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Esophageal perforation

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https://www.readbyqxmd.com/read/29787538/intrathoracic-transmural-esophageal-perforation-boerhaave-s-syndrome-challenges-in-management-of-the-delayed-presentation
#1
Irada Ibrahim-Zada, Phil Ernest, Ernest E Moore
No abstract text is available yet for this article.
April 30, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29779221/nasojejunal-stent-technique-njst-a-new-system-to-prevent-fully-covered-metal-stent-migration-in-the-treatment-of-benign-esophageal-diseases
#2
Oscar Víctor Hernández Mondragón, Raquel Palos Cuellar, Enrique Murcio Pérez
Fully covered self-expandable metal stents (FCSEMS) have been used for the treatment of benign esophageal conditions such as perforation, leaks, and strictures [1]; high clinical success is reported [2]. Different anchoring methods have been described (clips, suturing devices, over-the-scope clips and Shim technique [2]), because of high migration rates (4-36%) [3,4]. However, not all cases are candidates, mostly in "difficult" cases where enteral feeding is needed [5]. We report the use of the nasojejunal-stent technique (NJST) to prevent migration of FCSEMS in three difficult cases...
May 19, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29766515/results-of-pneumatic-dilation-in-treating-achalasia-predictive-factors
#3
REVIEW
Valter Nilton Felix
Forced pneumatic dilatation (PD) of the cardia is one of the most consecrated therapeutic measures for esophageal achalasia. The procedure only achieved better standardization with the appearance of the Rigiflex balloon. Results and predictive factors of success and failure of PD are reviewed, right after the description of the main technical aspects of the procedure. The success rates, providing control of dysphagia for about 1 year from the procedure using the Rigiflex balloon, are quite satisfactory, with success in more than 75% of patients...
May 16, 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29764457/video-mediastinoscopy-assisted-fish-bone-extraction-and-superior-medistinal-abscess-debridement
#4
Jun Wang, Wei Bing Wu, Liang Chen, Quan Zhu
BACKGROUND: Mediastinum abscess caused by sharp esophageal foreign body perforation usually needs surgical treatment, and the surgical procedures vary according to size of perforation and scope of abscess, etc. For special case with small esophageal mucosal crevasse and focal abscess confined to mediastinum, minimally invasive surgery with guidance of video-mediastinoscopy would be an alternative method, however, application of video-mediastinoscopy in this life-threatening situation was rarely reported...
May 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29750984/liquid-nitrogen-spray-cryotherapy-for-dysphagia-palliation-in-patients-with-inoperable-esophageal-cancer
#5
Toufic Kachaamy, Ravi Prakash, Madappa Kundranda, Raman Batish, Jeffrey Weber, Scott Hendrickson, Leon Yoder, Hannah Do, Theresa Magat, Rajeev Nayar, Digant Gupta, Trisha DaSilva, Ashish Sangal, Shivangi Kothari, Vivek Kaul, Pankaj Vashi
BACKGROUND AND AIMS: Dysphagia is a debilitating symptom in patients with inoperable esophageal cancer contributing to poor quality of life and worsening nutritional status. The 2 most commonly used palliative modalities for dysphagia are radiation therapy (RT) and esophageal stent placement. However, RT is limited by adverse events (AEs) and total dose, and stent placement has a high rate of AEs including reflux, migration, and chest pain. A relatively new modality of liquid nitrogen endoscopic spray cryotherapy has been described as salvage when other options have been exhausted and when patients are no longer receiving systemic therapy...
May 8, 2018: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/29725823/esophageal-perforation-caused-by-a-thoracic-pedicle-screw
#6
REVIEW
Stanislas Marouby, Clément Jeandel, Djamel Louahem M'Sabah, Marion Delpont, Jérôme Cottalorda
This grand round raises the risk of a rare complication that can be avoided with the knowledge of the particular anatomy of scoliosis vertebra. Transpedicular screws have been reported to enhance the operative correction in scoliosis surgery. The narrow and inconsistent shape of the thoracic pedicles makes the placement of pedicle screws technically challenging. Furthermore, in thoracic curves, the close proximity of the spinal cord and major soft tissue structures also adds a greater risk to the procedure...
May 3, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29717359/serious-complications-after-button-battery-ingestion-in-children
#7
Hilde Krom, Margot Visser, Jessie M Hulst, Victorien M Wolters, Anita M Van den Neucker, Tim de Meij, Hubert P J van der Doef, Obbe F Norbruis, Marc A Benninga, Margot J M Smit, Angelika Kindermann
Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands.All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0-18 years) between 2008 and 2016 retrospectively.Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1)...
