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©The Author(s) 2020.
World J Gastroenterol. Mar 14, 2020; 26(10): 1080-1087
Published online Mar 14, 2020. doi: 10.3748/wjg.v26.i10.1080
Published online Mar 14, 2020. doi: 10.3748/wjg.v26.i10.1080
Table 1 Characteristics of enrolled patients and strictures
Characteristic | Patients (n = 64), n (%) | |
Sex | Male | 34 (53.1) |
Female | 30 (46.9) | |
Age at surgery (h) | Median 3.15 (2.89-6.17) | |
Body weight at operation (kg) | Median 2.73 (1.62-3.55) | |
Post-repair complications | Gastroesophageal reflux | 31 (48.4) |
Anastomotic leakage | 8 (12.5) | |
Recurrent tracheoesophageal fistula | 3 (4.7) | |
Tracheomalacia | 2 (3.1) | |
Vocal cord paralysis | 0 (0) | |
Stricture length | ≤ 2 cm | 14 (21.9) |
2-5 cm | 42 (65.6) | |
≥ 5 cm | 8 (12.5) | |
Number of strictures | Single | 58 (90.6) |
Multiple | 6 (9.4) | |
Location of stricture | Upper third esophageal | 10 (15.6) |
Middle third esophageal | 24 (37.5) | |
Lower third esophageal | 30 (46.9) |
Table 2 Outcomes of endoscopic balloon dilatation
Outcome | Results (n = 64) | ||
Age at first EBD (mo) | 5.45 ± 0.31 | ||
Interval1 (mo) | 5.43 ± 0.29 | ||
Sessions | 2.19 ± 0.24 | ||
Follow-up (mo) | 42.88 ± 14.30 | ||
Diameter (mm) | Before first EBD | 2.93 ± 0.37 | |
After final EBD | 10.05 ± 0.34 | ||
P value | 0.014 | ||
Success | Success | 62 (96.9%) | |
Failure | 2 (3.1%) | ||
Complications | Perforation | 4 (6.45%) | |
Bleeding | 2 (3.23%) | ||
Reflux esophagitis | 1 (1.61%) | ||
Infection | 1 (1.61%) | ||
Multiple | 2 (3.23%) | ||
Total | 5 (8.06%) | ||
No complications | 57 (91.9%) | ||
Response | Effective | Remission | 54 (87.10%) |
Relief | 6 (9.68%) | ||
Total | 60 (96.77%) | ||
Ineffective | 2 (3.23%) | ||
Recurrence | No relapse | 58 (96.67%) | |
Relapse | 2 (3.33%) |
Table 3 Correlations between outcomes of endoscopic balloon dilatation and risk factors
Table 4 Factors predicting outcomes of endoscopic balloon dilatation treatment
Out-comes | Length | Number of strictures | Sessions | ||||||||||
≤ 2 cm, n = 42 | 2-5 cm, n = 14 | ≥ 5 cm, n = 8 | Statistic value | P value | Single, n = 58 | Multiple, n = 6 | Statistic value | P value | ≤ 2, n = 46 | > 2, n = 18 | Statistic value | P value | |
Complications (n) | 0 | 2 | 3 | χ2 = 13.025 | 0.001 | 2 | 3 | OR = 14.5 | 0.004 | 3 | 2 | OR = 0.587 | 0.615 |
Respon-se (score) | -2.21 ± 0.51 | -2.17 ± 0.39 | -2.17 ± 0.43 | F = 1.431 | 0.313 | -2.18 ± 0.41 | -2.15 ± 0.65 | F = 2.178 | 0.180 | -2.21 ± 0.52 | -2.19 ± 0.47 | F = 3.211 | 0.487 |
Recurr-ence (n) | 0 | 0 | 2 | χ2 = 8.802 | 0.012 | 1 | 1 | OR = 9.667 | 0.180 | 1 | 1 | OR = 0.391 | 0.487 |
Sessions (mean ± SD) | 1.95 ± 0.28 | 2.57 ± 0.43 | 2.75 ± 0.62 | F = 1.729 | 0.416 | 2.04 ± 0.22 | 4.12 ± 0.67 | F = 6.797 | 0.014 |
Table 5 Correlations between risk factors and outcomes in patients with anastomotic esophageal strictures
Outcome | Interval1 (mo) | Sessions | Length (cm) | Diameter before EBD (cm) | ||||
Coefficient | P value | Coefficient | P value | Coefficient | P value | Coefficient | P value | |
Complications | 0.324 | 0.587 | 0.006 | 0.858 | 0.616 | 0.031 | 0.724 | 0.012 |
Response | -0.527 | 0.024 | -0.019 | 0.672 | -0.324 | 0.437 | -0.319 | 0.346 |
Recurrence | 0.162 | 0.453 | 0.135 | 0.446 | 0.255 | 0.615 | 0.151 | 0.627 |
Sessions | 0.338 | 0.017 | -0.312 | 0.411 | 0.612 | 0.031 |
- Citation: Dai DL, Zhang CX, Zou YG, Yang QH, Zou Y, Wen FQ. Predictors of outcomes of endoscopic balloon dilatation in strictures after esophageal atresia repair: A retrospective study. World J Gastroenterol 2020; 26(10): 1080-1087
- URL: https://www.wjgnet.com/1007-9327/full/v26/i10/1080.htm
- DOI: https://dx.doi.org/10.3748/wjg.v26.i10.1080