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https://www.readbyqxmd.com/read/28838507/magnetic-twin-stent-for-short-term-palliation-of-acquired-nonmalignant-tracheoesophageal-fistula
#1
Áron Altorjay, Miklós Rüll, Ágnes Sárkány
Through a tracheostomy with a rigid esophagoscope in the esophagus, the authors simultaneously placed self-made magnetic twin stents in a critically ill patient with high tracheoesophageal fistula. The operation took 17 minutes. Oral nutrition was started immediately. The stents were checked and changed after the months 3, 7, and 14. At 18 months, a tracheal resection and esophageal reconstruction through a partial median sternotomy was completed successfully. The magnetic twin stent technique can temporize critically ill patients with an acquired nonmalignant tracheoesophageal fistula until they become operable...
September 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28744724/concordance-of-clinical-diagnosis-of-t-classification-among-physicians-for-locally-advanced-unresectable-thoracic-esophageal-cancer
#2
Tomoya Yokota, Takushi Yasuda, Hiroyuki Kato, Isao Nozaki, Hiroshi Sato, Yoshinori Miyata, Yoshifumi Kuroki, Ken Kato, Yasuo Hamamoto, Yasuhiro Tsubosa, Hirofumi Ogawa, Yoshinori Ito, Yuko Kitagawa
BACKGROUND: We conducted a multicenter phase II trial assessing chemoselection with docetaxel plus 5-fluorouracil and cisplatin induction chemotherapy and subsequent conversion surgery for locally advanced, unresectable esophageal cancer. The aim of this study was to validate the concordance of clinical T diagnosis among physicians in the cases of this trial. METHODS: Computed tomography scans and esophagoscopic images of 48 patients taken at baseline were centrally reviewed by 6 senior physicians with experience in esophageal oncology...
July 25, 2017: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/28497587/office-based-procedures-for-diagnosis-and-treatment-of-esophageal-pathology
#3
REVIEW
David J Wellenstein, Henrieke W Schutte, Henri A M Marres, Jimmie Honings, Peter C Belafsky, Gregory N Postma, Robert P Takes, Guido B van den Broek
BACKGROUND: Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed. METHODS: We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus. RESULTS: Transnasal esophagoscopy is an extensively investigated office-based procedure...
September 2017: Head & Neck
https://www.readbyqxmd.com/read/27353484/macrophage-targeted-indocyanine-green-neomannosyl-human-serum-albumin%C3%A2-for%C3%A2-intraoperative-sentinel-lymph-node%C3%A2-mapping%C3%A2-in-porcine-esophagus
#4
COMPARATIVE STUDY
Hyun Koo Kim, Yu Hua Quan, Yujin Oh, Ji Yong Park, Ji-Ho Park, Yeonho Choi, Yun-Sang Lee, Jae Min Jeong, Young Ho Choi, Beop-Min Kim
BACKGROUND: The sentinel lymph node (SLN) concept has been proposed to avoid unnecessary invasive LN dissection in surgery for esophageal cancer. This study evaluated a new macrophage-targeting fluorescent agent, indocyanine green-neomannosyl human serum albumin (ICG:MSA), for SLN mapping using a custom-made intraoperative color and fluorescence-merged imaging system (ICFIS) in porcine esophagus. METHODS: The LN targeting ability of ICG:MSA, indocyanine green-human serum albumin (ICG:HSA), and ICG was examined in vitro using the U937 differentiated monocyte cell line and in vivo in a mouse footpad model using fluorescence imaging...
October 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27149873/rigid-endoscopic-laser-diverticulotomy-for-lateral-pharyngoesophageal-diverticuli-cases-presentation-and-discussion
#5
Yu-Chang Chang, Chao-Yun Chi, Chia-Jung Lee
Killian-Jamieson diverticulum (KJD) is a rare cervical esophageal abnormality. Transcervical approach has been the main treatment modality to prevent recurrent laryngeal nerve (RLN) injury. We presented two cases of patients confirmed with KJD and were managed successfully under rigid endoscope. The new technique and idea were described in detail. Under rigid laryngoscope, the septum between the true esophagus lumen and diverticulum can be exposed clearly. A microscope equipped with CO2 LASER system offered precise and focused point cutting energy to the septum...
