Esophageal stents for severe strictures in young children: Experience, benefits, and risk

被引:44
作者
Kramer R.E. [1 ]
Quiros J.A. [2 ]
机构
[1] Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital/University of Colorado Denver, Aurora, CO 80124
[2] Pediatric Gastroenterology and Nutrition, California Pacific Medical Center, University of California, San Francisco, CA 94118
关键词
Aero stent; Caustic ingestion; Esophageal stent; Esophageal stricture; Pediatric; Polyflex;
D O I
10.1007/s11894-010-0105-4
中图分类号
学科分类号
摘要
The use of esophageal stents has been commonplace in adults for many years and for a variety of indications, including palliative care for malignant lesions involving the esophagus. The use of esophageal stents in the pediatric population, however, was limited by the inability to remove them and the implications this has for the growing child, especially for primarily benign esophageal lesions. With the advent of removable, covered stents, the potential uses for stents in children expanded to include treatment of a wide variety of congenital and acquired esophageal strictures. Stenting offers tremendous potential advantage over more traditional pneumatic or bougie dilation in its ability to provide continuous, radially oriented dilation pressure sustained over a period of time. This review examines the published pediatric literature on stents, discusses the indications for their use, outlines the types of stents available, offers technical guidance for proper placement, and reviews subsequent management and complications. © Springer Science+Business Media, LLC 2010.
引用
收藏
页码:203 / 210
页数:7
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