Estenosis esofágica congénita
Resumen
Se estima que la Estenosis Esofágica Congénita ocurre en aproximadamente uno por cada 25.000 nacidos v i vos.
Presentamos dos casos clínicos, diagnosticados de Estenosis Esofágica Congénita, tratados en nuestro Servicio de Cirugía Pediátrica.
En el primer caso, se evidenció una zona estenótica en el tercio distal del esófago, con ausencia histológica de la capa muscular; y. en el segundo un anillo cartilaginoso constrictor. L a cirugía realizada fue una operación de Thal con procedimiento antirreflujo (Nissen) y piloroplastia tipo Mickulicz. E l control postoperatorio inicial fue favorable clínica y radiológicamente.
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1. Bockus, Gastroenterología, cuarta edición. Salvat, 1987 (767-775).
2. Tadataka Yamada, Textbook of Gastroenterology, Vol. 1,, J . B. Lippin Cott Company, Philadelphia, 1991.
3. Sharma A., et al. Congenital Esophageal .Obsfruction by Intraluminal Mucosal Diaphragm. Journal of Pediatric Surgery, Vol 26(2): 213, 1991.
4. Maingot et al. Operaciones Abdominales. Panamericana, Buenos Aires, 1990 (567-568).
5. Sabiston et al. Tratado de Patología Quirúrgica. Interamericana. México, 1981 (742-743).
6. Schwartz et. al. Principios de Cirugía. Interamericana. México, 1991 (981-986).
7. Neilson et. al. Distal Congenital Esophageal Stenosis Associated With Esophageal Atresia. Journal of Pediatric Surgery, Vol 26(4): 478, 1991.
8. Andze et. al. Diagnosis and Treatment of Gastroesophageal Reflux in 500 Children With Respiratoty Symptoms. Journal of Pediatric Surgery. Vol 26(3): 295, 1991.
9. Molins, L . , y col. Anillo de Schatzki, Rev. Esp. Enf. Ap. Digest. 76(3): 290, 1989.
10. Fonkalsrud EW., et al Surgical Treatment of the gastroesophageal reflux syndrome in infants and children. AM. J . Surg. 42: 154, 1987.
11. Thomason MA., Gay B B . Esophageal stenosis with esophageal atresia. Pediatr Radiol. 17: 197, 1987.
12. Eckardt V F , et al. The esophagogastric junction in patients with asympiomatic lower esophageal rings. Gastroenterology, 79: 1980.
13. Ashcraft et. al. Treatment of gastroesophageal reflux in children by Thal fundoplication. J . Thorac. Cardiovasc. Surg. 82: 716, 1981.
14. Maher et. al. Long-term Flollow-up of the Combined Fundic Patch Fundoplication for Treatment of Longitudinal Peptic Strictures of the Esophagus. Ann. Surg. J u -ly: 64, 1981.
15. Yeung Ck., Spitz L . , Brereton R . J . , Kiely E M. Leake J . : Congenital esophageal stenosis due to tracheobronchial remmants: a rare but important association with esoophageal atresia. J . Pediatr. Surg. 27(7): 852, 1992.
16. Vergos M., Chapuis O., Lhomme Desages B., Messina M.H.: Congenital stenosis of the esophagus. A rare diagnosis in children and adults. J . Chir. (París). 129(1): 16, 1992.
17. London R . L . , Trotman B.W., Di Marino A . J . , et al: Dilatation of severe esophageal structures by an inflatable bailón catheter. Gastroenterology, 80: 173, 1981.
18. Dawson S.L., Mueller P.R., Ferrucci J . T , et al: Severe esophageal strictures: Indications for balloon catheter dilatations. Radiology. 153: 631, 1984.
19. Johnsen A., Jensen L . I . , Mauritzen K . : Balloon dilatation of esophageal strictures in children. Pediatr. Radiol. 16: 388, 1986.
20. Sato Y . , Frey E . , Smith E . E . , et al: Balloon dilatation of esophageal stenosis in children. A J R . 150: 639, 1988.
21. Goldthorn J . F . , Hall W.S. Wilkinson L G., et al: Esophageal structures in children: Treatment by serial balloon catheter dilatation. Radiology. 153: 655, 1984.
22. Ball W.S., Strife J . L . , Rosenkrantz J . , et al: Esophageal strictures in children: Treatment by balloon dilatation. Radiology. 150: 181, 1984.
23. Nihoul, Reketé C. et al: Contenital esophageal stenosis: A review of 20 cases. Pediatr. Surg. Int. 2: 86, 1987.
24. Thomason M.A., Gay B.B.: Esophageal stenosis with esophageal atresia. Pediatr. Radiol. 17: 197, 1987.
25. Spitz L . : Congenital esophageal stenosis distal to associated esophageal-atresia. J . Pediatr. Surg. 8: 973, 1983.
26. Fonkalsrud E.W., Ament M.E., Berquist W.: Surgical management of the gastroesophageal reñux syndrome in children. Surgery. 97: 42, 1987.
27. Johnson D.G., Syme W.C , Matlak M.E., et al: Gastroesophageal reflux and respiratory disease: The place of the surgeon. NZJ Surg. 54: 413, 1984.
