Esophageal atresia associated with congenital esophageal stricture in a neonate – a case report

Authors

  • Z. Pesheva Pediatric Surgery Department, UMHATEM “N. I. Pirogov” – Sofia Author
  • Ts. Georgiev Pediatric Surgery Department, UMHATEM “N. I. Pirogov” – Sofia Author
  • K. Pamukova Pediatric Surgery Department, UMHATEM “N. I. Pirogov” – Sofia Author
  • N. Atanasova Pediatric Surgery Department, UMHATEM “N. I. Pirogov” – Sofia Author
  • N. Tolekova Pediatric Surgery Department, UMHATEM “N.I. Pirogov” – Sofia Author
  • P. Moutafchieva-Spasova Pediatric Surgery Department, UMHATEM “N.I. Pirogov” – Sofia Author
  • N. Kartulev Pediatric Surgery Department, UMHATEM “N.I. Pirogov” – Sofia Author
  • G Garvanska Diagnostic Radiology Department, UMHATEM “N.I. Pirogov” – Sofia Author
  • N. Gabrovska Clinic of Pulmonology, Pediatric Hospital “Prof. Ivan Mitev”, Department of Pediatrics, Medical University – Sofia Author
  • B. Mladenov Department of Pediatric Intensive Care, UMHATEM “N.I. Pirogov” – Sofia Author
  • P. Hristova Department of Pediatric Intensive Care, UMHATEM “N.I. Pirogov” – Sofia Author
  • Hr. Shivachev Pediatric Surgery Department, UMHATEM “N.I. Pirogov” – Sofia Author

Keywords:

anastomotic leak, balloon dilation, coexisting anomalies, neonatal surgery, tracheoesophageal fistula

Abstract

Congenital esophageal stricture (CES) is a rare anomaly of the gastrointestinal tract. Clinical manifestations depend on the location and severity of the stenosis. In around 14% of cases, it is associated with esophageal atresia. We present a clinical case of a patient with esophageal atresia, in whom congenital esophageal stricture was diagnosed during clinical follow-up. Serial balloon dilations were performed with good clinical and radiological results. During one of the dilations, a partial tear of the esophagus was observed, which was treated conservatively. Improvement was achieved and the patient transitioned to a full oral intake. Persistent feeding difficulties after correction of esophageal atresia necessitated the exclusion of BEC. Early recognition and a multidisciplinary approach are essential for optimizing the care of patients with combined congenital anomalies of the esophagus.

References

Pritchard E, Drew D. Congenital oesophageal stenosis. Proc R Soc Med. 1913; 6:33-35

Terui K, Saito T, Mitsunaga T et al. Endoscopic management for congenital esophageal stenosis: a systematic review. World J Gastrointest Endosc. 2015; 7:183-191.

Ibrahim AHM, Malki TAA, Hamza AF, Bahnassy AF. Congenital esophageal stenosis associated with esophageal atresia: new concepts. Pediatr Surg Int. 2007; 23:533-537.

Braungart S, Peters RT, Lansdale N, Wilkinson DJ. Congenital oesophageal stenosis in oesophageal atresia: underrecognised and often missed? Pediatr Surg Int. 2022;38(2):331-335.

Deguchi K, Kamiyama M, Masahata K, et al. Balloon dilatation for congenital esophageal stenosis associated with esophageal atresia. Pediatr Surg Int. 2024; 22;40(1):89.

Conighi ML, Bleve C, Costa L, Chiarenza SF, Congenital esophageal stenosis associated with esophageal atresia: A novel treatment. J Pediat Surg Case Rep. 2020; 60:101560.

Wu Y, Wu C. Congenital Esophageal Atresia Associated with a Tracheobronchial Remnant. Korean J Thorac Cardiovasc Surg. 2019;52(3)

Nassar N, Leoncini E, Amar E et al. Prevalence of esophageal atresia among 18 international birth defects surveillance programs. Birth Defects Res A Clin Mol Teratol. 2012;94(11):893-9.

Michaud L, Coutenier F, Podevin G et al. Characteristics and management of congenital esophageal stenosis: findings from a multicenter study. Orphanet J Rare Dis. 2013,8:186.

Hokama A, Myers NA, Kent M, et al. Esophageal atresia with tracheoesophageal fistula. A histopathologic study. Pediatr Surg Int. 1986; 1:117-121.

Kawahara H, Imura K, Yagi M, Kubota A Clinical characteristics of congenital esophageal stenosis distal to associated esophageal atresia. Surgery. 2001; 129(1):29-38

Ramesh JC, Ramanujam TM, Jayaram G. Congenital Esophageal Stenosis: report of three cases, literature review, and a proposed classification. Pediatr Surg Int. 2001;17:188-92.

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Published

28.04.2026

Issue

Vol. 20 No. 1 (2026): Bulgarian Medical Journal

Section

Case reports

License

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How to Cite

Esophageal atresia associated with congenital esophageal stricture in a neonate – a case report (Z. Pesheva, T. Georgiev, K. Pamukova, N. Atanasova, N. Tolekova, P. Moutafchieva-Spasova, N. Kartulev, G. Garvanska, N. Gabrovska, B. Mladenov, P. Hristova, & H. Shivachev , Trans.). (2026). Bulgarian Medical Journal, 20(1), 57-60. https://journals.mu-sofia.bg/index.php/bmj/article/view/802

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