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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(02): 242-246
DOI: 10.4103/ijri.IJRI_313_17
Paediatric Imaging

Esophageal stents in children: Bridge to surgical repair

Bethany J Slater
Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, USA
,
Ashwin Pimpalwar
Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, USA
,
David Wesson
Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, USA
,
Oluyinka Olutoye
Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas, USA
,
Sheena Pimpalwar
Division of Interventional Radiology, Department of Radiology, Texas Children’s Hospital, Houston, Texas, USA
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Abstract

Management of complex esophageal problems in children is challenging. We report our experience with the use of esophageal stents in three children with esophageal strictures, leaks, or airway-esophageal fistulae refractory to conventional treatment. The stent played a key role in allowing extubation of a child with a large tracheo-esophageal-pleural fistula and in the resolution of pulmonary infection in a child with esophago-bronchial fistula, both followed by surgery. In the third child, with stricture, stents were complicated with migration, esophageal erosion, and esophago-bronchial fistula. In our experience, esophageal stents were useful mainly as a bridge to definitive surgical repair.

Keywords

Broncho-esophageal fistula - esophageal fistula - esophageal leak - esophageal stent - esophageal stricture - tracheo-esophageal fistula


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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