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Pediatric esophageal stricture
At Children's Health℠, we treat more kids with esophageal strictures than almost any other pediatric hospital in the Dallas-Fort Worth area. Our deep knowledge and expertise means we have some of the best pediatric specialists in Texas. We use advanced endoscopic procedures to provide the most effective and least invasive treatments for your child. We look forward to serving your family with compassionate, high-quality care.
What is a pediatric esophageal stricture?
An esophageal stricture is a tight or narrowed area in the esophagus – the “food tube” that connects the mouth to the stomach. This condition can make it difficult for liquid and food to pass through the esophagus.
What are the signs and symptoms of of a pediatric esophageal stricture?
- Dificultad para tragar (disfagia)
- Pain when swallowing (odynophagia)
- Spitting up food or liquids (regurgitation)
- Coughing or gagging when swallowing
- Feeling of food getting stuck in the throat
- Frequent choking on foods
- Frequent heartburn
- Unexpected weight loss
How is a pediatric esophageal stricture diagnosed?
Our pediatric gastroenterologists (specialists in digestive disorders) have extensive training and expertise in caring for children who have esophageal strictures. We use advanced testing to diagnose pediatric esophageal strictures, including:
Upper endoscopy
This test involves placing an endoscope (thin tube with a camera) into the mouth and down through the esophagus to view inside.
Esophagram (barium swallow or “upper GI”)
For this procedure, your child will drink a special liquid that shows up on X-rays. We then take a chest X-ray, and the barium shows the shape and size of the esophagus more clearly.
What causes a pediatric esophageal stricture?
Typical causes of esophageal strictures in children include:
- Injuries to the esophagus from accidentally swallowing small objects or harmful chemicals with lye, such as bleach, laundry detergents or batteries
- Scar tissue from a previous surgery on the esophagus
- Long-term use of a feeding tube
Conditions that damage or cause inflammation in the esophagus lining, such as:
How is a pediatric esophageal stricture treated?
Medicamento
Our gastroenterologists may prescribe medication for your child to treat conditions that are causing the stricture, such as GERD or eosinophilic esophagitis (EoE).
Esophageal dilation
At Children’s Health, our pediatric gastroenterologists usually treat esophageal strictures with a procedure called esophageal dilation. To start, we will insert an endoscope into your child’s mouth and down into the esophagus. We then insert a tiny, deflated balloon through the tube and inflate it just enough to stretch the narrowed area.
Stent
In some cases, we place a small tube-like device (stent) in the esophagus to keep it open as it heals. Our gastroenterologists remove the stent later in a follow-up procedure.
Pediatric esophageal stricture doctors and providers
Our team of gastroenterologists, nurse practitioners and physician assistants are highly trained and experienced in treating children with esophageal strictures. Our experts will work together to create the best care plan for your child and help relieve their discomfort.
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Bradley Barth, MD Gastroenterología pediátrica -
Michele Alkalay, MD Gastroenterología pediátrica -
Amal Aqul, MD Hepatólogo pediátrico -
Sarah Barlow, MD Gastroenterología pediátrica -
Nandini Channabasappa, MD Gastroenterología pediátrica -
Nonyelum Ebigbo, MD Gastroenterología pediátrica -
Aakash Goyal, MD Gastroenterología pediátrica -
Bhaskar Gurram, MD Gastroenterología pediátrica -
Lauren Lazar, MD Gastroenterología pediátrica -
Megha Mehta, MD Gastroenterología pediátrica -
Derek Ngai, MD Gastroenterología pediátrica -
Charina Ramirez, MD Gastroenterología pediátrica -
Norberto Rodriguez-Baez, MD Hepatólogo pediátrico -
Isabel Rojas Santamaria, MD Gastroenterología pediátrica -
Rinarani Sanghavi, MD Gastroenterología pediátrica -
Jacobo Santolaya, MD Gastroenterología pediátrica -
Mhammad Gaith Semrin, MD Gastroenterología pediátrica -
Luis Sifuentes-Dominguez, MD Gastroenterología pediátrica -
David Troendle, MD Gastroenterología pediátrica -
Srisindu Vellanki, MD Gastroenterología pediátrica -
Meghana Sathe, MD Gastroenterología pediátrica -
Edaire Cheng, MD Gastroenterología pediátrica -
Phuong Luu, PA-C Asistente de medicina, Gastroenterología -
Van Nguyen, APRN, PNP-PC Enfermería - Gastroenterología -
Jennifer Peacock, APRN, PNP-PC Enfermería - Gastroenterología -
Shabina Walji-Virani, APRN, PNP-PC Enfermería - Gastroenterología
Preguntas frecuentes
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What is the success rate of esophageal dilation?
On average, esophageal dilation can successfully treat 80 to 90% of esophageal strictures in children.
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How long does it take to recover after esophageal dilation?
After esophageal dilation, your child’s throat may feel sore, but it usually improves within one day. Applying warm compresses or a heat pack may help ease discomfort.
