- 선천성 식도 협착증
- ㆍ 저자명
- 이성철,한원식,김기홍,정성은,박귀원,김우기,Lee. Seong-Cheol,Han. Won-Shik,Kim. Ki-Hong,Jung. Sung-Eun,Park. Kwi-Won,Kim. Woo-Ki
- ㆍ 간행물명
- 소아외과
- ㆍ 권/호정보
- 2000년|6권 1호|pp.40-44 (5 pages)
- ㆍ 발행정보
- 대한소아외과학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Congenital esophageal stenosis (CES) is a narrowing of the esophageal lumen from birth. Three types of CES have been described; tracheobronchial remnants (TBR), membranous web (MW), and fibromuscular stenosis (FMS). We reviewed the clinical features and the surgical outcome of 14 patients, pathologically confirmed as CES. Nine patients had TBR, 3 FMS, and 2 MVV. The mean age at operation was 3.8 years. Five patients were boys and 9 girls. Four patients had other congenital anomalies. Segmental resection of the lesion and end to end anastomosis was utilized in all cases except one who underwent myotomy. The stenotic segment was located at the distal esophagus in all patients. There were 8 complications in 6 patients, but no mortality. The mean follow-up period was 68 months. There were no feeding problems but 3 patients had minor gastroesophageal reflux. Our result indicates that segmental resection and anastomosis is a satisfactory surgical procedure in the management of CES.