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https://www.readbyqxmd.com/read/27900765/the-role-of-the-otolaryngologist-in-the-evaluation-and-diagnosis-of-eosinophilic-esophagitis
#1
Mark Kubik, Prasad Thottam, Amber Shaffer, Sukgi Choi
OBJECTIVE: To describe the clinical presentation and role of the otolaryngologist in the evaluation of eosinophilic esophagitis (EoE) at a tertiary pediatric hospital. STUDY DESIGN: Retrospective review. METHODS: Records from pediatric patients with a diagnosis of EoE from 2003 to 2015 were reviewed. Study variables were analyzed to compare patients presenting to different specialties. RESULTS: Two hundred and fifty-one patients with EoE were evaluated...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27900327/migrating-fish-bone-piercing-the-common-carotid-artery-thyroid-gland-and-causing-deep-neck-abscess
#2
Hafizah Husna Johari, Bee-Lian Khaw, Zulkifli Yusof, Irfan Mohamad
Foreign body (FB) ingestion is very common in Malaysian population. The most commonly ingested FB is fish bone. Common presenting symptoms include FB sensation, odynophagia and or sharp pricking pain during swallowing. A careful history and physical examination is very important. Despite negative laryngoscopy and rigid esophagoscopy, persistent symptoms warrants further radiographic imaging studies. The FB can migrate extraluminally and involve other important adjacent structures of the neck and along the digestive tract...
November 16, 2016: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/27863824/the-financial-impact-of-flipping-the-coin
#3
Katherine W Gonzalez, Shiva R Reddy, Angela A Mundakkal, Shawn D St Peter
BACKGROUND: Esophageal foreign body retrieval is typically performed by rigid or flexible esophagoscopy. Despite evidence supporting the efficacy and safety of balloon extraction, it is rarely performed. We sought to establish the financial benefits of this minimally invasive approach. METHODS: A retrospective review of 241 children with esophageal coins between 2011 and 2013 was performed. Coins were removed via endoscopy or fluoroscopic-guided balloon retrieval...
October 28, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27777707/multiple-esophageal-foreign-bodies-in-an-infant-a-rare-case-of-serious-parental-neglect
#4
Arunabha Chakravarti, Sunil Garg, Rahul Bhargava
A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1st child in the family.
August 8, 2016: Clinics and Practice
https://www.readbyqxmd.com/read/27775292/-laryngotracheal-traumatic-injuries-lti-in-children-when-to-operate
#5
S Santiago-Martínez, A Laín, G Guillén, R Gander, S López-Fernández, F Pumarola, L Seidler, J Lloret
INTRODUCTION: Paediatric LTI is associated with significant morbid-mortality. Although historically first line treatment was surgical, conservative management is making headway. The purpose of this study was to analyze the management and surgical indications of LTI treated at our institution. MATERIAL AND METHODS: Retrospective study of patients with LTI treated between 2007 and 2014. RESULTS: Six out of seven patients, with a median age of 4 years (2-15), had blunt traumas and one had an open trauma...
October 10, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/27774605/triological-society-best-practice-is-esophagoscopy-necessary-during-panendoscopy
#6
Daniel R Clayburgh, Daniel Brickman
No abstract text is available yet for this article.
October 24, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27731519/thoracoscopy-with-concurrent-esophagoscopy-for-persistent-right-aortic-arch-in-9-dogs
#7
Sarah Townsend, Michelle L Oblak, Ameet Singh, Michele A Steffey, Jeffrey J Runge
OBJECTIVE: To report the diagnosis, treatment, and short-term outcome in dogs with suspected persistent right aortic arch (PRAA) undergoing thoracoscopy with concurrent esophagoscopy. STUDY DESIGN: Multi-institutional retrospective case series. ANIMALS: Dogs with suspected PRAA (n=9). METHODS: Medical records were reviewed from 2012 to 2016. Dogs undergoing thoracoscopy for PRAA at 3 referral hospitals were included...
November 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27721755/apremilast-is-effective-in-lichen-planus-mucosae-associated-stenotic-esophagitis
#8
Jürg Hafner, Christoph Gubler, Karin Kaufmann, Stephan Nobbe, Alexander A Navarini, Lars E French
A 74-year-old woman with extensive lichen planus mucosae (LPM) developed stenotic esophagitis that was refractory to intravenous glucocorticosteroids. Esophageal dilatations to 14 mm width were repeatedly performed without any lasting effect. After introducing oral apremilast, she experienced complete clinical remission within the first 4 weeks of treatment. Control esophagoscopy confirmed a marked recovery of the esophageal mucosa with no recurrence of the former stenosis. Our observation is in line with the case series of Paul et al...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27637142/cost-varies-with-procedure-type-in-pediatric-gi-foreign-bodies
#9
Rachel S Kennedy, Rebecca A Starker, Kelly A Feldman, Jun Tashiro, Eduardo A Perez, Fernando G Mendoza, Juan E Sola
BACKGROUND/PURPOSE: In pediatric cases of ingested foreign bodies, gastrointestinal foreign bodies (GIFB) have distinct factors contributing to longer and more costly hospitalizations. METHODS: Patients admitted with ingested foreign bodies were identified in the Kids' Inpatient Database (1997-2009). RESULTS: Overall, 7480 cases were identified. Patients were most commonly <5years of age (44%), male (54%), and Caucasian (57%). A total of 2506 procedures were performed, GI surgical procedures (57%) most frequently, followed by GI endoscopy (24%), esophagoscopy (11%), and bronchoscopy - in cases of inhaled objects (9%)...
