Modern approaches to the diagnostics and potentials of endoscopic treatment of esophageal stenoses in children


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Abstract

Introduction. Esophageal stenosis in childhood is quite a common disease characterized by different etiology, specific clinical picture, wide range of differential diseases and a variety of approaches to its treatment.

Material and methods. The review analyzes scientific literature presented in such search engines as Medline, PubMed, Cochrane Library, eLibrary, 20 years deep. The most significant works of the last century were included too. Keywords were used for search.

Results. There were selected 60 literary sources which included the description of modern concepts of etiopathogenesis, classification, diagnostic and curative techniques for the treatment of esophageal stenosis in children. A particular attention is paid to the safety and effectiveness of minimally invasive endoscopic interventions (bougienage, balloon dilation) as well as to the topical application of Mitomycin C in the treatment of esophageal stenosis in children.

Conclusion. Innovative endoscopic technologies applied for the restoration of the esophageal lumen seem to be promising, effective and safe. In the overwhelming majority of cases, they allow to reduce surgical aggression and avoid complex reconstructive surgeries.

About the authors

A. O. Merkulova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Author for correspondence.
Email: anast.merkulova@gmail.com
ORCID iD: 0000-0001-8623-0947

Anastasia О. Merkulova, MD, endoscopist at department of endoscopy

Moscow, 19180

Russian Federation

A. Yu. Kharitonova

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma

Email: fake@neicon.ru
ORCID iD: 0000-0001-6218-3605

Moscow, 19180

Russian Federation

O. V. Karaseva

Clinical and Research Institute of Emergency Pediatric Surgery and Trauma;
National Medical Research Center of Children’s Health

Email: fake@neicon.ru
ORCID iD: 0000-0001-9418-4418

Moscow, 19180,

Moscow, 119296

Russian Federation

A. A. Shavrov

Pirogov Russian National Research Medical University;
Morozovskaya Municipal Children’s Hospital

Email: fake@neicon.ru
ORCID iD: 0000-0003-3666-2674

Moscow, 117997,

Moscow, 119049

Russian Federation

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