Congenital stenosis of the esophagus: causes, symptoms, diagnosis, treatment
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Congenital stenosis of the esophagus is a narrowing of the esophagus, usually in the aortic narrowing, which arises from the hypertrophy of the muscular membrane of the esophagus in the presence of a fibrous or cartilaginous ring in the esophageal wall or the formation of thin membranes of the mucous membrane.
ICD-10 code
Q39.3. Congenital stenosis of the esophagus.
Epidemiology
A rare developmental disorder, occurring in 1 to 25-50 thousand of newborns.
Symptoms of congenital esophageal stenosis
Small stenoses for a long time are asymptomatic, manifesting with the introduction of solid foods into the diet of the child. With severe stenosis, dysphagia and regurgitation are noted during and after the child's feeding. With a significant narrowing of the esophagus, a suprastenotic enlargement is formed. In children older than one year, vomiting stagnant contents without bile, which does not have an acidic odor (esophageal vomiting), discomfort, a feeling of pressure and pain behind the sternum, reduces appetite. Older children especially thoroughly chew food by washing it with liquid.
Diagnosis of congenital esophageal stenosis
Confirmation of the diagnosis is considered clinical symptoms, data of fibro-esophagastroscopy, radiopaque examination of the esophagus.
Differential diagnostics
Cyst or tumor of the mediastinum, congenital anomalies of the aorta and large vessels.
Treatment of congenital esophageal stenosis
Conservative (bougie or dilatation), operative (dissection of the membrane or excision of the narrowed area with the application of anastomosis).
[What's bothering you?
What do need to examine?
Использованная литература