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esophagus stenosis

V Becker, D Ostler, H Feussner, S Nennstiel, B Haller, R M Schmid, M Bajbouj, A Schneider
BACKGROUND: Esophageal bougination is a worldwide standard endoscopic procedure. Clinical methods and recommendations are based on clinical experiences only. Mechanical properties have never been described. Aim of the study was to establish a realistic ex vivo training model. Therefore, detailed assessment of relevant mechanical features of esophageal bougination should be evaluated ex vivo and in patient setting and correlated against. PATIENTS AND METHODS: A three-step concept was used to evaluate mechanical properties at stenosis level...
September 26, 2016: Surgical Endoscopy
Uri Kopylov, Artur Nemeth, Alba Cebrian, Gabriele Wurm Johansson, Henrik Thorlacius, Ignacio Fernandez-Urien Sainz, Anastasios Koulaouzidis, Rami Eliakim, Ervin Toth
BACKGROUND AND AIMS: The patency capsule is designed to evaluate the patency of the small bowel before administration of small-bowel capsule endoscopy (SBCE) in patients at high risk of retention. The utilization of a patency capsule may be associated with a risk of symptomatic retention, but very few cases have been reported to date. The aim of our study was to describe our experience with this rare complication of a patency capsule. METHODS: This was a multicenter retrospective case series...
September 2016: Endoscopy International Open
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
Johannes S Kern, Kristin Technau-Hafsi, Henning Schwacha, Jan Kuhlmann, Gunther Hirsch, Volker Brass, Peter Deibert, Anette Schmitt-Graeff, Wolfgang Kreisel
OBJECTIVE: Lichen planus (LP) is a classic skin disease that can involve the skin, hair, and nails, as well as the oral and genital mucosa. Histopathology is characterized by a T-lymphocytic, lichenoid, and interface dermatitis. Multiple case reports and small case series have shown that LP can involve the esophagus. However, the diagnostic criteria, incidence, and best treatment options remain uncertain. This study aimed to refine the diagnostic criteria, estimate prevalence, and present an outlook on treatment options to prevent long-term sequelae...
August 31, 2016: European Journal of Gastroenterology & Hepatology
B G A Rathnamali, G Samarajiwa, D D K Abeyratne, G N D Perera, S B Gunatilake
BACKGROUND: Plate developer is a chemical used in the printing industry and is a corrosive alkaline agent containing sodium metasilicate as the main substance. Plate developer poisoning is rare. Literature search revealed only a single case report of fatal sodium metasilicate poisoning (Z Rechtsmed 94(3):245-250, 1985). There are no reports of acute kidney injury related to ingestion of sodium metasilicate containing substances. CASE REPORT: A 52-year-old Sri Lankan male with a history of hypertension and affective disorder presented following ingestion of about 150 ml of plate developer solution...
2016: BMC Research Notes
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
Briny Omar Rodríguez Vargas, Eduardo Monge Salgado, Pedro Montes Teves, Sonia Salazar Ventura, Edson Guzmán Calderón
OBJECTIVE: To describe the clinical and endoscopic features of caustics injuries in the upper gastrointestinal tract in patients of the National Hospital Daniel Alcides Carrión. MATERIALS AND METHODS: A descriptive study was conducted; the study populations were patients diagnosed with caustic ingestion who were admitted into the Gastroenterology service of the HNDAC to perform an upper endoscopy during the period of January 2009 to December 2012. We documented the type of caustic substance ingested, cause of intake, amount ingested, intake mode, signs or symptoms present, endoscopic findings as classified by Zargar, presence of complications and treatment performed...
April 2016: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Jesus Dante Guerra-Leal, Irene Meester, Juan Ramon Cantu-Gonzalez, Gerardo Ornelas-Cortinas, Alberto Montemayor-Martinez, Julio C Salas-Alanis
OBJECTIVE: The purpose of this study was to assess esophageal damage in patients with recessive dystrophic epidermolysis bullosa (RDEB) with or without dysphagia. SUBJECTS AND METHODS: Fourteen patients with either severe generalized or another generalized form of RDEB recruited through a research and support foundation were evaluated for obstructive esophageal lesions by means of barium esophagography. RESULTS: All patients, even those without dysphagia, had at least one stenosis; five patients had two stenoses...
