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Esophageal diverticulum

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https://www.readbyqxmd.com/read/28396805/adult-onset-dysphagia-right-sided-aortic-arch-ductus-diverticulum-and-retroesophageal-ligamentum-arteriosum-comprising-an-obstructing-vascular-ring
#1
Ankur Sinha, Hitesh Raheja, Vinod Namana, Sunil Abrol, Stephan Kamholz, Vijay Shetty
A 49-year-old African American male patient with no past medical history was admitted because of 3 months of difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort and appeared malnourished. The chest radiograph revealed a right sided aortic arch with tracheal deviation to the left. A swallow study confirmed a fixed esophageal narrowing at the level of T6. Contrast enhanced Computed Tomography (CT) angiogram of the chest and neck revealed a mirror image right aortic arch with a left sided cardiac apex and a prominent ductus diverticulum (measuring 1...
2017: Case Reports in Cardiology
https://www.readbyqxmd.com/read/28387106/-when-an-encircling-aortic-arch-anomaly-hides-behind-respiratory-and-digestive-symptoms-in-children
#2
M Solowianiuk, C Soulatges, N Farhat, J Holzki, M-C Seghaye
Aortic arch anomalies are relatively frequent and account for 15 to 20 % of all congenital cardiovascular malformations. They can be discovered in case of symptoms of airway or esophageal compression such as dysphagia, chronic cough, stridor, wheezing and recurrent respiratory infections. We report the cases of two children with encircling aortic arch anomaly. The 3-year-old boy had complained of chronic respiratory symptoms such as laryngitis and asthma since the age of 4 months. The 20-month-old boy presented with inter-mittent stridor, dysphagia and frequent vomiting...
November 2016: Revue Médicale de Liège
https://www.readbyqxmd.com/read/28359500/uniportal-video-assisted-thoracoscopic-surgery-resection-of-a-giant-midesophageal-diverticulum
#3
Francesco Paolo Caronia, Alfonso Fiorelli, Mario Santini, Attilio Ignazio Lo Monte
We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, diverticulum, and esophagogastric junction and the better alignment of the stapler cartridge to the longitudinal axis of the esophagus are all technical factors supporting our procedure. Heavily calcified mediastinal lymph nodes and diffuse pleural adhesions are the main contraindications...
April 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28243153/intractable-hiccups-caused-by-esophageal-diverticular-candidiasis-in-an-immunocompetent-adult-a-case-report
#4
Shinsuke Yahata, Tsuneaki Kenzaka, Saeko Kushida, Hogara Nishisaki, Hozuka Akita
INTRODUCTION: Various causes of intractable hiccups have been reported; however, to the best of our knowledge, there are no previous reports of either intractable hiccups due to esophageal candidiasis in an immunocompetent adult or improvement following antifungal therapy. CASE PRESENTATION: An 87-year-old man presented with intractable hiccups. Although the patient was immunocompetent, he used proton pump inhibitors. An esophagogastroduodenos-copy revealed several white deposits throughout the esophagus and extensive white deposits in the midesophageal diverticulum...
2017: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/28229617/giant-esophageal-diverticulum-as-a-new-clinical-indication-for-endoscopic-gastrostomy
#5
Gonçalo Nunes, Carla Adriana Santos, Jorge Fonseca
Persistent mechanical or functional dysphagia is the most common clinical indication for endoscopic gastrostomy (PEG), however less common conditions may justify prolonged enteral feeding to avoid malnutrition and prevent aspiration. The authors report the case of a 76 year old man referred to the artificial feeding outpatient clinic presenting dysphagia, malnutrition and several episodes of aspiration pneumonia. Upper endoscopy showed a giant esophageal diverticulum, ineffective peristalsis and transient lumen narrowing...
February 23, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28203430/single-port-video-assisted-thoracoscopic-surgery-for-a-huge-epiphrenic-esophageal-diverticulum
#6
Do Kyun Kang
Epiphrenic esophageal diverticulum is uncommon disease, which is defined as the herniation of the mucosa and submucosa through the muscle layers of the esophageal wall in distal third of the esophagus. Traditionally, thoracotomy has been the preferred surgical approach. Recently, many surgeons have attempted minimally invasive surgeries for epiphrenic esophageal diverticula. They reported that minimally invasive surgery (MIS) for epiphrenic esophageal diverticula was a safe and feasible approach which had many advantages...
