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Endoscopic intralesional steroid injections in the management of refractory esophageal strictures

1995; Elsevier BV; Volume: 41; Issue: 6 Linguagem: Inglês

10.1016/s0016-5107(95)70198-2

1097-6779

Nizar N. Zein, Jean Greseth, Jean Perrault,

Congenital Diaphragmatic Hernia Studies

Esophageal strictures are caused by bands of submucosal fibrous tissue that encroach upon the lumen and subsequently impede the passage of ingested material from the mouth to the stomach. In children, esophageal strictures are commonly a result of peptic esophagitis,1 ingestion of caustics,2 or injury at the site of a surgical anastomosis.3 Current standards of therapy consist of esophageal dilation4 and, in refractory cases, esophageal resection at the level of stricture.5 Successful treatment of refractory strictures using intralesional steroid injections has been reported in a limited number of patients.