July 6, 2016: AJR. American Journal of Roentgenology
Chuanshan Zang, Jian Sun, Yan Sun
We report the treatment of one patient with pharynx anastomotic stenosis after cervical esophagealresection by stent implantation. The patient suffered from serious pharynx anastomotic stenosis after gastric-pha-ryngeal anastomosis. After balloon-dilatation,a domestic self-expanding Z-stents was implanted in the stricture ofthe esophagus under the X-rays. After stent implantation, the patient has been leading a normal life for threeyears. Balloon dilatation and stent implantation is an effective and safe method in the treatment of patients withpharynx anastomotic stenosis...
March 2016: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Ningbo Sun, Xunlu Yin, Yuren Zhong, Xiaotian Zhang, Yan Xie, Xiangfang Meng, Q I Zang
α-fetoprotein (AFP)-producing esophageal carcinoma is a rare type of esophageal cancer, with its characteristics not yet fully clarified. In the present study, a case of esophageal carcinoma was misdiagnosed as an AFP-producing esophageal carcinoma. The patient was a 50-year-old woman who was referred to Qianfoshan Hospital Affiliated to Shandong University in November 2014 with a 3-month history of progressive dysphagia. A chest computed tomography (CT) scan showed thickening of the wall of the esophagus, corresponding regions of luminal stenosis and massive lymph node swelling around the lesser curvature of the esophagus...
July 2016: Oncology Letters
Yasushi Yamasaki, Soji Ozawa, Junya Oguma, Akihito Kazuno, Yamato Ninomiya
BACKGROUND: Most of benign esophageal strictures caused by gastroesophageal reflux are short segments and can be treated by an endoscopic dilatation, but cases of long-segment stenosis requiring an esophagectomy are rare. CASE PRESENTATION: A 62-year-old woman had undergone emergency surgery for a giant ovarian tumor rupture at another hospital. A duodenal perforation occurred after surgery but improved with conservative treatment. She had undergone long-term nasogastric tube placement for 4 months because she was on a mechanical ventilator and did not receive proton pump inhibitors (PPIs)...
December 2016: Surgical Case Reports
Gabriel Constantinescu, Vasile Sandru, Madalina Ilie, Cristian Nedelcu, Radu Tincu, Bogdan Popa
Progressive esophageal carcinoma can infiltrate the surrounding tissues with subsequent development of a fistula, most commonly between the esophagus and the respiratory tract. The endoscopic placement of covered self-expanding metallic stents (SEMS) is the treatment of choice for malignant esophageal fistulas and should be performed immediately, as a fistula formation represents a potential life-threatening complication. We report the case of a 64-year-old male diagnosed with esophageal carcinoma, who had a 20Fr surgical gastrostomy tube inserted before chemo- and radiotherapy and was referred to our department for complete dysphagia, cough after swallowing and fever...
June 2016: Journal of Gastrointestinal and Liver Diseases: JGLD
Carl L Backer, Michael C Mongé, Andrada R Popescu, Osama M Eltayeb, Jeffrey C Rastatter, Cynthia K Rigsby
The term vascular ring refers to congenital vascular anomalies of the aortic arch system that compress the esophagus and trachea, causing symptoms related to those two structures. The most common vascular rings are double aortic arch and right aortic arch with left ligamentum. Pulmonary artery sling is rare and these patients need to be carefully evaluated for frequently associated tracheal stenosis. Another cause of tracheal compression occurring only in infants is the innominate artery compression syndrome...
June 2016: Seminars in Pediatric Surgery
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 endoscopic interventions for benign diseases and injuries of the esophagus. MATERIAL AND METHODS: 159 patients with benign diseases and perforation of the esophagus were operated. There were 72 (45.3%) cases of achalasia, 56 (35.2%) with post-ambustial stenosis of esophagus, 14 (8.8%) with esophageal perforation, 13 (8.2%) with leuomyoma of esophagus and 4 (2.5%) with diverticulum of thoracic esophagus. RESULTS AND DISCUSSION: In long-term period 56 patients with achalasia were followed-up after laparoscopic Heller cardiomyotomy with Dor fundoplication...