December 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27011705/pneumopericardium-due-to-ingestion-of-button-battery
#6
Jai Prakash Soni, Sandeep Choudhary, Pramod Sharma, Mohan Makwana
Mostly ingested button batteries passed through the gastrointestinal tract without any adverse effects. But button battery can lead to hazardous complications including tracheoesophageal fistula (TEF), especially when the battery is impacted in the esophagus. Urgent esophagoscopic removal of the battery is essential in all cases. Once the TEF is identified, conservative management is the initial treatment of choice. Delayed primary repair can be tried if spontaneous closure does not occur. Here in we want to report a rare case of air leak syndrome, pneumo-pericardium secondary to the corrosive effect of a button battery and child recovered completely with conservative management...
January 2016: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/26600075/development-and-evaluation-of-a-rigid-esophagoscopy-simulator-for-residency-training
#7
Amir Allak, Yizhen E Liu, Marianna S Oliynyk, Kai H Weng, Mark J Jameson, David C Shonka
OBJECTIVES/HYPOTHESIS: Rigid esophagoscopy is performed less frequently by resident trainees. Nonetheless, it remains important for certain indications, including foreign body extraction. This study describes the construction of a simulator and evaluates its utility in training residents. STUDY DESIGN: Simulator development, fabrication, and procedural evaluation of postgraduate trainees. METHODS: A simulator was developed and constructed in collaboration with a biomedical engineering team...
March 2016: Laryngoscope
https://www.readbyqxmd.com/read/26457086/trichobezoar-causing-airway-compromise-during-esophagogastroduodenoscopy
#8
Erica Y Kao, Nicholas J Scalzitti, Gregory R Dion, Sarah N Bowe
Objectives. (1) Report the case of a 5-year-old female with trichotillomania and trichophagia that suffered airway compromise during esophagogastroduodenoscopy for removal of a trichobezoar. (2) Provide management recommendations for an unusual foreign body causing extubation and partial airway obstruction. Methods. Case report of a rare situation of airway compromise caused by a trichobezoar. Results. A 5-year-old patient underwent endoscopic retrieval of a gastric trichobezoar (hairball) by the gastroenterology service under general endotracheal anesthesia in a sedation unit...
2015: Case Reports in Medicine
https://www.readbyqxmd.com/read/25965540/historical-perspectives-of-bronchoscopy-connecting-the-dots
#9
Tanmay S Panchabhai, Atul C Mehta
The era of bronchoscopy began with Gustav Killian in 1876 when he removed a pork bone from a farmer's airway, using an esophagoscope. Prompted by this accomplishment, Chevalier Jackson, an American otolaryngologist, laid the platform for the modern-day rigid bronchoscope in the early twentieth century. In 1967 Shigeto Ikeda revolutionized the field of bronchoscopy by his innovation of the fiberoptic bronchoscope. Today, bronchoscopy and interventional pulmonology have become an integral part of pulmonary medicine and an established subspecialty...
May 2015: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/25889037/minimally-invasive-hybrid-surgery-combined-with-endoscopic-and-thoracoscopic-approaches-for-submucosal-tumor-originating-from-thoracic-esophagus
#10
Hiroyuki Daiko, Takeo Fujita, Takahiro Ohgara, Nobuyoshi Yamazaki, Satoshi Fujii, Yasuhiro Ohno, Tomonori Yano
BACKGROUND: Despite the efficacy of molecular targeted therapy, surgical resection remains the only curative primary treatment for gastrointestinal stromal tumors (GISTs). However, in cases when the tumor originates from the thoracic esophagus, conventional transthoracic approach is highly invasive. METHODS: All procedures were performed with patients in a prone position through a double-lumen endotracheal tube for single-lung ventilation. First, to clarify the resection layer between the tumor and mucosal layer of the esophagus, a sodium hyaluronate solution colored with indigo carmine was injected into the submucosa via the esophagoscopic approach...
