Complete resolution of dysphagia after sequential Polyflex(tm) stenting in a case of recurrent anastomotic stenosis in an adult with congenital esophageal atresia

Abstract

ABSTRACT We present a case of intractable dysphagia in a 23-year-old female with type 1 esophageal atresia (EA) and subsequent postsurgical refractory esophageal strictures. The patient was referred due to increasing symptomatology and a slight response to balloon dilations. A biodegradable polydioxanone stent (ELLA) was placed, but this did not relieve the dysphagia. After the sequential placement of two siliconated polypropylene stents (Polyflex(tm), Boston Scientifics), the dysphagia was definitively relieved. To our knowledge, this is the first published case with a full resolution of dysphagia using this strategy in an adult patient.

Keywords

• Esophageal atresia
• Anastomotic stenosis
• Polyflex stent
• Adults