28. Wilkins E.W., Bartlett M.K : Surgical treatment of lower esophageal ring. N. Engl. J . Med., 268: 461, 1983.
29. Budgen W.F., Delmonico J . E . : Lower esophageal web. J . Thorac. Surg. 3 1 : 1, 1986.
30. Holyoake Y . : Dysphagia due to the lower esophageal ring. Clin. Radiol. 14: 158, 1983
2. Tadataka Yamada, Textbook of Gastroenterology, Vol. 1,, J . B. Lippin Cott Company, Philadelphia, 1991.
3. Sharma A., et al. Congenital Esophageal .Obsfruction by Intraluminal Mucosal Diaphragm. Journal of Pediatric Surgery, Vol 26(2): 213, 1991.
4. Maingot et al. Operaciones Abdominales. Panamericana, Buenos Aires, 1990 (567-568).
5. Sabiston et al. Tratado de Patología Quirúrgica. Interamericana. México, 1981 (742-743).
6. Schwartz et. al. Principios de Cirugía. Interamericana. México, 1991 (981-986).
7. Neilson et. al. Distal Congenital Esophageal Stenosis Associated With Esophageal Atresia. Journal of Pediatric Surgery, Vol 26(4): 478, 1991.
8. Andze et. al. Diagnosis and Treatment of Gastroesophageal Reflux in 500 Children With Respiratoty Symptoms. Journal of Pediatric Surgery. Vol 26(3): 295, 1991.
9. Molins, L . , y col. Anillo de Schatzki, Rev. Esp. Enf. Ap. Digest. 76(3): 290, 1989.
10. Fonkalsrud EW., et al Surgical Treatment of the gastroesophageal reflux syndrome in infants and children. AM. J . Surg. 42: 154, 1987.
11. Thomason MA., Gay B B . Esophageal stenosis with esophageal atresia. Pediatr Radiol. 17: 197, 1987.
12. Eckardt V F , et al. The esophagogastric junction in patients with asympiomatic lower esophageal rings. Gastroenterology, 79: 1980.
13. Ashcraft et. al. Treatment of gastroesophageal reflux in children by Thal fundoplication. J . Thorac. Cardiovasc. Surg. 82: 716, 1981.
14. Maher et. al. Long-term Flollow-up of the Combined Fundic Patch Fundoplication for Treatment of Longitudinal Peptic Strictures of the Esophagus. Ann. Surg. J u -ly: 64, 1981.
15. Yeung Ck., Spitz L . , Brereton R . J . , Kiely E M. Leake J . : Congenital esophageal stenosis due to tracheobronchial remmants: a rare but important association with esoophageal atresia. J . Pediatr. Surg. 27(7): 852, 1992.
16. Vergos M., Chapuis O., Lhomme Desages B., Messina M.H.: Congenital stenosis of the esophagus. A rare diagnosis in children and adults. J . Chir. (París). 129(1): 16, 1992.
17. London R . L . , Trotman B.W., Di Marino A . J . , et al: Dilatation of severe esophageal structures by an inflatable bailón catheter. Gastroenterology, 80: 173, 1981.
18. Dawson S.L., Mueller P.R., Ferrucci J . T , et al: Severe esophageal strictures: Indications for balloon catheter dilatations. Radiology. 153: 631, 1984.
19. Johnsen A., Jensen L . I . , Mauritzen K . : Balloon dilatation of esophageal strictures in children. Pediatr. Radiol. 16: 388, 1986.
20. Sato Y . , Frey E . , Smith E . E . , et al: Balloon dilatation of esophageal stenosis in children. A J R . 150: 639, 1988.
21. Goldthorn J . F . , Hall W.S. Wilkinson L G., et al: Esophageal structures in children: Treatment by serial balloon catheter dilatation. Radiology. 153: 655, 1984.
22. Ball W.S., Strife J . L . , Rosenkrantz J . , et al: Esophageal strictures in children: Treatment by balloon dilatation. Radiology. 150: 181, 1984.
23. Nihoul, Reketé C. et al: Contenital esophageal stenosis: A review of 20 cases. Pediatr. Surg. Int. 2: 86, 1987.
24. Thomason M.A., Gay B.B.: Esophageal stenosis with esophageal atresia. Pediatr. Radiol. 17: 197, 1987.
25. Spitz L . : Congenital esophageal stenosis distal to associated esophageal-atresia. J . Pediatr. Surg. 8: 973, 1983.
26. Fonkalsrud E.W., Ament M.E., Berquist W.: Surgical management of the gastroesophageal reñux syndrome in children. Surgery. 97: 42, 1987.
27. Johnson D.G., Syme W.C , Matlak M.E., et al: Gastroesophageal reflux and respiratory disease: The place of the surgeon. NZJ Surg. 54: 413, 1984.
28. Wilkins E.W., Bartlett M.K : Surgical treatment of lower esophageal ring. N. Engl. J . Med., 268: 461, 1983.
29. Budgen W.F., Delmonico J . E . : Lower esophageal web. J . Thorac. Surg. 3 1 : 1, 1986.
30. Holyoake Y . : Dysphagia due to the lower esophageal ring. Clin. Radiol. 14: 158, 1983
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Publicado
2017-06-16
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1.
Astudillo P, Astudillo D. Estenosis esofágica congénita. Rev Fac Cien Med (Quito) [Internet]. 16 de junio de 2017 [citado 27 de abril de 2024];19(1-4):15-6. Disponible en: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/770
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