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    Go to the top of the page   ID: 20070220110848 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    CES - Congenital Esophageal Stenosis
    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    K. Gerlach (Gemeinschaftspraxis für Radiologie/Sangerhausen), Dirk Schaper (Krankenhaus St. Elisabeth und St. Barabara/Klinik für Kinderchirrugie/Halle and der Saale), T. Porrmann (Krankenhaus St. Elisabeth und St. Barabara/Gemeinschaftspraxis für Radiologie/Halle an der Saale)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    1 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Esophagus  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    Unremarkable pregnancy, full-term delivery by cesearean section. Postnatal, hypospadia. Up to the time of examination, unremarkable statomotor and mental development. For 8 weeks, increasing postprandial vomiting without weight loss. No diarrhea, no loss of appetite.
    Laboratory values at the time of admission were unremarkable. Chest x-ray ruled out pneumonia. ENT consult showed no abnormalities.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Congenital esophageal stenoses are rarely found. Concurrently, an esophageal atresia, tracheobronchial fistulas or both can be found.
    The etiology is unclear.
    Histologically, one finds tracheobronchial remnants, fibromuscular - or membranous - stenoses. Even multiple stenoses can be seen. In our case, the histological picture was as follows: fibroepithelial material with covering of squamous epithelial tissue. Proof of hyaline cartilage was found.  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Esophagus with contrast material: preoperative findings. Prestenotic dilation of the lower esophagus. "Rat tail like" pulling of the poststenotic distal esophagus.






    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Esophagus with contrast material: postoperative findings. Scarred changes at the distal esophagus, no significant stenosis. Regression of the prestenotic dilation.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Esophageal stenosis, achalasia of the esophagus  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Suspecting a lower esophageal sphincter achalasia, we chose to surgically intervene. Intraoperatively, there was tight, partially calcified stenosis about 2 cm above the Cardia. A myotomy and resection of the calcified areas was performed. A fundoplication was not performed. Postoperatively, parenteral nutrition and antibiotic prevention. The feeding tube was removed on the 10th postoperative day.
    Overall, no complications.

    Further treatment options are balloon dilation, bougienage or the surgical-endoscopic resection of the stenosis. Postoperative complications include, but are not limited to, stenoses, hiatal hernias, GERD.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    Amae S et al.: Clinical characteristics and management of congenital esophageal stenosis: a report of 14 cases. J Pediatr. Surg. 2003 Apr;38(4):565-70
    Kawahara H et al.Clinical characteristics of congenital esophageal stenosis distal to associated esophageal atresia. Surgery 2001 Jan;129(1):29-38
    Takamizawa S et al.Congenital esophageal stenosis: Therapeutic strategy based on etiology. J Pediatr. Surg. 2002 Feb; 37(2):197-201  

     
     Pediatric Radiology CasesKeywords:

    Achalasia of the esophagus, esophageal achalasia, esophageal stenosis, congenital esophageal stenosis, CES, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Esophagus
    or in the region: Thorax
    or in the tissue/organ: Esophagus
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     
    CES - Congenital Esophageal Stenosis
    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848


     

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    CES - Congenital Esophageal Stenosis
    Other cases by these authors:

    Search K. Gerlach in Medline K. Gerlach (5)   
    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search T. Porrmann in Medline T. Porrmann (1)   

    CES - Congenital Esophageal Stenosis  
     
    CES - Congenital Esophageal Stenosis
    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848


     
     
    CES - Congenital Esophageal Stenosis
    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848


     

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    CES - Congenital Esophageal Stenosis
    K Gerlach, Dirk Schaper. CES - Congenital Esophageal Stenosis. PedRad [serial online] vol 7, no. 2.
    URL: www.PedRad.info/?search=20070220110848


     




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