Congenital Esophageal Stenosis Treated with Endoscopic Balloon Dilation: Report of One Case

以內視鏡汽球擴張術治療先天性食道狹窄：一病例報告

馮風雄(Feng-Hsiung Feng) ； 江文山(Man-Shan Kong)

《Acta Paediatrica Taiwanica》 40卷5期 (1999/10) Pp. 351-353

https://doi.org/10.7097/APT.199910.0351

摘要

先天性食道狹窄是指出生時食道管腔狹窄，它起初可能沒有症狀。一般下段食道狹窄是非常罕見的一種食道阻塞。先天性食道狹窄有三種形態，即纖維肌肉狹窄，膜狀蹼及氣管支氣管遺跡，前兩者對擴張術反應良好，但必須與消化性食道炎引起的食道狹窄區別，第三者則需外科治療。我們報告一位五歲女孩，其主訴是持續吞嚥困難及體重過輕，其食道攝影顯示下食道狹窄合併食道上端擴張，我們以內視鏡汽球擴張術成功地治療先天性食道狹窄。

關鍵字

先天性食道狹窄 ； 內視鏡 ； 汽球擴張術

並列摘要

Congenital esophageal stertosis is a narrowing of esophageal lumen that is present at birth, and may be asymptomatic in the neonate. Stenosis of the lower esophagus is a very rare form of esophageal obstruction. Three types of congenital esophageal stenosis have been described: fibromuscular stenosis, membranous webs, and tracheobronchial remnants. Fibromuscular stenosis and membranous webs respond to dilation, but must be distinguished from strictures caused by peptic esophagitis. Tracheobronchial remnants generally require surgical therapy. We report a 5-year-old girl with congenital esophageal stenosis, who presented with persistent dysphagia and poor weight gain. An esophagogram showed stricture of lower esophagus with proximal dilatation above esophagogastric junction. She was successfully treated with endoscopic balloon dilation.

並列關鍵字

congenital esophageal stenosis ； endoscope ； balloon dilation