2015: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/25778026/minimally-invasive-hybrid-surgery-combined-with-endoscopic-and-thoracoscopic-approaches-for-submucosal-tumor-originating-from-thoracic-esophagus
#11
Hiroyuki Daiko, Takeo Fujita, Takahiro Ohgara, Nobuyoshi Yamazaki, Satoshi Fujii, Yasuhiro Ohno, Tomonori Yano
BACKGROUND: Despite the efficacy of molecular targeted therapy, surgical resection remains the only curative primary treatment for gastrointestinal stromal tumors (GISTs). However, in cases when the tumor originates from the thoracic esophagus, conventional transthoracic approach is highly invasive. METHODS: All procedures were performed with patients in a prone position through a double-lumen endotracheal tube for single-lung ventilation. First, to clarify the resection layer between the tumor and mucosal layer of the esophagus, a sodium hyaluronate solution colored with indigo carmine was injected into the submucosa via the esophagoscopic approach...
December 2015: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/25691227/-prevention-and-treatment-of-intraoperative-complications-of-thoracic-surgery
#12
REVIEW
L Lampl
In order to achieve a minimal complication rate there is a need for a comprehensive strategy. This means in the first line preventive steps which include patient positioning, suitable approaches and access, an appropriately qualified surgical team as well as a carefully planned dissection and preparation. Furthermore, a supply of additional instrumentation, such as thrombectomy catheters, special vascular clamps and even extracorporeal membrane oxygenation (ECMO) and a heart-lung machine (HLM) in cases of centrally located lesions should be on stand-by...
May 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/25430852/an-objective-comparison-regarding-rate-of-fistula-and-stricture-among-anterolateral-thigh-radial-forearm-and-jejunal-free-tissue-transfers-in-circumferential-pharyngo-esophageal-reconstruction
#13
COMPARATIVE STUDY
Ngian Chye Tan, Pao-Yuan Lin, Pao-Jen Kuo, Yun-Ta Tsai, Yen-Chou Chen, Khanh Thien Nguyen, Yur-Ren Kuo
BACKGROUND: The three commonly used free flaps for circumferential pharyngeal reconstruction after total pharyngo-laryngectomy are the radial forearm flap (RFF), the anterolateral thigh (ALT) flap, and the jejunum flap. This study was to objectively compare three different flaps for pharyngeal reconstruction during the past 10 years. Stricture and fistula were assessed using esophagogram and esophagoscopy. METHODS: Forty-five patients with pharyngeal reconstructions had esophagram and esophagoscopy done postoperatively to assess for strictures and fistulas...
July 2015: Microsurgery
https://www.readbyqxmd.com/read/25295352/endoscopic-clip-for-closure-of-persistent-tracheoesophageal-fistula-in-an-infant
#14
Evan J Propst, Simon C Ling, Alan Daneman, Jacob C Langer
No abstract text is available yet for this article.
September 2014: Laryngoscope
https://www.readbyqxmd.com/read/25228669/utility-of-the-transnasal-esophagoscope-in-the-management-of-chemoradiation-induced-esophageal-stenosis
#15
Kevin A Peng, Aaron J Feinstein, Jonathan B Salinas, Dinesh K Chhetri
OBJECTIVE: This study aimed to describe management of esophageal stenosis after chemoradiation therapy for head and neck squamous cell carcinoma (HNSCC), with particular emphasis on techniques and outcomes with the use of the transnasal esophagoscope (TNE) in the office as well as operating room settings. METHODS: Retrospective analysis of all patients with esophageal stenosis following head and neck cancer radiation, with or without chemotherapy, and managed with TNE-assisted esophageal dilation over a 5-year period...