January 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28109370/midesophageal-pulsion-diverticulum-resulting-from%C3%A2-hypercontractile-jackhammer-esophagus
#7
Onkar V Khullar, Sagar R Shroff, Sonali S Sakaria, Seth D Force
We report a patient with significant dysphagia from hypercontractile "jackhammer" esophagus and a midesophageal pulsion diverticulum. This was treated with a thoracoscopic diverticulectomy and a long esophageal myotomy sparing the lower esophageal sphincter (LES). We describe the clinical diagnosis and surgical treatment of this uncommon esophageal motility disorder. To our knowledge, this is the first report in the literature of a midesophageal diverticulum caused by jackhammer esophagus. We propose that in the setting of normal LES function, successful treatment should include diverticulectomy with an LES-sparing myotomy...
February 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28008408/sarcoidosis-causing-mid-esophageal-traction-diverticulum
#8
Shady Guirguis, Sulaiman Azeez, Sarwat Amer
No abstract text is available yet for this article.
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27967203/peroral-endoscopic-myotomy-for-an-achalasia-patient-with-multiple-esophageal-diverticula
#9
Yuyong Tan, Hongyi Zhu, Deliang Liu
Peoral endoscopic myotomy (POEM) has been proved to be safe and effective for treating achalasia, however the presence of esophageal diverticulum would increase the technical difficulty. In this letter, we firstly report a case regarding POEM for achalasia with concomitant multiple esophageal diverticulums.
January 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27916367/esophageal-duplication-cysts-and-closure-of-the-muscle-layer
#10
Leo Andrew Benedict, Sigrid Bairdain, Jessica K Paulus, Carl-Christian Jackson, Catherine Chen, Cassandra Kelleher
BACKGROUND: Foregut duplication cysts are rare congenital anomalies that require surgical intervention with approximately 10%-15% of all gastrointestinal duplication cysts originating from the esophagus. Consensus is lacking among surgeons regarding closure of the esophageal muscle layer after resection of an esophageal duplication cyst and long-term outcomes are poorly documented. Therefore, we conducted the first study comparing complication rates in patients undergoing closure versus nonclosure of the esophageal muscle layer after esophageal duplication cyst resection...
November 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27804931/-endoscopic-surgery-for-benign-diseases-and-injuries-of-the-esophagus-with-commentary
#11
V I Oskretkov, A A Gur'yanov, V A Gankov, G I Klimova, A R Andreasyan, D V Balatsky, V V Fedorov, S A Maslikova
AIM: To analyze the results of surgical treatment of patients with benign diseases and injuries of the esophagus. MATERIAL AND METHODS: We summarized the experience of different endoscopic interventions in 159 patients with various benign diseases and perforation of the esophagus. Patients with achalasia (72 cases) underwent videolaparoscopic Geller's esophagomyotomy with anterior hemiesophagofundoplication by Dor. Video-assisted thoracoscopic extirpation of the esophagus with simultaneous or delayed esophagocolo/gastroplasty was performed in 56 patients with post-ambustial cicatricial stenosis of the esophagus...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27785316/pharyngoesophageal-obstruction-on-the-killian-laimer-triangle-by-zenker-s-diverticulum-case-report-and-clinical-significance
#12
Tulio F Leite, Carlos A A Chagas, Lucas A S Pires, Rafael Cisne, Marcio A Babinski
Zenker's diverticulum is a form of esophageal and pharyngeal obstruction located at the Killian-Laimer triangle. It is relatively common in elderly man (seventh or eighth decade of life), and its pathophysiology is not completely understood, albeit theories regarding dysfunction of the upper esophageal sphincter were reported. The main symptoms are dysphagia and odynophagia, but it can complicate to aspiration and perforation of the pharyngeal pouch; also, it can be asymptomatic. Diagnosis is provided through a barium esophagogram...
December 2015: Gastroenterology Research
https://www.readbyqxmd.com/read/27766272/single-stage-aortic-arch-replacement-without-circulatory-arrest
#13
Ricardo G Marenchino, Alberto Domenech
A 78-year-old man with a Kommerell diverticulum and aberrant right subclavian artery was admitted for thoracic pain and severe malnutrition due to esophageal compression. We performed an atypical surgical procedure including extra-anatomical debranching and direct aortic repair, trying to avoid deep hypothermic circulatory arrest and shorten the cardiopulmonary bypass time.