September 1, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27621902/perforation-of-esophagus-and-subsequent-mediastinitis-following-mussel-shell-ingestion
#10
Il Hwan Park, Hyun Kyo Lim, Seung Woo Song, Kwang Ho Lee
Esophageal perforation is a very rare occurrence because accidental swallowing of foreign bodies is uncommon in adults. Thus, perforation due to swallowing of a foreign body and subsequent development of mediastinitis is rarely encountered by physicians. We experienced such a case and described an adult male patient who had perforated esophagus after accidentally swallowing a mussel shell. The patient visited our emergency department complaining of painful dysphagia for 4 days. A review of history revealed that he consumed a spicy seafood noodle soup containing mussel shells 4 days ago...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27612868/a-case-of-surgery-for-congenital-esophagobronchial-fistula-accompanied-by-a-destroyed-lung
#11
Masaki Ikeda, Yoshitake Murata, Ryoko Ohnishi, Tatsuo Kato, Akira Hara, Takuji Fujinaga
Congenital esophagobronchial fistula (EBF) is rarely seen in adults. We report a case of EBF detected in adulthood with a destroyed lung. A 67-year-old man experienced repeated pneumonia during his childhood. Since the age of 38, he had often suffered from bloody phlegm and always had a cough and sputum during oral intake. Before cardiac surgery for atrial fibrillation and valvular disease, computed tomography (CT) detected bronchiectasis, which could cause pulmonary bleeding during heart surgery, and the patient was introduced to our hospital for lung resection...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27589983/the-use-of-a-sternothyroid-muscle-flap-to-prevent-the-re-recurrence-of-a-recurrent-tracheoesophageal-fistula-found-10%C3%A2-years-after-the-primary-repair
#12
Hajime Takayasu, Kouji Masumoto, Miki Ishikawa, Takato Sasaki, Kentaro Ono
Recurrent tracheoesophageal fistula (TEF) is still difficult to diagnose and repair. In almost all cases, recurrence appears relatively soon after the primary surgery. We herein describe a case of recurrent TEF that appeared 10 years after the primary repair. At 2 years of age, the patient suffered from mental retardation due to encephalitis and developed a hiatus hernia with gastro-esophageal reflux. He underwent the repair of a hiatus hernia and fundoplication at 3 years of age. However, the hiatus hernia recurred 6 months after the operation...
December 2016: Surgical Case Reports
https://www.readbyqxmd.com/read/27531545/prospective-multi-institutional-transnasal-esophagoscopy-predictors-of-a-change-in-management
#13
Rebecca J Howell, Mariah B Pate, Stacey L Ishman, Tova F Isseroff, Adam D Rubin, Ahmed M Soliman, Gregory N Postma, Michael J Pitman
OBJECTIVES/HYPOTHESIS: To evaluate clinical indications and endoscopic findings for patients undergoing transnasal esophagoscopy (TNE). STUDY DESIGN: Prospective, multi-institutional, observational cohort study at four tertiary centers. METHODS: Demographics, reflux finding score, reflux symptom index, Eating Assessment Tool (EAT-10) scores, clinical indications, and endoscopic findings were compared among patients whose TNE findings resulted in a changes in management (FCIM), defined as a referral, new medication, or surgery recommendation...
