Liu SQ, Lv Y, Luo RX. Endoscopic magnetic compression stricturoplasty for congenital esophageal stenosis: A case report. World J Clin Cases 2022; 10(33): 12313-12318 [PMID: 36483808 DOI: 10.12998/wjcc.v10.i33.12313]
Corresponding Author of This Article
Yi Lv, MD, Professor, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Road, Xi’an 710061, Shaanxi Province, China. luyi169@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Liu SQ, Lv Y, Luo RX. Endoscopic magnetic compression stricturoplasty for congenital esophageal stenosis: A case report. World J Clin Cases 2022; 10(33): 12313-12318 [PMID: 36483808 DOI: 10.12998/wjcc.v10.i33.12313]
World J Clin Cases. Nov 26, 2022; 10(33): 12313-12318 Published online Nov 26, 2022. doi: 10.12998/wjcc.v10.i33.12313
Endoscopic magnetic compression stricturoplasty for congenital esophageal stenosis: A case report
Shi-Qi Liu, Yi Lv, Rui-Xue Luo
Shi-Qi Liu, Department of Nursing, The Medical College, Xijing University, Xi’an 710123, Shaanxi Province, China
Yi Lv, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Rui-Xue Luo, The Corrosion & Protection Research Lab, Northwest Institute for Nonferrous Metal Research, Xi’an 710016, Shaanxi Province, China
Author contributions: Liu SQ conducted the operation, collected the data, performed data analysis and interpretation, and drafted the manuscript; Lv Y guided the operation and revised the manuscript; Luo RX assisted in magnetic ring processing and revised the contents about magnetic device.
Supported bythe National Natural Science Foundation of China, No. 82170676; Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain (Cluster) - Social Development Project, No. 2020ZDLSF02-03; and the Special Fund for High-level Talents of Xijing University, No. XJ20B04.
Informed consent statement: The authors certify that they have obtained the appropriate patient consent form. In the form, the patient’s parents/guardians have given their consent for the images and other clinical information to be reported in the journal. The patient’s parents/guardians understand that the names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Yi Lv, MD, Professor, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, No. 277 West Road, Xi’an 710061, Shaanxi Province, China. luyi169@126.com
Received: June 21, 2022 Peer-review started: June 21, 2022 First decision: August 1, 2022 Revised: August 24, 2022 Accepted: October 17, 2022 Article in press: October 17, 2022 Published online: November 26, 2022 Processing time: 155 Days and 6.5 Hours
Abstract
BACKGROUND
Congenital esophageal stenosis (CES) is a rare malformation of the digestive tract. Endoscopic dilation and thoracotomy have been the main treatments for CES. However, there is no well-defined management protocol. Magnetic compression stricturoplasty (MCS) has been used in refractory esophageal stricture in children after esophageal atresia.
CASE SUMMARY
We describe the first case of MCS for CES in one female child patient. The child (aged 3 years and 1 mo) was admitted due to frequent vomiting and choking after eating complementary food since 7 mo old. Esophagography and gastroendoscopy showed that there was stenosis in the lower esophagus, suggesting a diagnosis of CES. The patient did not receive any treatment for esophageal stricture including surgery or endoscopic dilation procedures before MCS. MCS procedure was smoothly conducted without complications. At 24 mo after MCS, durable esophageal patency without dysphagia was achieved.
CONCLUSION
MCS may serve as an alternative and efficient method for patients with CES.
Core Tip: Magnetic compression stricturoplasty (MCS) is a relatively safe dredge method for patients with postoperative obstruction, stricture, or dehiscence of anastomosis. For the first time, we describe the application of MCS in treating congenital esophageal stenosis (CES) without using endoscopic bougienage and dilation treatment in a child patient. The data on diagnosis, treatment, and long-term follow-up of CES are analyzed. Additionally, key properties of MCS in treating segmental fibromuscular hypertrophy stricture following CES are discussed.
