Lesion: Esophageal stenosis (1mm of diameter) at 4cm from upper sphincter and 13cm from front teeth, straight shaft, no oedema, no diverticula, no fistula in the boy 2-year-old operated esophagael astresia

X ray: Esophageal stenosis located at the D4, straight shaft, no diverticula, no fistula. Large esophagus on upper stenosis

Initial Management

• Barium esophagram radiology

• CT scan Δ ≠: Congenital or extrinsic esophageal stricture

• Treatment:

– Endoscopy: Esophageal dilatation ± intralesional steroid injection, Mytomycin C, stent

– Surgery: Esophageal anatomosis or replacement of the esophagus (by stomach or colon)