August 17, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27529046/use-of-a-rigid-curved-laryngoscope-for-removal-of-a-fish-bone-in-the-hypopharynx
#14
Hiroshi Sakaida, Kazuki Chiyonobu, Hajime Ishinaga, Kazuhiko Takeuchi
Foreign body ingestion is a commonly encountered clinical problem. In particular, sharp foreign bodies lodged in the esophagus or hypopharynx can cause complications and require urgent removal. Removal by flexible esophagogastroduodenoscopy or rigid esophagoscopy is the treatment of choice and has high success rates, but cases in which these methods are unsuccessful must be treated with an external incision. A 62-year-old man was referred for a fish bone lodged in the hypopharynx that could not be removed by flexible esophagogastroduodenoscopy...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/27511338/recurrent-dilatation-in-resistant-benign-esophageal-strictures-timing-is-significant
#15
Yasemin Bilgin Büyükkarabacak, Ayşen Taslak Şengül, Mehmet Gökhan Pirzirenli, Ahmet Başoğlu
BACKGROUND/AIM: Benign esophageal strictures are frequently encountered pathologies occurring due to various reasons. Repeated dilatations may be needed, particularly in resistant strictures. This study aimed to evaluate patients who underwent repeated dilatations in our clinic due to resistant esophageal strictures. MATERIALS AND METHODS: Sixteen patients who underwent multiple dilatations in our clinic with the diagnosis of resistant benign esophageal stricture between 2007 and 2014 were studied for age, sex, etiology, symptoms, complications, number of dilatations, and intervals between dilatations...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27452319/imaging-diagnosis-use-of-radiography-computed-tomography-and-endoscopy-in-the-diagnosis-of-esophageal-perforation-by-an-extra-luminal-tracheal-ring-prosthesis-in-a-golden-retriever
#16
Hayley Paradise, Kyle G Mathews, Eli B Cohen
A 6-year-old neutered male, Golden retriever presented with regurgitation and excitement-induced coughing. Two years prior, extra-thoracic tracheal collapse was diagnosed and extra-luminal tracheal ring prostheses were placed. Radiographs at presentation showed mineralized and undulant cervical tracheal cartilages. A dorsally broad-based soft tissue opacity bulged into the caudal cervical tracheal lumen. Esophageal dysmotility and barium accumulation were identified at this level on contrast esophography. Computed tomography showed migration of a prosthetic tracheal ring, resulting in perforation of the esophagus...
July 25, 2016: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/27334507/the-practicability-of-transnasal-esophagoscopy-and-the-evaluation-of-patient-s-perception-a-prospective-study
#17
Bahtiyar Polat, Serdar Karahatay, Hakan Birkent, Mustafa Gerek
OBJECTIVES: Transnasal esophagoscopy (TNE) is a relatively new diagnostic procedure in the evaluation of patients with globus sensation and dysphagia. Enabling doctors to examine all of the upper aerodigestive system without the need for sedation, this technique is becoming more popular among otolaryngology specialists. The aim of this study is to evaluate the practicability of TNE and tolerability of patients to the test. METHODS: The study group consisted of 314 patients who were admitted to the swallowing center of a tertiary medical institution with the symptoms of dysphagia and globus sensation...
December 2016: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/27250962/-a-systematic-review-of-the-literature-related-to-elevating-the-head-of-the-bed-for-patients-with-gastroesophageal-reflux-disease-applications-in-patients-after-esophageal-cancer-surgery
#18
REVIEW
Hui-Chen Huang, Su-Ying Fang
BACKGROUND: Acid regurgitation typically worsens during nighttime sleep, which influences the quality of life of patients and potentially causes pathological changes. As much as 80% of esophageal cancer patients experience acid regurgitation following esophagectomy and reconstruction surgery. Thus, improving this symptom is important to improving the quality of life of these patients. PURPOSE: The purpose of the present study was to evaluate the effect of elevating the head of the bed for patients with gastroesophageal reflux disease (GERD)...
June 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27187303/association-of-acute-gastroesophageal-reflux-disease-with-esophageal-histologic-changes
#19
Kerry B Dunbar, Agoston T Agoston, Robert D Odze, Xiaofang Huo, Thai H Pham, Daisha J Cipher, Donald O Castell, Robert M Genta, Rhonda F Souza, Stuart J Spechler
IMPORTANCE: The histologic changes associated with acute gastroesophageal reflux disease (GERD) have not been studied prospectively in humans. Recent studies in animals have challenged the traditional notion that reflux esophagitis develops when esophageal surface epithelial cells are exposed to lethal chemical injury from refluxed acid. OBJECTIVE: To evaluate histologic features of esophageal inflammation in acute GERD to study its pathogenesis. DESIGN, SETTING, AND PARTICIPANTS: Patients from the Dallas Veterans Affairs Medical Center who had reflux esophagitis successfully treated with proton pump inhibitors (PPIs) began 24-hour esophageal pH and impedance monitoring and esophagoscopy (including confocal laser endomicroscopy [CLE]) with biopsies from noneroded areas of distal esophagus at baseline (taking PPIs) and at 1 week and 2 weeks after stopping the PPI medication...
May 17, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27170838/western-view-of-the-management-of-gastroesophageal-foreign-bodies
#20
REVIEW
Aurora Burgos, Luis Rábago, Paloma Triana
The best modality for foreign body removal has been the subject of much controversy over the years. We have read with great interest the recent article by Souza Aguiar Municipal Hospital, Rio de Janeiro, Brazil, describing their experience with the management of esophageal foreign bodies in children. Non-endoscopic methods of removing foreign bodies (such as a Foley catheter guided or not by fluoroscopy) have been successfully used at this center. These methods could be an attractive option because of the following advantages: Shorter hospitalization time; easy to perform; no need for anesthesia; avoids esophagoscopy; and lower costs...
May 10, 2016: World Journal of Gastrointestinal Endoscopy
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