Muhammad Uzair, Kifayat Khan, Muhammad Khan Wazir, Afzal Khan, Arshad Kamal, Mussarat Hussain, Hafzurrehman, Muhammad Fayyaz, Muhammad Younus Khan.
Endoscopic Dilatation for stricture Oesophagus in Children.
Ophthalmol Update Jan ;12(3):236-9.

Objective: To determine the safety and effectiveness of endoscopic oesophageal dilatation in stricture oesophagus in children. Material and Methods: This descriptive study was conducted in the department of paediatric surgery, Postgraduate Medical Institute Lady Reading Hospital Peshawar from January 2011 to December 2013. All patients in whom diagnosis of stricture esophagus was confirmed by barium meal were included. Patients were admitted to hospital and informed consent taken from parents/caregivers. After an overnight fasting, under general endotracheal anaesthesia, a guide wire was passed under endoscopic guidance across the stricture. Savary Gillard dilators were passed over the guide wire of increasing size. Follow up sessions were scheduled according to development of dysphagia. Results: A total of 32 patients aged between 6 months to 11 years were studied during this period. Two patients lost follow up and were excluded from study, out of these 30 patients 08 females and 22 males patients, mean age being 3.66±2.23 years. The types of stricture noted were; post corrosive intake 17 (56.6%) patients, peptic 7 (23.3%), postoperative 4 (13.3%), and congenital stricture in 2 (6.6%) patients. Successful dilatation up to 15mm was achieved in 27 (90.0%) patients. Two patients underwent surgery following treatment failure and one was refractory to multiple sessions of dilatation and was planned for surgery. No major morbidity nor any mortality was noted during study period. Conclusion: Endoscopic dilatation of stricture oesophagus in children is an effective and safe way of management for stricture oesophagus of variant aetiologies and is easy to perform and offer great relief of dysphagia with low rate of complications.

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