Congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula: clinical and radiologic features. Yoo, H. J., Kim, W. S., Cheon, J., Yoo, S., Park, K., Jung, S., Shin, S., Kim, I., & Yeon, K. M. Pediatric Radiology, 40(8):1353–1359, August, 2010. doi abstract bibtex BACKGROUND: Congenital esophageal stenosis (CES) can be associated with esophageal atresia/tracheoesophageal fistula (EA/TEF). Because there are a variety of degrees of obstruction and symptoms of CES, it is frequently difficult to make a pre- and post-operative diagnosis of the distal CES associated with EA/TEF. OBJECTIVE: To evaluate the clinical and radiologic features of congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula. MATERIALS AND METHODS: We retrospectively reviewed postoperative esophagograms and medical records of 187 children (107 boys, 80 girls) who had primary repair of EA/TEF from 1992 to 2009 at our institution. We evaluated the incidence of CES, clinical findings, radiologic features and management of CES in these children. RESULTS: CES was diagnosed in 22 of 187 EA/TEF children (12%); one child had double CES lesions, for a total of 23 lesions. Ten of those 22 children (45%) had presented with significant symptoms of esophageal obstruction. The diagnosis of CES was delayed in 10 children (45%) until 1-10 years of age. On esophagogram, CES (n = 23) was located in the distal esophagus (n = 20, 87%) or mid-esophagus (n = 3, 13%). The degree of stenosis was severe (n = 6, 26%), moderate (n = 10, 43%), or mild (n = 7, 30%). Eight children, including two with unsuccessful esophageal balloon dilatation of CES, were treated surgically. Histologic examination revealed tracheobronchial remnant (n = 7) or fibromuscular hyperplasia (n = 1). One child with surgically treated CES developed achalasia at the age of 3 years 9 months. CONCLUSION: Esophagography after EA/TEF repair should be performed with a high index of suspicion for the presence of distal CES, because the diagnosis and adequate management of CES can often be delayed.
@article{yoo_congenital_2010,
title = {Congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula: clinical and radiologic features},
volume = {40},
issn = {1432-1998},
shorttitle = {Congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula},
doi = {10.1007/s00247-010-1603-0},
abstract = {BACKGROUND: Congenital esophageal stenosis (CES) can be associated with esophageal atresia/tracheoesophageal fistula (EA/TEF). Because there are a variety of degrees of obstruction and symptoms of CES, it is frequently difficult to make a pre- and post-operative diagnosis of the distal CES associated with EA/TEF.
OBJECTIVE: To evaluate the clinical and radiologic features of congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula.
MATERIALS AND METHODS: We retrospectively reviewed postoperative esophagograms and medical records of 187 children (107 boys, 80 girls) who had primary repair of EA/TEF from 1992 to 2009 at our institution. We evaluated the incidence of CES, clinical findings, radiologic features and management of CES in these children.
RESULTS: CES was diagnosed in 22 of 187 EA/TEF children (12\%); one child had double CES lesions, for a total of 23 lesions. Ten of those 22 children (45\%) had presented with significant symptoms of esophageal obstruction. The diagnosis of CES was delayed in 10 children (45\%) until 1-10 years of age. On esophagogram, CES (n = 23) was located in the distal esophagus (n = 20, 87\%) or mid-esophagus (n = 3, 13\%). The degree of stenosis was severe (n = 6, 26\%), moderate (n = 10, 43\%), or mild (n = 7, 30\%). Eight children, including two with unsuccessful esophageal balloon dilatation of CES, were treated surgically. Histologic examination revealed tracheobronchial remnant (n = 7) or fibromuscular hyperplasia (n = 1). One child with surgically treated CES developed achalasia at the age of 3 years 9 months.
