Congenital esophageal webs are rare entities. These lesions generally
occur in the upper one third of the esophagus and present symptomatica
lly in early childhood. Dysphagia and 'feeding' difficulties are chara
cteristic presenting symptoms. Radiographic studies generally reveal a
normal appearing esophageal lumen with the exception of a single thin
indentation of the esophageal lumen that is located either anteriorly
or circumferential in nature. We describe two children with congenita
l esophageal webs and review the pathophysiology, diagnosis and manage
ment of these unusual lesions. (C) 1997 Elsevier Science Ireland Ltd.