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Andreas M Rauschecker, Marc S Levine, Matthew J Whitson, Rashmi Tondon, Stephen E Rubesin, Emma E Furth, David C Metz
OBJECTIVE: The purpose of this study is to present the clinical and radiographic findings of esophageal lichen planus. MATERIALS AND METHODS: A search of computerized medical records identified 15 patients with pathologic findings of esophageal lichen planus on endoscopic biopsy specimens. Three other patients had presumed esophageal lichen planus, although no biopsy specimens were obtained. Twelve of these 18 patients (67%) had double-contrast esophagography performed at our institution; for eight of the 12 patients (67%), the studies revealed abnormalities in the esophagus...
October 11, 2016: AJR. American Journal of Roentgenology
Daniel Ross, Joel Richter, Vic Velanovich
The diagnosis of achalasia is generally made based on patient symptoms, the appearance of the esophagus on endoscopy and barium esophagogram, and esophageal manometry. In addition, timed barium esophagography (TBE) can give useful information on the clearance of liquid barium over a 10 minute period and the passage of a barium tablet. What is unclear is how well these physiological measurements of esophageal function correlate with patient-perceived health-related quality of life. Our aim was to assess whether objective physiological measurements of high-resolution manometry (HRM) and TBE will correlate with quantitative achalasia-related health-related quality of life (HRQoL) measurements...
September 15, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
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
E Coron, G David, S Lecleire, J Jacques, A Le Sidaner, T Barrioz, D Coumaros, C Volteau, B Vedrenne, P Bichard, C Boustière, Y Touchefeu, J Brégeon, F Prat, M Le Rhun
INTRODUCTION: Self-expanding metal stents (SEMS) are commonly used in the palliation of dysphagia in patients with inoperable esophageal carcinoma. However, they predispose to gastroesophageal reflux when deployed across the gastroesophageal junction. The aims of this study were to: 1) assess the influence of the antireflux valve on trans-prosthetic reflux (primary outcome); and 2) compare the results of SEMS with and without antireflux valve in terms of reflux symptoms, quality of life (QOL), improvement of dysphagia and adverse events (secondary outcomes)...
June 2016: Endoscopy International Open
Soo Jin Park, Ji Ye Park, Joonho Jung, Seong Yong Park
BACKGROUND: Spontaneous pneumomediastinum (SPM) is an uncommon disorder with only a few reported clinical studies. The goals of this study were to investigate the clinical manifestations and the natural course of SPM, as well as examine the current available treatment options for SPM. METHODS: We retrospectively reviewed 91 patients diagnosed with SPM between January 2008 and June 2015. RESULTS: The mean age of the patients was 22.7±13.2 years, and 67 (73...
August 2016: Korean Journal of Thoracic and Cardiovascular Surgery
Marc S Levine, Laura R Carucci, David J DiSantis, David M Einstein, Mary T Hawn, Bonnie Martin-Harris, David A Katzka, Desiree E Morgan, Stephen E Rubesin, Francis J Scholz, Mary Ann Turner, Ellen L Wolf, Cheri L Canon
OBJECTIVE: The Society of Abdominal Radiology established a panel to prepare a consensus statement on the role of barium esophagography in gastroesophageal reflux disease (GERD), as well as recommended techniques for performing the fluoroscopic examination and the gamut of findings associated with this condition. CONCLUSION: Because it is an inexpensive, noninvasive, and widely available study that requires no sedation, barium esophagography may be performed as the initial test for GERD or in conjunction with other tests such as endoscopy...
August 4, 2016: AJR. American Journal of Roentgenology
Kai Xu, Shaomu Chen, Wen Bian, Hongya Xie, Haitao Ma, Bin Ni
BACKGROUND: Intrathoracic esophagogastric anastomotic leak is a critical complication after esophagectomy. Recently, novel complex diagnostic and therapeutic managements for intrathoracic esophagogastric anastomotic leak have been performed at our institution. MATERIALS AND METHODS: Sixty-seven consecutive patients with intrathoracic esophagogastric anastomotic leak after esophagectomy from January 2009 to May 2015 at our institution were reviewed. Thirty-nine patients received conventional managements (conventional group), in which they were diagnosed via contrast swallow when there was a suspicion of anastomotic leak and were subsequently treated with a metallic stent...
