophageal anastomotic stricture, esophageal atresia, dilatation.