Esophageal stenosis caused by an intrinsic congenital deformity is unc
ommon in infants and children. The main forms of stenosis are congenit
al esophageal web, congenital stricture caused by tracheobronchial rem
nants, and congenital idiopathic muscular hypertrophy. The authors rep
ort on two patients who were successfully treated and managed after be
ing diagnosed as having upper esophageal stenosis. One patient underwe
nt resection of the web and primary anastomosis of the esophagus and w
as discharged 6 days after surgery. After 1 year, this patient has had
no symptoms of dysphagia or other postoperative difficulties. The sec
ond patient underwent balloon dilatation of the esophageal stricture a
nd was discharged on the day of surgery; however, this patient require
d numerous repeat dilatations. Copyright (C) 1996 by W.B. Saunders Com
pany