Resumo

NAVARRO SOMBERT, Ana Barbarita; UROZ TRISTAN, José; VEITIA COLLAZO, Liván  e  HERNANDEZ ALFONSO, Hermes. Intervention alternatives in the esophageal dilations of the child. Rev Cubana Pediatr [online]. 2013, vol.85, n.2, pp. 192-201. ISSN 0034-7531.

Introduction: the great development of imaging, and the introduction of dilating bougies and stents have allowed important advances in the treatment of esophageal stenosis in the child. Objective: to evaluate the different modalities of interventionism in esophageal dilations, taking the etiology, the type of lesion and the available resources into account. Methods: a prospective, cross-sectional and descriptive study was carried out to present our experience in treating 106 patients who suffered esophageal stenosis, were admitted to the surgical service of university teaching pediatric hospital of Centro Habana and were performed different dilating treatment modalities in the period of January 1995 to January 2011. Results: the intake of caustic substances represented the main cause of esophageal stenosis in 91.4 % of cases, so this group required a higher number of sessions and of dilations (average of 21.6 sessions per patient/range of 16 to 34; dilations, 54 per patient) for post-surgical periods (average of 7 sessions/range of 2 to 5 and 16 dilations per patient). The most used modality was video-assisted endoscopy with C-arch and the efficacy of treatment was 90.5 %. Of these patients, 9.5% required esophageal replacement. Conclusions: esophageal dilations in stenoses of different etiologies should early start and be the first line of treatment before considering other variants such as the organ replacement surgery.

Palavras-chave : esophageal stenosis; esophageal dilations; dysphagia; interventionist endoscopy.

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