Endoscopic membranotomy of a tubular type esophageal duplication cyst performed on a 5 year old child

Duplications of the gastrointestinal tract are rare malformations with an incidence of one in 4500 [1] -12500 [2]. Esophageal duplication cysts represent about 10% of all foregut duplications and are classified as cystic or tubular type duplications [3]. The tubular type esophageal duplication cyst is a rare subgroup of the esophageal duplication cysts seen in only 5%-10% of all cases [4]. We report about a 5year-old boy with such a tubular type esophageal duplication cyst presenting with dysphagia and malnutrition. To our knowledge this is the first report about an endoscopic resection of an intraluminal bridge using an insulated scissors-type knife SB knife (SUMITOMO BAKELITE CO., Tokyo, Japan). The postoperative course was uneventful and the patient could be discharged only one day after surgery. The follow- up endoscopy three month later revealed no evidence of residuals of the duplication or remarkable stricture. We conclude that the endoscopic resection of tubular type esophageal duplication cysts is a save and preferable therapeutic option also in children. (C) 2016 The Authors. Published by Elsevier Inc.