PMID- 30562312
OWN - NLM
STAT- MEDLINE
DCOM- 20200824
LR  - 20200824
IS  - 1536-4801 (Electronic)
IS  - 0277-2116 (Linking)
VI  - 68
IP  - 5
DP  - 2019 May
TI  - Comparative Analysis of Adverse Events After Esophageal Balloon and Bougie 
      Dilations in Children.
PG  - 630-634
LID - 10.1097/MPG.0000000000002237 [doi]
AB  - BACKGROUND: Pneumatic balloon and bougie dilation are widely used methods for 
      pediatric esophageal dilation. There are no studies directly comparing the safety 
      of these techniques in pediatric patients. This study compared adverse events 
      (AEs) of balloon and bougie dilation in children at a single institution. 
      METHODS: AEs were identified by means of a prospective clinical registry of all 
      procedure related AEs from 2012 to 2015 at a single institution. Identified AEs 
      underwent retrospective review of procedural and clinical details. The category 
      of each AE was recorded and severity was assigned using a 5-point scoring system. 
      AEs were compared between balloon and bougie dilation for different severities. 
      RESULTS: There were 105 patients who underwent 246 dilation sessions. Balloon 
      dilation was performed more commonly (n = 190, 77%) as compared to Maloney 
      dilators (n = 56, 23%). Patients with balloon dilation were younger (3.0 vs 14.5 
      years, P = 0.0001) and more likely to have strictures from caustic ingestion (42% 
      vs 2%, P < 0.0001) or surgical anastomoses (34% vs 5% P < 0.0001). Bougie 
      dilation was used more commonly in patients with eosinophilic esophagitis (77% vs 
      7%, P < 0.0001)). In multivariate analysis, each year of increasing age was 
      associated with a 12% increase in any AEs (P = 0.015), but no difference in 
      clinically significant AEs (grade 2 or higher) was identified between dilation 
      methods. CONCLUSIONS: Bougie and balloon dilation did not have significant 
      differences in AE rates, but the patient populations differed between the 2 
      methods. The dilation method should depend on stricture characteristics and 
      endoscopist expertise with each method.
FAU - Mark, Jacob A
AU  - Mark JA
AD  - Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health 
      Institute, Children's Hospital Colorado, University of Colorado Denver School of 
      Medicine, Aurora, CO.
FAU - Anderson, Bradley T
AU  - Anderson BT
AD  - Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health 
      Institute, Children's Hospital Colorado, University of Colorado Denver School of 
      Medicine, Aurora, CO.
AD  - The Doctor's Clinic, Washington, Silverdale, WA.
FAU - Pan, Zhaoxing
AU  - Pan Z
AD  - Biostatistics Core of Children's Hospital Colorado Research Institute, University 
      of Colorado Denver School of Medicine, Aurora, CO.
FAU - Menard-Katcher, Calies
AU  - Menard-Katcher C
AD  - Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health 
      Institute, Children's Hospital Colorado, University of Colorado Denver School of 
      Medicine, Aurora, CO.
FAU - Kramer, Robert E
AU  - Kramer RE
AD  - Section of Gastroenterology, Hepatology and Nutrition and the Digestive Health 
      Institute, Children's Hospital Colorado, University of Colorado Denver School of 
      Medicine, Aurora, CO.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Pediatr Gastroenterol Nutr
JT  - Journal of pediatric gastroenterology and nutrition
JID - 8211545
SB  - IM
MH  - Adolescent
MH  - Catheterization/*adverse effects/methods
MH  - Child
MH  - Child, Preschool
MH  - Dilatation/*adverse effects/methods
MH  - Eosinophilic Esophagitis/surgery
MH  - Esophageal Diseases/*surgery
MH  - Esophageal Stenosis/surgery
MH  - Esophagoscopy/*adverse effects/methods
MH  - Esophagus/surgery
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Postoperative Complications/*etiology
MH  - Prospective Studies
MH  - Registries
MH  - Retrospective Studies
EDAT- 2018/12/19 06:00
MHDA- 2020/08/25 06:00
CRDT- 2018/12/19 06:00
PHST- 2018/12/19 06:00 [pubmed]
PHST- 2020/08/25 06:00 [medline]
PHST- 2018/12/19 06:00 [entrez]
AID - 10.1097/MPG.0000000000002237 [doi]
PST - ppublish
SO  - J Pediatr Gastroenterol Nutr. 2019 May;68(5):630-634. doi: 
      10.1097/MPG.0000000000002237.