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DOI: 10.1055/s-2005-870163
A Novel Technique of Concurrent Esophagoscopy and Transgastrostomy Gastroscopy to Dilate a Completely Obstructed Distal Esophageal Stricture in a Child Following Fundoplication
Publication History
Submitted 5 October 2004
Accepted after Revision 16 January 2005
Publication Date:
20 July 2005 (online)
![](https://www.thieme-connect.de/media/endoscopy/200508/lookinside/thumbnails/10.1055-s-2005-870163-1.jpg)
We report a successful dilation of a completely obstructed distal esophageal stricture in a 4-year-old boy with combined immune deficiency syndrome, at 2 and half years after fundoplication and gastrostomy tube insertion. Barium studies and esophagoscopy had revealed complete obstruction of the lower esophagus. Transgastrostomy gastroscopy demonstrated a pinhole lumen through the fundoplication wrap; a guide wire was passed into the esophagus; and the stricture was dilated with Savary dilators. We presumed that the stricture was secondary to chronic esophagitis. The stricture was identified and successfully dilated using a novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy.
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H. Q. Huynh, MBBS
Department of Pediatrics · University of Alberta
2C3 Walter C Mackenzie Health Sciences Centre · Edmonton · Alberta T6G 2R7 · Canada
Fax: 1-780-407-3507
Email: hien.huynh@ualberta.ca