CONCLUSION: Esophagography after EA/TEF repair should be performed with a high index of suspicion for the presence of distal CES, because the diagnosis and adequate management of CES can often be delayed.},
language = {eng},
number = {8},
journal = {Pediatric Radiology},
author = {Yoo, Hye Jin and Kim, Woo Sun and Cheon, Jung-Eun and Yoo, So-Young and Park, Kwi-Won and Jung, Sung-Eun and Shin, Su-Mi and Kim, In-One and Yeon, Kyung Mo},
month = aug,
year = {2010},
pmid = {20221592},
keywords = {Child, Digestive System Abnormalities, Esophageal Atresia, Esophageal Stenosis, Female, Humans, Longitudinal Studies, Male, Radiography, Retrospective Studies, Treatment Outcome},
pages = {1353--1359},
}
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Because there are a variety of degrees of obstruction and symptoms of CES, it is frequently difficult to make a pre- and post-operative diagnosis of the distal CES associated with EA/TEF. OBJECTIVE: To evaluate the clinical and radiologic features of congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula. MATERIALS AND METHODS: We retrospectively reviewed postoperative esophagograms and medical records of 187 children (107 boys, 80 girls) who had primary repair of EA/TEF from 1992 to 2009 at our institution. We evaluated the incidence of CES, clinical findings, radiologic features and management of CES in these children. RESULTS: CES was diagnosed in 22 of 187 EA/TEF children (12%); one child had double CES lesions, for a total of 23 lesions. Ten of those 22 children (45%) had presented with significant symptoms of esophageal obstruction. The diagnosis of CES was delayed in 10 children (45%) until 1-10 years of age. On esophagogram, CES (n = 23) was located in the distal esophagus (n = 20, 87%) or mid-esophagus (n = 3, 13%). The degree of stenosis was severe (n = 6, 26%), moderate (n = 10, 43%), or mild (n = 7, 30%). Eight children, including two with unsuccessful esophageal balloon dilatation of CES, were treated surgically. Histologic examination revealed tracheobronchial remnant (n = 7) or fibromuscular hyperplasia (n = 1). One child with surgically treated CES developed achalasia at the age of 3 years 9 months. CONCLUSION: Esophagography after EA/TEF repair should be performed with a high index of suspicion for the presence of distal CES, because the diagnosis and adequate management of CES can often be delayed.","language":"eng","number":"8","journal":"Pediatric Radiology","author":[{"propositions":[],"lastnames":["Yoo"],"firstnames":["Hye","Jin"],"suffixes":[]},{"propositions":[],"lastnames":["Kim"],"firstnames":["Woo","Sun"],"suffixes":[]},{"propositions":[],"lastnames":["Cheon"],"firstnames":["Jung-Eun"],"suffixes":[]},{"propositions":[],"lastnames":["Yoo"],"firstnames":["So-Young"],"suffixes":[]},{"propositions":[],"lastnames":["Park"],"firstnames":["Kwi-Won"],"suffixes":[]},{"propositions":[],"lastnames":["Jung"],"firstnames":["Sung-Eun"],"suffixes":[]},{"propositions":[],"lastnames":["Shin"],"firstnames":["Su-Mi"],"suffixes":[]},{"propositions":[],"lastnames":["Kim"],"firstnames":["In-One"],"suffixes":[]},{"propositions":[],"lastnames":["Yeon"],"firstnames":["Kyung","Mo"],"suffixes":[]}],"month":"August","year":"2010","pmid":"20221592","keywords":"Child, Digestive System Abnormalities, Esophageal Atresia, Esophageal Stenosis, Female, Humans, Longitudinal Studies, Male, Radiography, Retrospective Studies, Treatment Outcome","pages":"1353–1359","bibtex":"@article{yoo_congenital_2010,\n\ttitle = {Congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula: clinical and radiologic features},\n\tvolume = {40},\n\tissn = {1432-1998},\n\tshorttitle = {Congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula},\n\tdoi = {10.1007/s00247-010-1603-0},\n\tabstract = {BACKGROUND: Congenital esophageal stenosis (CES) can be associated with esophageal atresia/tracheoesophageal fistula (EA/TEF). Because there are a variety of degrees of obstruction and symptoms of CES, it is frequently difficult to make a pre- and post-operative diagnosis of the distal CES associated with EA/TEF.\nOBJECTIVE: To evaluate the clinical and radiologic features of congenital esophageal stenosis associated with esophageal atresia/tracheoesophageal fistula.\nMATERIALS AND METHODS: We retrospectively reviewed postoperative esophagograms and medical records of 187 children (107 boys, 80 girls) who had primary repair of EA/TEF from 1992 to 2009 at our institution. We evaluated the incidence of CES, clinical findings, radiologic features and management of CES in these children.\nRESULTS: CES was diagnosed in 22 of 187 EA/TEF children (12\\%); one child had double CES lesions, for a total of 23 lesions. Ten of those 22 children (45\\%) had presented with significant symptoms of esophageal obstruction. The diagnosis of CES was delayed in 10 children (45\\%) until 1-10 years of age. On esophagogram, CES (n = 23) was located in the distal esophagus (n = 20, 87\\%) or mid-esophagus (n = 3, 13\\%). The degree of stenosis was severe (n = 6, 26\\%), moderate (n = 10, 43\\%), or mild (n = 7, 30\\%). Eight children, including two with unsuccessful esophageal balloon dilatation of CES, were treated surgically. Histologic examination revealed tracheobronchial remnant (n = 7) or fibromuscular hyperplasia (n = 1). One child with surgically treated CES developed achalasia at the age of 3 years 9 months.\nCONCLUSION: Esophagography after EA/TEF repair should be performed with a high index of suspicion for the presence of distal CES, because the diagnosis and adequate management of CES can often be delayed.},\n\tlanguage = {eng},\n\tnumber = {8},\n\tjournal = {Pediatric Radiology},\n\tauthor = {Yoo, Hye Jin and Kim, Woo Sun and Cheon, Jung-Eun and Yoo, So-Young and Park, Kwi-Won and Jung, Sung-Eun and Shin, Su-Mi and Kim, In-One and Yeon, Kyung Mo},\n\tmonth = aug,\n\tyear = {2010},\n\tpmid = {20221592},\n\tkeywords = {Child, Digestive System Abnormalities, Esophageal Atresia, Esophageal Stenosis, Female, Humans, Longitudinal Studies, Male, Radiography, Retrospective Studies, Treatment Outcome},\n\tpages = {1353--1359},\n}\n\n\n\n\n\n\n\n","author_short":["Yoo, H. J.","Kim, W. S.","Cheon, J.","Yoo, S.","Park, K.","Jung, S.","Shin, S.","Kim, I.","Yeon, K. 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