Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support
Background: Esophageal stenosis (ES) is characterized by dysphagia, failure to thrive, and long-term disability. It requires repeated management because it is refractory. Traditionally, these procedures are performed under general anesthesia with airway intubation. Purpose: This study investigated t...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-02-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957217302887 |
| _version_ | 1819204061422944256 |
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| author | Kao-Hsian Hsieh Wen-Jue Soong Mei-Jy Jeng Yu-Sheng Lee Pei-Chen Tsao Ya-Ling Chou |
| author_facet | Kao-Hsian Hsieh Wen-Jue Soong Mei-Jy Jeng Yu-Sheng Lee Pei-Chen Tsao Ya-Ling Chou |
| author_sort | Kao-Hsian Hsieh |
| collection | DOAJ |
| description | Background: Esophageal stenosis (ES) is characterized by dysphagia, failure to thrive, and long-term disability. It requires repeated management because it is refractory. Traditionally, these procedures are performed under general anesthesia with airway intubation. Purpose: This study investigated the safety and efficacy of the management of interventional flexible endoscopy (IFE) performed with a novel noninvasive ventilation (NIV) support. Methods: Use of a short-length flexible endoscope with NIV of pharyngeal oxygen, nose closure, and abdominal compression during IFE was investigated. Medical charts of patients aged ≤10 years with a diagnosis of ES in our hospital between 1990 and 2014 were reviewed and analyzed. The outcome measurement included the number of IFE with balloon dilatation (BD), laser therapy (LT), stent placement, procedural complications, and the success rate. Results: Ten patients were enrolled. The most common etiologies were esophageal atresia with/without tracheoesophageal fistula (n = 6), followed by caustic injury (n = 2), and unknown etiology (n = 2). Nine patients who were considered successfully managed received an average of 2.8 BD sessions and 1.6 LT sessions. The complication rate of IFE in this study was 1.08% (1/93). One esophageal perforation developed after BD (1/63) and none after LT (0/30). Conclusion: In this study, IFE with this NIV support is a safe, feasible and valuable modality which could rapidly examine and manage ES. |
| first_indexed | 2024-12-23T04:29:49Z |
| format | Article |
| id | doaj.art-80e20b36596340df8be340796d349e06 |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-12-23T04:29:49Z |
| publishDate | 2018-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-80e20b36596340df8be340796d349e062022-12-21T18:00:04ZengElsevierPediatrics and Neonatology1875-95722018-02-01591313410.1016/j.pedneo.2016.11.003Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation supportKao-Hsian Hsieh0Wen-Jue Soong1Mei-Jy Jeng2Yu-Sheng Lee3Pei-Chen Tsao4Ya-Ling Chou5Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Children's Medical Center, Taipei Veterans General Hospital, Taipei, TaiwanChildren's Medical Center, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Emergency and Critical Care Medicines, School of Medicine, National Yang-Ming University, Taipei, Taiwan; Corresponding author. Department of Pediatrics, Children's Medical Center, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Beitou, Taipei 11217, Taiwan. Fax: +886 2 28739019.Children's Medical Center, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Emergency and Critical Care Medicines, School of Medicine, National Yang-Ming University, Taipei, TaiwanChildren's Medical Center, Taipei Veterans General Hospital, Taipei, TaiwanChildren's Medical Center, Taipei Veterans General Hospital, Taipei, Taiwan; Institute of Emergency and Critical Care Medicines, School of Medicine, National Yang-Ming University, Taipei, TaiwanDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanBackground: Esophageal stenosis (ES) is characterized by dysphagia, failure to thrive, and long-term disability. It requires repeated management because it is refractory. Traditionally, these procedures are performed under general anesthesia with airway intubation. Purpose: This study investigated the safety and efficacy of the management of interventional flexible endoscopy (IFE) performed with a novel noninvasive ventilation (NIV) support. Methods: Use of a short-length flexible endoscope with NIV of pharyngeal oxygen, nose closure, and abdominal compression during IFE was investigated. Medical charts of patients aged ≤10 years with a diagnosis of ES in our hospital between 1990 and 2014 were reviewed and analyzed. The outcome measurement included the number of IFE with balloon dilatation (BD), laser therapy (LT), stent placement, procedural complications, and the success rate. Results: Ten patients were enrolled. The most common etiologies were esophageal atresia with/without tracheoesophageal fistula (n = 6), followed by caustic injury (n = 2), and unknown etiology (n = 2). Nine patients who were considered successfully managed received an average of 2.8 BD sessions and 1.6 LT sessions. The complication rate of IFE in this study was 1.08% (1/93). One esophageal perforation developed after BD (1/63) and none after LT (0/30). Conclusion: In this study, IFE with this NIV support is a safe, feasible and valuable modality which could rapidly examine and manage ES.http://www.sciencedirect.com/science/article/pii/S1875957217302887balloon dilatationesophageal perforationesophageal stenosislaser therapystent placement |
| spellingShingle | Kao-Hsian Hsieh Wen-Jue Soong Mei-Jy Jeng Yu-Sheng Lee Pei-Chen Tsao Ya-Ling Chou Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support Pediatrics and Neonatology balloon dilatation esophageal perforation esophageal stenosis laser therapy stent placement |
| title | Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| title_full | Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| title_fullStr | Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| title_full_unstemmed | Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| title_short | Flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| title_sort | flexible endoscopic diagnosis and treatment of esophageal stenosis in children with noninvasive ventilation support |
| topic | balloon dilatation esophageal perforation esophageal stenosis laser therapy stent placement |
| url | http://www.sciencedirect.com/science/article/pii/S1875957217302887 |
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