Innovative endoscopic alternatives for the conservative management of recurrent/refractory esophageal strictures in children: A case series

Figure 1 Reabsorbable stent after a complicated non-operative management for refractory esophageal strictures after corrosive ingestion. A: Initial presentation of recurrent esophageal strictures; B: Tracheobronchial fistula after dilatations and dynamic stent placement; C: Absorbable stent placement; D: Esophageal restoration during stent re-absorption.

Figure 2 Peroral endoscopic tunneling for restoration of the esophagus for recurrent esophageal strictures after surgical resection for disk-bactery impaction. A: Esophagram before treatment; B: Endoscopy before treatment showing the septum of the pseudodiverticulum; C: Esophageal lumen after recanalization with incisional therapy; D: Esophagram before refeeding.

Figure 3 Transoral harmonic-scalpel assisted diverticulotomy for recurrent esophageal strictures after atresia repair. A: Esophagram before treatment; B: Endoscopy and counter-traction placement with clip + snare technique; C: Harmonic scalpel application on the septum; D: Esophagram 1 year after treatment.