February 2016: Aorta (Stamford, Conn.)
https://www.readbyqxmd.com/read/27721731/giant-esophageal-lipoma-as-an-uncommon-cause-of-diverticula
#14
Erdal Yekeler, Alkin Yazicioglu, Mahmut Subasi, Hacer Boztepe
Esophageal lipoma is an uncommon benign tumor of the esophagus and accounts for only 0.4% of all benign neoplasms of the gastrointestinal system. The majority of these are located in the cervical part; only very few are located in the lower third of the esophagus. We discuss the case of a 37-year-old female who presented with dysphagia and an esophageal lipoma located in the lower third of the esophagus. The patient underwent right mini-thoracotomy and enucleation of lipoma. Histopathologic examination revealed adipose tissue with a collection of matured adipose tissue...
May 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27698850/killian-jamieson-diverticulum-mimicking-a-calcified-thyroid-nodule-on-ultrasonography-a-case-report-and-literature-review
#15
Li Cao, Junna Ge, Donghui Zhao, Shangtong Lei
As a rare hypopharyngeal diverticulum, Killian-Jamieson diverticulum (KJD) is usually incidentally detected, small, asymptomatic and likely to be misdiagnosed as a thyroid nodule. In order to avoid unnecessary treatments resulting from misdiagnosis, principles to distinguish between esophageal diverticula and thyroid nodules should be noted clearly. The current study presents a case of an asymptomatic unilateral KJD that mimicked a calcified thyroid nodule. In the current case, a 40-year-old man presented with a 'suspected malignant thyroid nodule' in the left thyroid gland, and underwent left thyroid lobectomy and a neck exploration...
October 2016: Oncology Letters
https://www.readbyqxmd.com/read/27616617/categorization-and-repair-of-recurrent-and-acquired-tracheoesophageal-fistulae-occurring-after-esophageal-atresia-repair
#16
C Jason Smithers, Thomas E Hamilton, Michael A Manfredi, Lawrence Rhein, Peter Ngo, Dorothy Gallagher, John E Foker, Russell W Jennings
PURPOSE: Recurrent trachea-esophageal fistula (recTEF) is a frequent (5%-10%) complication of congenital TEF (conTEF) and esophageal atresia (EA) repair. In addition, postoperative acquired TEF (acqTEF) can occur in addition to or even in the absence of prior conTEF in the setting of esophageal anastomotic complications. Reliable repair often proves difficult by endoluminal or standard surgical techniques. We present the results of an approach that reliably identifies the TEF and facilitates airway closure as well as repair of associated tracheal and esophageal problems...
August 31, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27611880/results-of-a-tailored-approach-to-zenker-s-diverticulum-a-single-va-experience
#17
George Orthopoulos, Brad S Oriel, C Jeff Siegert, Abraham Lebenthal, John Gooey, P Marco Fisichella
The transoral division of the esophageal-diverticula septum with a linear stapler, with CO2 laser, or with harmonic scalpel under rigid endoscopy has revolutionized the surgical management of Zenker's diverticula. Nevertheless, the open approach still plays a role in select cases. Our goals are to illustrate the techniques and the results of our tailored approach to the surgical management of Zenker's diverticula in U.S. veterans.
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27580769/killian-jamieson-diverticulum-a-true-esophageal-diverticulum
#18
Ghulamullah Shahzad, Kinesh Changela, Shahzad Iqbal
No abstract text is available yet for this article.
September 2016: American Journal of Gastroenterology
https://www.readbyqxmd.com/read/27489986/endoscopic-septotomy-of-a-magnet-induced-neoseptum-in-a-large-mid-esophageal-diverticulum
#19
Selcuk Disibeyaz, Fatih Saygili, Erkin Oztas, Orhan Coskun
No abstract text is available yet for this article.
2016: Endoscopy
https://www.readbyqxmd.com/read/27403312/characteristics-of-chronic-megacolon-among-patients-diagnosed-with-multiple-endocrine-neoplasia-type-2b
#20
Denys Gibbons, Michael Camilleri, Alfred D Nelson, Deborah Eckert
BACKGROUND: Gastrointestinal symptoms are frequent in multiple endocrine neoplasia (MEN) 2B and may be related to megacolon. OBJECTIVE: The objective of this article is to review the clinical features of patients with MEN 2B, particularly megacolon. METHODS: We used natural language processing of electronic medical records of Mayo Clinic patients over 20 years: Eight patients with definite MEN 2B were identified; of these, four had megacolon...
June 2016: United European Gastroenterology Journal
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