{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:05:06Z","timestamp":1777921506750,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Impassable caustic esophageal strictures (CES) can be rendered passable through sophisticated dilatation techniques, hence avoiding the esophageal replacement surgery and its complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Method:<\/jats:title>\n                    <jats:p>Patients with impassable CES who were presented to our hospital between January 2015 and April 2020 underwent a combined balloon and bougie dilatation. This technique aims at doing an initial partial dilatation of the proximal segment of the stricture, using a balloon catheter to pave the way for the endoscope to be advanced more distally. Therefore, a guide wire could be passed down to the stomach to complete the dilatation session using bougie dilators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven patients out of 138 patients who underwent endoscopic dilatation for CES at the pediatric surgery department were enrolled in this study. Their ages ranged from 2.5 to 6 years. This technique was successful in 6 patients indicating technique reproducibility of 85.7%. These 6 patients continued their next dilatation sessions using bougie dilator only, whereas 4 patients were completely cured from dysphagia indicating technique efficiency of 57%, 1 is still on dilatation, and 1 patient had a resistant stricture. The dilatation through the proposed technique failed in 1 patient, who was referred for a replacement surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Combined dilatation is safe and effective to preserve the native esophagus in some difficult CES.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0926","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T11:35:58Z","timestamp":1614684958000},"page":"724-728","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effectiveness of Combined Balloon and Bougie Dilatation Technique in Children with Impassable Esophageal Stricture"],"prefix":"10.1177","volume":"31","author":[{"given":"Khaled Mohamed","family":"El-Asmar","sequence":"first","affiliation":[{"name":"Pediatric Surgery Department, Ain Shams University, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed Abdelhaseeb","family":"Youssef","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Ain Shams University, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Abdel-Latif","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department, Helwan University, Cairo, Egypt."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00105-2"},{"key":"e_1_3_3_3_2","first-page":"5874870","article-title":"Endoscopic dilation with bougies versus balloon dilation in esophageal benign strictures: Systematic review and meta-analysis","author":"Josino IR","year":"2018","unstructured":"Josino IR, , Madruga-Neto AC, , Ribeiro IB, , Guedes HG, , Brunaldi VO, , de Moura DTH, et al. Endoscopic dilation with bougies versus balloon dilation in esophageal benign strictures: Systematic review and meta-analysis. 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