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Comparative Study
. 2001 Feb;31(2):98-101.
doi: 10.1007/s002470000368.

Treatment of oesophageal strictures in children: a comparison of fluoroscopically guided balloon dilatation with surgical bouginage

V K Jayakrishnan  1 , A G Wilkinson
Affiliations
Comparative Study

Treatment of oesophageal strictures in children: a comparison of fluoroscopically guided balloon dilatation with surgical bouginage

V K Jayakrishnan et al. Pediatr Radiol. 2001 Feb.

Abstract

Purpose: To compare the technical feasibility and procedural complications of fluoroscopically guided balloon dilatation with conventional surgical bouginage for the treatment of oesophageal strictures in children.

Materials and methods: A retrospective analysis of 125 balloon dilatations in 37 children with oesophageal strictures of varying aetiology. Twenty-four of the 37 children also underwent 88 procedures of surgical bouginage and comparison was made between the methods.

Results: Fluoroscopic balloon dilatation had fewer technical failures (0/125 vs. 4/88, P<0.02) and fewer iatrogenic perforations (2/125 vs. 5/88 P = 0.1) than surgical bouginage.

Conclusion: Fluoroscopically guided balloon dilatation is safer and has fewer technical failures than surgical bouginage and should be considered the first line of treatment for oesophageal strictures in children.

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