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Esophageal Stenosis
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
The technique can be taught to parents for home use, is safe, and obviates the need for reanastomosis, esophagoscopy, or esophageal replacement. — David, Tricks - Indwelling Balloon Catheter For Refractory Esophageal Stenosis · 11:40
Tricks - Indwelling Balloon Catheter For Refractory Esophageal Stenosis
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David van der Zee discusses indwelling esophageal balloon catheter for benign esophageal stenosis in infants and children.
video23:57 · Nov 2018
There is much controversy regarding the use of acid suppression therapy because there is no control of how much is used and no clear indication for its use Revisión bibliográfica sobre atresia esofágica: manejo quirúrgico y complicaciones · 13:55
Revisión bibliográfica sobre atresia esofágica: manejo quirúrgico y complicaciones
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Ya es de publico conocimiento que dia a dia se publican miles de articulos sobre distintas patologías y que es muy dificil seguirlo.
En este formato te traemos una forma distinta de saber que es lo mas actualizado sobre un tema en part
podcast16:57 · Oct 2022
For peptic strictures, treatment should address the underlying reflux rather than the stricture itself — Ashley Walther, Management of Esophageal Stenosis and Strictures in Children | Congenital & Acquired w/ Dr. Walther · 4:12
Management of Esophageal Stenosis and Strictures in Children | Congenital & Acquired w/ Dr. Walther
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This video with Ashley Walther, MD, FACS provides a comprehensive overview of esophageal stenosis and strictures, covering both congenital and acquired types. Dr. Ashley Walther from Cincinnati Children's discusses etiologies, diagnostic wo
video6:10 · Nov 2026
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Expert statements from the recordings in this collection.
Management of Esophageal Stenosis and Strictures in Children | Congenital & Acquired w/ Dr. Walther
There are both congenital and acquired esophageal stenosis
clinicalAshley Walther0:22 ↗
Fibromuscular hypertrophy is the most common type of congenital esophageal stenosis
clinicalAshley Walther0:34 ↗
Congenital esophageal stenosis can also present as tracheal bronchial remnants or mucosal webs
clinicalAshley Walther0:36 ↗
Congenital esophageal stenosis is associated with EATEF, esophageal duplications, congenital heart disease, anorectal malformations, and VACTERL
clinicalAshley Walther0:45 ↗
Fibromuscular hypertrophy occurs in the middle to lower third of the esophagus
clinicalAshley Walther0:57 ↗
Tracheal bronchial remnants occur in the lower third of the esophagus
clinicalAshley Walther0:57 ↗
Acquired esophageal stenosis includes peptic stricture from GERD, caustic ingestion, or iatrogenic stricture from perforation
clinicalAshley Walther1:10 ↗
Workup for esophageal stenosis starts with an esophagram
guidelineAshley Walther1:23 ↗
CT is reserved for cases where extrinsic compression or vascular rings are suspected
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position1:37 ↗
The first treatment attempted is usually dilation
guidelineAshley Walther1:42 ↗
There are two types of dilators: bougie dilation and balloon dilators
clinicalAshley Walther1:45 ↗
Bougie dilators are tapered and pressure is applied until resistance is felt
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position1:49 ↗
Balloon dilation provides more controlled dilation with equal pressure and can be done under fluoroscopic guidance
clinicalAshley Walther1:55 ↗
Short congenital strictures that fail dilation are best treated with resection
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position2:12 ↗
Resection of congenital esophageal stenosis can be performed thoracoscopically
clinicalAshley Walther2:17 ↗
Long strictures often require esophageal replacement
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position2:24 ↗
Three main esophageal replacement techniques are gastric pull-up, jejunal interposition, and colonic interposition
clinicalAshley Walther2:28 ↗
Gastric pull-ups carry long-term risks of dilation and redundancy, creating a space-occupying lesion in the chest over time
clinicalAshley Walther2:41 ↗
Jejunal interposition is the most similar to the esophagus and is less likely to dilate with lower risk of reflux
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position2:57 ↗
Jejunal interposition is a very complex surgery that should be performed at a major center with all important personnel in place
opinionAshley Walther3:03 ↗
Jejunal interposition carries the highest risk of complication among the three replacement options, including high risk of ischemia and conduit loss
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position3:12 ↗
Most jejunal interposition patients require G-tube feeds because it is hard to take in a normal volume of food with jejunum as the conduit
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position3:20 ↗
Colonic interposition uses pieces of transverse or descending colon, performed either isoperistaltic or antiperistaltic depending on mesenteric blood supply
clinicalAshley Walther3:30 ↗
Complications of colonic interposition include leak or stricture at the proximal anastomosis
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position3:42 ↗
The colon does not peristalse like the esophagus or bowel, so with antiperistaltic placement gravity pulls food down and the colon becomes dilated over time
clinicalAshley Walther3:48 ↗
Colonic interpositions sometimes become stretched out and redundant, requiring revision
clinicalAshley Walther3:59 ↗
For peptic strictures, treatment should address the underlying reflux rather than the stricture itself
guidelineAshley Walther4:12 ↗
Management of peptic strictures usually involves high-dose proton pump inhibitors
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position4:16 ↗
If peptic stricture persists after medical management, Nissen fundoplication can be considered
Host summaryJill Knepprath summarizes what Dr. Ashley Walther said — not the host's own clinical position4:20 ↗
Endoscopic options for strictures include needle knife stricturoplasty, which uses a thin device to score the strictured area in multiple places
clinicalAshley Walther4:30 ↗
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