2016: Khirurgiia
Richard D Mainwaring, William L Patrick, Sergio A Carrillo, Ali N Ibrahimye, Ashok Muralidaran, Frank L Hanley
BACKGROUND: Major aortopulmonary collateral arteries (MAPCAs) are the sole source of pulmonary blood flow in patients with pulmonary atresia and absent ductus arteriosus. The anatomy of MAPCAs can be highly variable, both in the number of MAPCAs supplying each lung and the anatomic origin and course of the MAPCAs. This study evaluated the prevalence and anatomy of retroesophageal MAPCAs in patients undergoing repair of pulmonary atresia/ventricular septal defect/MAPCAs. METHODS: This was a concurrent analysis of 68 consecutive patients (March 2013 through October 2015) undergoing a primary surgical procedure for pulmonary atresia/ventricular septal defect/MAPCAs...
September 2016: Annals of Thoracic Surgery
Togo Seydou, Ouattara Moussa Abdoulaye, Li Xing, Sanogo Zimogo Zi, Koumaré Sekou, Yang Shang Wen, Sankare Ibrahim, Toure Cheik Ahmed Sekou, Maiga Ibrahim Boubacar, Jacque Saye, Dakouo Dodino Jerome, Toure Ousmane Dantoumé, Yena Sadio
INTRODUCTION: The aim of this work was to present the contribution of the endoscopy in the management of esophageal dilatation for caustic esophageal stenosis (CES). METHODS: This was a descriptive and prospective study in the thoracic surgery department at the Hospital of Mali. A total of 46 cases of CES is recorded and divided into 4 groups according to the topography of the esophageal lesions. For the different methods of dilatation the number of performed endoscopic support was determined to understand the contribution of endoscopic means in the success of dilatation for CES...
2016: Pan African Medical Journal
Jiabao Liu, Xinyuan Zhang, Qiang Zhen, Yuguo Su, Zhanbo Han, Gang Chen
BACKGROUND: Esophageal reconstruction is the key issue in esophageal surgery. However, currently there is no satisfied technique to repair esophagus after surgery. OBJECTIVE: To combine an inner chitosan stent and a muscle tissue with vascular pedicle to repair the esophageal defect in cervical segment. METHODS: Esophageal defect was repaired using the combination of a muscle tissue flap and a chitosan tube stent in experimental group while only muscle tissue flap was utilized in controls for comparison...
April 29, 2016: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
Wen-Lun Wang, I-Wei Chang, Chien-Chuan Chen, Wei-Lun Chang, Yin-Yi Chu, Ping-Hsiu Wu, Wei-Chen Tai, Po-Yueh Chen, Ping-Hsin Hsieh, Chen-Shuan Chung, Chi-Yang Chang, Jaw-Town Lin, Hsiu-Po Wang, Ching-Tai Lee
BACKGROUND: Endoscopic radiofrequency ablation (RFA) is a rapidly evolving therapeutic modality for early flat esophageal squamous cell neoplasms (ESCNs), but the risk factors for postoperative stricture have not been elucidated. The objective of this study was to identify and validate a predictor for post-RFA stenosis. METHODS: We consecutively enrolled patients with flat-type 'large' (length no less than 3 cm extending no less than half the circumference of the esophagus), early ESCNs, treated with balloon-based RFA (12 J/cm(2)-clean-12 J/cm(2) regimen)...
May 2016: Therapeutic Advances in Gastroenterology
Chantal Chauvet, Arnaud Bonnard, Alexis Mosca, Marc Bellaïche, Pascale Philippe-Chomette, Jérôme Viala
OBJECTIVES: Surgery and conservative treatment of esophageal or gastric perforations are both often associated with poor results and carry a high morbidity and mortality rate. The aim of this study was to evaluate the effectiveness and safety of using fully-covered self-expending metallic stents (SEMS) in children with upper digestive leaks. METHODS: This retrospective study reviewed all children with esophageal or gastric perforation who were treated with placement of a SEMS from January 2011 to January 2015...
April 13, 2016: Journal of Pediatric Gastroenterology and Nutrition
Andon Chibishev, Velo Markoski, Ivica Smokovski, Emilija Shikole, Aleksandra Stevcevska
INTRODUCTION: Acute intoxications with corrosive substances can cause severe chemical injuries of the upper gastrointestinal tract, most often located in the mouth, pharynx, esophagus, stomach and duodenum. If a patient survives the acute phase of intoxication, regenerative response may result in esophageal and/or gastric stenosis, and increased risk of esophageal and gastric cancer. Such intoxication may be fatal due to perforation or tracheal necrosis. Enteral nutrition is a nutritional method when nutritional substances are administered through specially designed tubing placed through the nose or percutaneously, directly into the GIT...
February 2016: Materia Socio-medica
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