March 2015: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/25048555/photodynamic-therapy-and-endoscopic-mucosal-resection-as-minimally-invasive-approaches-for-the-treatment-of-early-esophageal-tumors-pre-clinical-and-clinical-experience-in-lausanne
#16
A Radu, P Grosjean, Y Jaquet, R Pilloud, G Wagnieres, H van den Bergh, Ph Monnier
Esophageal cancer, when detected at an early stage, has a very good probability of being eradicated by surgery or radiotherapy. However, less aggressive treatments also tend to provide high rates of cure without the side effects of radical surgery or radiotherapy. Among them, photodynamic therapy and endoscopic mucosal resection have been experienced as alternative techniques for mucosal ablation in patients with superficial squamous-cell carcinoma (SCC) of the esophagus, or high-grade dysplasia and early stage adenocarcinoma arising in Barrett's esophagus...
March 2005: Photodiagnosis and Photodynamic Therapy
https://www.readbyqxmd.com/read/25026822/-clinical-analysis-of-esophageal-perforation-and-neck-abscess-induced-by-esophageal-foreign-body
#17
Qingjia Gu, Jiangang Fan, Jingxian Li, Gang He
OBJECTIVE: To investigate the diagnosis and treatment of esophageal perforation and neck abscess induced by esophageal foreign body and to make a better solution for the disease. METHOD: Twenty-four cases with esophageal perforation and neck abscess induced by esophageal foreign body treated in our department were surgery under general anesthesia. The foreign bodies were removed via esophagoscope in 14 cases, thorocomy in 3 eral neck incision in 5; and no foreign bodies were found in 2 cases...
April 2014: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/24834074/aerodigestive-foreign-bodies-in-adult-ethiopian-patients-a-prospective-study-at-tikur-anbessa-hospital-ethiopia
#18
Abebe Bekele
Introduction. Foreign bodies (FBs) in the aerodigestive tract are important causes of morbidity and mortality and pose diagnostic and therapeutic challenges. The best method of removal of an esophageal and tracheobronchial FB is endoscopic guided extraction. Objective. To present our experience of the removal of aerodigestive FBs in adult Ethiopian patients using rigid endoscopes. Methods. A hospital-based prospective study, at Tikur Anbessa Referral and Teaching Hospital, from January 2011 to December 2012 (over two years)...
2014: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/24824416/the-university-of-chicago-contribution-to-the-treatment-of-gastroesophageal-reflux-disease-and-its-complications-a-tribute-to-david-b-skinner-1935-2003
#19
Christina L Greene, Stephanie G Worrell, Marco G Patti, Tom R DeMeester
OBJECTIVE: To highlight the contributions from the University of Chicago under the leadership of Dr David B. Skinner to the understanding of gastroesophageal reflux disease (GERD) and its complications. BACKGROUND: The invention of the esophagoscope confirmed that GERD was a premorbid condition. The medical world was divided between those who believed in a morphological lower esophageal sphincter (LES) and those who did not. Those who did not believe attempted to rearrange the anatomy of the foregut organs to stop reflux with minimal success...
March 2015: Annals of Surgery
https://www.readbyqxmd.com/read/24748920/accuracy-of-transnasal-endoscopy-with-a-disposable-esophagoscope-compared-to-conventional-endoscopy
#20
María R Aedo, Miguel Á Zavala-González, Arturo Meixueiro-Daza, José María Remes-Troche
AIM: To assess feasibility of unsedated esophagoscopy using a small-caliber disposable transnasal esophagoscopy and to compare its accuracy with standard endoscopy. METHODS: We prospectively included subjects who were referred for upper endoscopy. All subjects underwent transnasal endoscopy with E.G. Scan™. The disposable probe has a 3.6 mm gauge and at its distal end there is a 6 mm optical capsule, with a viewing angle of 125°. Patients underwent conventional endoscopy after the completion of E...
April 16, 2014: World Journal of Gastrointestinal Endoscopy
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