Laparoscopic Fundoplication Plus Balloon Dilation for Esophageal Peptic Stricture Caused by Gastroesophageal Reflux in Children
HU Zhi-wei
WANG Zhong-gao
JI Tao
WU Ji-min
Abstract：Objective To discuss the clinical characteristics of gastroesophageal reflux disease (GERD) in diagnosis and treatment of peptic esophageal stricture (PES) in children. Methods The diagnosis and treatment of a child patient with PES caused by hiatal hernia and gastroesophageal reflux was analyzed and the literature was reviewed. Results A 7-year-old boy suffered from dysphagia and retrosternal pain for 4 years, and accompanying respiratory distress for 3 months. GERD, esophagitis (LA-D), hiatal hernia, PES was diagnosed after gastroscopy and barium study. The symptoms were then successfully treated by laparoscopic fundoplication followed by esophagus balloon dilation. Conclusion PES is a severe complication of GERD. PES is commonly complicated with severe pathological acid reflux, esophagitis, bile reflux, hiatal hernia and evident esophageal motility disorder. The typical presentation of PES is dysphagia. Anti-reflux surgery in addition to esophagus balloon dilation is effective in controlling GERD, and improving dysphagia caused by PES.
Keywords：Gastroesophageal refluxEsophageal stenosisFundoplicationBalloon dilation
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 74-76 )