May 2, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29707359/esophagectomy-for-benign-disease
#8
REVIEW
Jessica Mormando, Arianna Barbetta, Daniela Molena
Esophagectomy for benign disease is uncommonly used but it is an important option to consider in those patients who have lost function of this organ. Esophageal resection is, in fact considered as a last resort for benign disease, after multiple failed conservative treatments, when the primary disease is not amenable to other treatments and the esophagus has become non-functional leading to very poor quality of life. The indications for esophagectomy for benign diseases can be divided into three major categories: obstruction, perforation and dysmotility...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29706816/thoracoscopic-management-of-a-mediastinal-abscess-caused-by-extra-esophageal-migration-of-a-metal-brush-bristle
#9
Ahmed Ebrahim, Sasha Still, Gary Schwartz
Foreign body perforations of the esophagus are infrequent events yet have the potential to cause significant morbidity and mortality. The clinical consequences of esophageal perforation by a foreign body are dependent upon the severity of infectious sequelae and damage to surrounding structures by the foreign object itself, as detailed in previous published reports. We describe the thoracoscopic management of a mediastinal abscess caused by a foreign body perforation in a patient with an intact esophagus.
April 2018: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/29699062/patient-response-to-endoscopic-therapy-for-gastroesophageal-varices-based-on-endoscopic-ultrasound-findings
#10
Yujen Tseng, Lili Ma, Tiancheng Luo, Xiaoqing Zeng, Feng Li, Na Li, Yichao Wei, Shiyao Chen
Background/Aims: Gastroesophageal variceal hemorrhage is a common complication of portal hypertension. Endoscopic therapy is currently recommended for preventing gastroesophageal variceal rebleed. However, the rate of variceal rebleed and its associated mortality remain concerning. This study is aimed at differentiating patient response to endoscopic therapy based on endoscopic ultrasound (EUS) findings. Methods: One-hundred seventy patients previously treated with repeat endoscopic therapy for secondary prophylaxis were enrolled and classified into two groups based on treatment response...
April 27, 2018: Gut and Liver
https://www.readbyqxmd.com/read/29686470/endoscopic-submucosal-dissection-for-early-esophageal-neoplasms-using-the-stag-beetle-knife
#11
Toshio Kuwai, Toshiki Yamaguchi, Hiroki Imagawa, Ryoichi Miura, Yuki Sumida, Takeshi Takasago, Yuki Miyasako, Tomoyuki Nishimura, Sumio Iio, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno, Sauid Ishaq
AIM: To determine short- and long-term outcomes of endoscopic submucosal dissection (ESD) using the stag beetle (SB) knife, a scissor-shaped device. METHODS: Seventy consecutive patients with 96 early esophageal neoplasms, who underwent ESD using a SB knife at Kure Medical Center and Chugoku Cancer Center, Japan, between April 2010 and August 2016, were retrospectively evaluated. Clinicopathological characteristics of lesions and procedural adverse events were assessed...
April 21, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29675866/endoscopic-needle-knife-treatment-for-symptomatic-esophageal-zenker-s-diverticulum-a-meta-analysis-and-systematic-review
#12
Lian Yong Li, Yong Tao Yang, Chang Min Qu, Shu Wen Liang, Chang Qing Zhong, Xiao Ying Wang, Yan Chen, Robert M Spandorfer, Sarah Christofaro, Qiang Cai
OBJECTIVE: The aim of this study was to assess the efficacy and safety following endoscopic management of Zenker's diverticulum (ZD) using a needle-knife technique. METHODS: A systematic search of PubMed, Embase and Cochrane library databases was performed. All original studies reporting efficacy and safety of needle-knife technique for treatment of ZD were included. Pooled event rates across studies were expressed with summative statistics. Main outcomes, such as rates of immediate symptomatic response (ISR), adverse events and recurrence, were extracted, pooled and analyzed...
April 19, 2018: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/29674757/ten-initial-cases-of-peroral-endoscopic-myotomy-for-treatment-of-esophageal-motility-disorders-at-okayama-university-hospital
#13
Yuusaku Sugihara, Keita Harada, Ryo Kato, Kenji Yamauchi, Shiho Takashima, Daisuke Takei, Yasushi Yamasaki, Toshihiro Inokuchi, Masahiro Takahara, Sakiko Hiraoka, Hiroyuki Okada
Peroral endoscopic myotomy (POEM) for treatment of esophageal motility disorders has recently been reported to be highly effective and less invasive than other treatment. POEM was recently introduced in Okayama University Hospital under the supervision of a physician from a high-volume center. To verify the safety and efficacy of POEM during its introduction in our institution. We examined 10 cases in whom POEM was performed between January 2016 and April 2017. The patients included 7 men and 3 women, with a median age (range) of 49 years (17-74) and median symptom duration of 6 years (1-21)...
