Esophageal stricture following repair of a tracheoesophageal fistula: A case report and literature review

Abstract

Anastomotic stricture is a common complication following repair of esophageal atresia with or without tracheo-esophageal fistula, affecting the long-term prognosis of survival. The traditional therapy includes serial esophageal dilation or repeated anastomosis with or without a gastric pull-up procedure. Here, we describe the case of an 11-month-old girl child who underwent repair of type C esophageal atresia but afterward experienced esophageal anastomotic stricture. In the event that the dilatations failed, the esophageal anastomosis had to be revised. Despite repeated corrective surgeries and extensive perioperative care, we were unable to save the child.

Keywords

• anastomosis; dilatation; esophageal atresia; gap; revision; strictureplasty