ETIOLOGY AND OUTCOME OF ESOPHAGEAL STRICTURE AMONG CHILDREN: LOCAL DATA FROM TERTIARY CARE CHILDREN HOSPITAL OF MULTAN, PAKISTAN

Main Article Content

Ibrar Hussain
Muhammad Tariq Aziz
Hassan Suleman
Saima Jabeen Joya
Ghazi Khan Khosa
Muhammad Abu Talib

Abstract

OBJECTIVES: To find out the etiology and outcome in terms of clinical improvement among children having esophageal stricture (ES).


METHODS: This prospective study was conducted from July 2019 to March 2020 at Children’s Hospital, Multan, Pakistan on diagnosed patients of ES, ageing <15 years. Demographic details, different etiologies, location of the ES and treatment outcome were recorded. After initial management, endoscopy and dilatation was done at 6 weeks. Patients were followed-up for at least 12 weeks.


RESULTS: Out of 32 children with ES, 19 (59.4%) were males. Mean age of children was 36.58±19.6 months. Twenty-four (75%) patients had proximal and 8 (25%) had distal stricture. Chemical burn (n=23; 71.9%) and esophageal atresia (n=4: 12.5%) were commonest causes of ES. Dilatation and surgery were performed in 21 (65.6%) cases followed by dilatation only in 10 (31.3%) cases and surgery alone in one (3.1%) case. In patients with chemical burns, majority (n=16/23; 69.6%) required both dilatation and surgery. Overall outcome of treatment options was good in 62.5% (n=20/32) patients. Outcome was good in 61.9% (n=13/21) of patients requiring both dilatation and surgery and 70% (n=7/10) in patients having dilatation alone (p=0.385). Outcome was good in 69.6% (n=16/23) of patients with chemical burns and 70% (n=7/10) in patients with dilatation only (p=0.385). Mortality rate was 3.1% (n=1).


CONCLUSION: Chemical burn and esophageal atresia were the commonest causes of ES. Outcome of all procedures was good in 62.5% cases and had no significant relationship with causes and site of ES or types of treatment.

Article Details

How to Cite
Hussain, I., M. Aziz, H. Suleman, S. Joya, G. Khosa, and M. Talib. “ETIOLOGY AND OUTCOME OF ESOPHAGEAL STRICTURE AMONG CHILDREN: LOCAL DATA FROM TERTIARY CARE CHILDREN HOSPITAL OF MULTAN, PAKISTAN”. KHYBER MEDICAL UNIVERSITY JOURNAL, Vol. 13, no. 2, June 2021, pp. 86-90, doi:10.35845/kmuj.2021.20915.
Section
Original Articles

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