July 2016: Journal of Surgical Research
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
Miha Vodičar, Robert Košak, Rok Vengust
PURPOSE: Presentation of a case series (10 patients) with surgical treatment of symptomatic anterior cervical osteophytes, a review of the latest literature and discussion of surgical methods. OBJECTIVE: To present our results of the surgical treatment and compare them with the existing literature. Based on the gathered data we aim to propose an optimal choice of surgical treatment. SUMMARY OF BACKGROUND DATA: Anterior cervical osteophytes rarely cause symptoms that require surgical treatment, which disables bigger cohorts analysis...
May 11, 2016: Clinical Spine Surgery
Xiankai Chen, Yin Li, Xianben Liu, Huaiping Fu, Haibo Sun, Ruixiang Zhang, Zongfei Wang, Yan Zheng
Esophageal schwannomas are rarely observed, and the most frequent presenting symptom is dysphagia. In such cases, esophageal endoscopy shows a mucosal protrusion with normal esophageal mucosa. Esophagography shows a protruding smooth mass in the middle thoracic esophagus. Both fluorodeoxyglucose (FDG) positron emission tomography (PET) and endoscopic ultrasonography-fine needle aspiration (EUS-FNA) are limited for diagnosing the case. Diagnosis of this condition before surgery is difficult. The most common and effective treatment is enucleation through surgery or endoscopy...
May 2016: Journal of Thoracic Disease
Felipe Donoso, Ann-Marie Kassa, Elisabet Gustafson, Staffan Meurling, Helene Engstrand Lilja
BACKGROUND/PURPOSE: A successful outcome in the repair of esophageal atresia (EA) is associated with a high quality pediatric surgical centre, however there are several controversies regarding the optimal management. The aim of this study was to investigate the outcome and management EA in a single pediatric surgical centre. METHODS: Medical records of infants with repaired EA from 1994 to 2013 were reviewed. RESULTS: 129 infants were included...
September 2016: Journal of Pediatric Surgery
Joseph T Krill, Rishi D Naik, Michael F Vaezi
Achalasia is a primary disorder of esophageal motility. It classically presents with dysphagia to both solids and liquids but may be accompanied by regurgitation and chest pain. The gold standard for the diagnosis of achalasia is esophageal motility testing with manometry, which often reveals aperistalsis of the esophageal body and incomplete lower esophageal sphincter relaxation. The diagnosis is aided by complimentary tests, such as esophagogastroduodenoscopy and contrast radiography. Esophagogastroduodenoscopy is indicated to rule out mimickers of the disease known as "pseudoachalasia" (eg, malignancy)...
2016: Clinical and Experimental Gastroenterology
Hayato Tomita, Kunihisa Miyakawa, Shinji Wada, Satoko Okamoto, Tsuyoshi Morimoto, Keiko Kishimoto, Yasuo Nakajima
Except for squamous cell carcinoma and adenocarcinoma, lesions that protrude into the esophagus are rare, and include benign and malignant tumors. The imaging findings of these lesions on esophagography, computed tomography (CT), and magnetic resonance imaging (MRI) are often non-specific. However, some of them reveal characteristic imaging findings. In addition, esophagography, CT, and MRI are useful to evaluate location, extent, invasion, vascularity, lymphadenopathy, and metastasis. Knowledge of the imaging features of protruding esophageal lesions helps to narrow the differential diagnosis...
May 2016: Japanese Journal of Radiology
Guillaume Perrod, Gabriel Rahmi, Laetitia Pidial, Sophie Camilleri, Alexandre Bellucci, Amaury Casanova, Thomas Viel, Bertrand Tavitian, Christophe Cellier, Olivier Clement
BACKGROUND & AIMS: Extended esophageal endoscopic submucosal dissection (ESD) is highly responsible for esophageal stricture. We conducted a comparative study in a porcine model to evaluate the effectiveness of adipose tissue-derived stromal cell (ADSC) double cell sheet transplantation. METHODS: Twelve female pigs were treated with 5 cm long hemi-circumferential ESD and randomized in two groups. ADSC group (n = 6) received 4 double cell sheets of allogenic ADSC on a paper support membrane and control group (n = 6) received 4 paper support membranes...
