Comparison between Balloon & Savary Dilatation in Management of Benign Esophageal Strictures in Pediatrics

Abstract

Abstract Background Esophageal strictures are seldom in children. In many countries, accidental ingestion of corrosives is a major cause of risk for stricture formation. Therefore, their management is a challenge. Safety and long-term efficacy of esophageal dilation for benign esophageal strictures has been confirmed in children. Aim and Objectives The aim of this study was to perform a systematic review and a meta-analysis about literature published in the period from 2010-2020 comparing between balloon & savary dilatation in benign esophageal strictures in pediatric age group. Subjects and Methods This systematic review and meta-analysis included 5 retrospective studies fulfilled eligibility criteria, with a total of 353 cases were included with mean age 8 years and m\f was 200\153. Results 5 studies compare success between ballon and savary dilatation showed that there were insignificant differences between two group p-value 0.052 Conclusion The efficacy and complication rates of bougie and dilation are similar. Considering this level of evidence 1A study, we can state that there is no significant difference between methods to recommend one over the other. However, all the confounding factors and limitations should be considered.