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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2003  |  Volume : 8  |  Issue : 1  |  Page : 10-13

Management of secondary cicatricial esophageal stenosis


Beijing Children's Hospital, 36, Nanlishi Road, Beijing 100 045, Pr, China

Correspondence Address:
Y Zhang
Beijing Children's Hospital, 36, Nanlishi Road, Beijing 100 045, Pr
China
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: The following study was undertaken by the authors at the Beijing Children's Hospital, to assess the efficacy of retrograde dilatation in the treatment of secondary cicatricial esophageal stenosis (CES). Between 1958 and 2000, 348 cases of CES were admitted to the Beijing Children's Hospital. Of the 348 cases, 212 (Corrosive Strictures) were cured by retrograde dilation and 7 (Anastomotic Strictures) by oral bouginage. Among the remaining cases, 47 cases needed operative reconstruction and 82 cases continue to undergo retrograde dilatation till end of 2000. The standard of cure was ability `to take solid food' without difficulty. In the authors' view, retrograde dilatation should be the treatment of choice for corrosive strictures, while oral bouginage is good for anastomotic strictures. Subcutaneous placement of esophagus is better than retrosternal placement in those patients requiring colonic transposition.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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