2016: PloS One
Seong Oh Park, Hak Chang, Nobuaki Imanishi
We report a reconstructive case using a free serratus anterior artery perforator flap and an anatomic study. A 50-year-old man with upper esophageal sphincter stricture underwent segmental cervical esophageal resection. The size of the defect was approximately 5.5 cm. We then performed esophageal reconstruction using the free serratus anterior artery perforator flap. Esophagography performed on postoperative day 7 revealed no definite leakage and a viable anastomosis site with wide patency. No complications developed during the long-term follow-up period of 3 years...
February 22, 2016: Microsurgery
Ju Hwan Kim, Chang-Il Kwon, Ji Young Rho, Sang Woo Han, Ji Su Kim, Suk Pyo Shin, Ga Won Song, Ki Baik Hahm
Esophageal duplication (ED) is rarely diagnosed in adults and is usually asymptomatic. Especially, ED that is connected to the esophagus through a tubular communication and combined with bronchoesophageal fistula (BEF) is extremely rare and has never been reported in the English literature. This condition is very difficult to diagnose. Although some combinations of several modalities, such as upper gastrointestinal endoscopy, esophagography, computed tomography, magnetic resonance imaging, and endoscopic ultrasonography, can be used for the diagnosis, the results might be inconclusive...
January 2016: Clinical Endoscopy
Go Miyano, Hiromu Miyake, Mariko Koyama, Keiichi Morita, Masakatsu Kaneshiro, Hiroshi Nouso, Masaya Yamoto, Koji Fukumoto, Naoto Urushihara
This study presents a modified surgical approach to laparoscopic myotomy for achalasia using stepped dilation with a Rigiflex balloon and contrast medium under image guidance. A 10-year-old boy with persistent dysphagia and vomiting had ingested only liquids for 3 months, losing >10 kg in body weight. Barium swallow and esophageal manometry diagnosed esophageal achalasia with mild esophageal dilatation. After failed pneumatic dilatation, laparoscopic Heller myotomy with Dor fundoplication was performed...
May 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Zhong-Xi Niu, Qiang Gao, Jun Peng, Hui Shi, Long-Qi Chen
BACKGROUND: The anomaly of intrathoracic large vessels might not only compress the esophagus resulting in dysphagia, but also hinder esophagectomy, even leading to uncontrolled massive hemorrhaging. This paper reviews our experience of seven patients with this diagnosis and their treatment. METHODS: From January 2007 through January 2012, among patients admitted with esophageal carcinoma, there were seven patients confirmed to have coexisted intrathoracic vascular anomalies...
September 2014: Thoracic Cancer
Kazuki Kihara, Genta Chikazawa, Kentaro Tamura, Toshinori Totsugawa, Taichi Sakaguchi, Hidenori Yoshitaka
70-year-old male who had a history of Y-shaped graft replacement of abdominal aortic aneurysm was referred to our hospital for surgical intervention of extended thoracic aortic aneurysm. Although 1 debranching thoracic endovascular aortic repair (TEVAR) was initially scheduled, deployment of the main endograft was eventually cancelled due to severely tortuous bilateral rims of Y-shaped graft, and left carotid artery-left subclavian artery bypass followed by the coil embolization to the orifice of left subclavian artery to prepare for the next operation was performed...
December 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Yang Wang, Yangguang Song
PURPOSE: Our aim was to report the characteristics of pharyngoesophageal diverticula on sonographic (US) examination. METHODS: We retrospectively reviewed the medical records and images of 14 patients whose pharyngoesophageal diverticula had been found first on thyroid US. The diagnoses had been confirmed on barium-swallow esophagography. RESULTS: All nodules were located posterior to the left thyroid lobe, having a clear hypoechoic border with the thyroid...
July 8, 2016: Journal of Clinical Ultrasound: JCU
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