Abstract
Congenital esophageal web is a rare disorder that presents a diagnostic and management challenge. In a female infant born at 31 weeks of gestation, significant secretions and respiratory distress were noted at birth. Chest X-ray demonstrated the nasogastric tube in the esogastric junction with no distal bowel gas. Esophagogram showed a congenital web near the esogastric junction. An endoscopic examination under general anesthesia showed a complete, thick membrane on the distal esophageal lumen. Endoscopic incision and cauterization of the web through the midline were performed, improving the clinical symptoms and esophageal stenosis.
Highlights
Congenital esophageal stenosis (CES) is a rare anomaly, with an incidence of about one per 25,000– 50,000 live births [1]
CES is divided into three types: Tracheobronchial remnants (TBR), fibromuscular thickening (FMT), and membranous webbing (MW) [1,3]
The development of gastrointestinal fiberscopes suitable for infants and children enabled a second way of treatment, which was performed in our patient: The membrane was incised endoscopically
Summary
Congenital esophageal stenosis (CES) is a rare anomaly, with an incidence of about one per 25,000– 50,000 live births [1]. It is characterized by intrinsic narrowing of the esophagus secondary to congenital malformation of the esophageal wall architecture [1]. CES is divided into three types: Tracheobronchial remnants (TBR), fibromuscular thickening (FMT), and membranous webbing (MW) [1,3]. Congenital esophageal web is a rare disorder that corresponds to a thin diaphragm of tissue usually forming a concentric lumen in the lower esophageal lumen reported only sporadically [2,3,4].
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