Endoscopic Management of Congenital Esophageal Defects and Associated Comorbidities.

Jessica L Yasuda, Michael A Manfredi

Journal: Gastrointestinal endoscopy clinics of North America 2023;33(2):341-361

PMID: 36948750

Full Text on Elsevier Science View on PubMed

Abstract

The endoscopist plays a critical role in the management of patients with congenital esophageal defects. This review focuses on esophageal atresia and congenital esophageal strictures and, in particular, the endoscopic management of comorbidities related to these conditions, including anastomotic strictures, tracheoesophageal fistulas, esophageal perforations, and esophagitis surveillance. Practical aspects of endoscopic techniques for stricture management are reviewed including dilation, intralesional steroid injection, stenting, and endoscopic incisional therapy. Endoscopic surveillance for mucosal pathology is essential in this population, as patients are at high risk of esophagitis and its late complications such as Barrett's esophagus.

Address: Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.; Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: [email protected].

DOI: 10.1016/j.giec.2022.11.005

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MeSH Terms: Humans, Constriction, Pathologic, Barrett Esophagus, Esophageal Stenosis, Esophagitis, Esophagoscopy, Esophageal Atresia