Pediatric emergency medicine trisk 4078 4078
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FIGURE 124.3 A: Swallow study demonstrating a recurrent esophageal stricture in a patient
with a history of TEF repair. B: Swallow study in the same patient demonstrating a recurrent
stricture in the setting of swallowing a broccoli floret.
Esophageal Web
Rarely, a patient presents with symptoms caused by an esophageal web (Fig.
124.4 ). The membranous, congenital narrowing of unclear origin usually allows
the passage of liquids, and symptoms often do not arise until the child begins to
eat solid food. Patients may present with feeding intolerance or respiratory
symptoms after drinking and eating. Recurrent aspiration pneumonia may also
develop. Rarely, an esophageal web can present with associated anemia, in the
form of Plummer–Vinson syndrome. An esophagram is usually diagnostic. In
patients who are minimally symptomatic and who can tolerate sufficient oral
intake, definitive management may occur as an outpatient or return procedure.