April 2018: Acta Medica Okayama
https://www.readbyqxmd.com/read/29670869/pathogenetic-and-prognostic-factors-for-neonatal-gastric-perforation-personal-experience-and-systematic-review-of-the-literature
#14
Chiara Iacusso, Alessandro Boscarelli, Fabio Fusaro, Pietro Bagolan, Francesco Morini
Introduction: Neonatal gastric perforation (NGP) is a rare entity. Our aim was to report our experience and review the recent literature to characterize NGP, describe associated factors, and define prognostic factors. Materials and methods: Retrospective review of all consecutive patients with NGP treated between June 2009 and December 2017 in a third level pediatric hospital. In addition, a systematic review of Medline and Scopus database was performed using a defined strategy...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29670781/-candida-krusei-empyema-thoracis-a-community-acquired-infection-requiring-a-high-index-of-suspicion
#15
Hazim Bukamur, Waseem Ahmed, Yazan Numan, Ibrahim Shahoub, Fuad Zeid
Empyema thoracis is a serious condition characterized by the accumulation of purulent fluid in the pleural cavity, typically following a pneumonia, subdiaphragmatic abscess, or esophageal rupture. Fungal empyema thoracis is a rare form of this condition with especially high mortality, in which the most frequently isolated fungus is Candida spp. This article presents a 74-year-old female with Candida krusei pneumonia and a complicated hospital course, initially presenting with nausea, vomiting, and dysphagia...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29658677/acute-complications-following-endoscopic-intragastric-balloon-insertion-for-treatment-of-morbid-obesity-in-elderly-patients-a-single-center-experience
#16
Nunzio Velotti, Paolo Bianco, Alessio Bocchetti, Marco Milone, Domenico Manzolillo, Paola Maietta, Maurizio Amato, Oreste Buonomo, Giuseppe Petrella, Mario Musella
BACKGROUND: Obesity is a serious disease, with an increasing incidence also among subjects over 60 years old; surgical management has proven to be the most effective in the production of significant and durable weight loss. Intragastric balloon (IGB) treatment, promotes a reduction of five to nine body mass index (BMI) units in 6 months with an impressive improvement of obesity-associated comorbidities. METHODS: Two hundred and twenty five patients, 106 men (47...
April 13, 2018: Minerva Chirurgica
https://www.readbyqxmd.com/read/29658669/-segmented-biodegradable-esophageal-stents-in-a-porcine-model-preclinical-evaluation-of-degradation-complications-and-tissue-reactions
#17
Yang Cao, Yadong Feng, Chunhua Jiao, Ruihua Shi
<b>Objective:</b> To evaluate the feasibility of two types of segmented biodegradable esophageal stents in treatment of refractory benign esophagus strictures. <b>Methods:</b> Uncovered biodegradable segmented stent and fully-covered biodegradable segmented stent were implanted into the porcine esophagus (6 for each). Data on biodegradation, complications, and tissue reactions were compared between two groups. <b>Results:</b> All animals kept good general conditions; no death, decreased food intake, weight loss and malnutrition were observed...
May 25, 2017: Zhejiang da Xue Xue Bao. Yi Xue Ban, Journal of Zhejiang University. Medical Sciences
https://www.readbyqxmd.com/read/29656451/patient-with-mediastinitis-caused-by-delayed-mucosal-damage-after-peroral-endoscopic-myotomy
#18
Hiroki Okada, Hironari Shiwaku, Kanefumi Yamashita, Toshihiro Ohmiya, Haruhiro Inoue, Suguru Hasegawa
Peroral endoscopic myotomy (POEM) is a groundbreaking procedure for treating esophageal achalasia, and many reports from various facilities have described its safety and efficacy. However, there have been few reports on adverse events. Here, we report a case of a patient with mediastinitis caused by delayed mucosal damage after POEM. This case was the most severe among all POEM cases at our hospital. A 58-year-old man had experienced dysphagia and chest tightness since he was around 50 years old. At a previous hospital, he had been diagnosed with nonerosive reflux disease and had undergone fundoplication...
April 15, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29651403/enhanced-wound-healing-after-leiomyoma-enucleation
#19
Masood Amini, Mohammad Hassan Hashemizadeh, Seyedeh Leila Poorbaghi
Leiomyoma is a rare esophageal tumor that constitutes less than 1% of esophageal malignancies. It should be removed when diagnosed even if asymptomatic. This study presents two cases of esophageal leiomyoma in 38 and 62 years old men who presented with dysphagia and evaluated for diagnosis and location of related tumors. Patients were clinically examined and upper gastrointestinal endoscopy, chest computerized tomography scan, barium swallow and endoscopic ultrasonography were performed. The masses were diagnosed and both patients underwent 3-port right videothoracoscopic enucleation of esophageal leiomyoma with sleeve calibration tube (SCT) assistance...
January 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29610732/thoracic-perforations-surgical-techniques
#20
REVIEW
Atilla Eroglu, Yener Aydin, Omer Yilmaz
Esophageal perforation may occur spontaneously, iatrogenically or in connection with traumas. Sepsis may develop in connection with mediastinal and pleural exposure in a very short time as a consequence of disintegration of the esophagus. Esophageal perforation is an emergency accompanied with a high level of mortality and morbidity. Rate of mortality for the perforations in the thoracic region is higher than that in the cervical and abdominal regions. Delay in diagnosis and treatment is the most important factor to affect the mortality...
February 2018: Annals of Translational Medicine
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