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https://www.readbyqxmd.com/read/28223738/peroral-endoscopic-myotomy-for-treatment-of-guillain-barre-syndrome-associated-achalasia-a-rare-case
#1
Seung Kak Shin, Kyoung Oh Kim, Eui Joo Kim, Su Young Kim, Jung Ho Kim, Yoon Jae Kim, Jun-Won Chung, Kwang An Kwon, Dong Kyun Park
Guillain-Barre syndrome (GBS)-associated achalasia is a very rare disease of uncertain cause. We report the case of a patient diagnosed with GBS-associated type I achalasia who was successfully treated with peroral endoscopic myotomy (POEM). A 30-year-old man who was diagnosed with GBS 3 mo before was referred to our department with dysphagia and meal-related regurgitation. The results of esophagography, endoscopy, and high-resolution manometry (HRM) revealed type I achalasia. POEM that utilized a submucosal tunneling technique was performed to treat the GBS-associated type I achalasia...
February 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28176406/imaging-diagnosis-computed-tomographic-angiography-characteristics-of-multiple-vascular-anomalies-in-a-senior-dog-with-late-onset-regurgitation
#2
Hakyoung Yoon, Jaehwan Kim, Gi Bum Kwon, Jin Hyuk Lim, Kidong Eom
A 10-year-old dog weighing 3.4 kg presented with intermittent regurgitation. Esophagography revealed that the thoracic esophagus was compressed dorsally at the region of the fourth intercostal space and segmentally dilated from the second to third intercostal region. Three-dimensional computed tomographic (CT) angiography confirmed a suspected vascular ring anomaly and also revealed multiple other vascular anomalies. These included aberrant right subclavian artery, absence of bilateral external jugular veins, right-gastric caval shunt, and a completely duplicated caudal vena cava...
February 8, 2017: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/28149585/thoracoscopic-esophageal-repair-with-barbed-suture-material-in-a-case-of-boerhaave-s-syndrome
#3
Toru Nakano, Chiaki Sato, Tadashi Sakurai, Kurodo Kamiya, Takashi Kamei, Noriaki Ohuchi
A 53-year-old man was referred to our hospital with Boerhaave's syndrome. Thirty hours after onset, a left thoracoscopic operation was performed, with carbon dioxide pneumothorax and the patient in right semi-prone position. The thoracic cavity was copiously irrigated with physiological saline and a 4-cm longitudinal rupture was identified on the left side of the lower esophagus. The esophageal injury was repaired in 2 layers by using barbed absorbable suture material. The patient was allowed oral feeds after contrast esophagography confirmed the absence of contrast leak at the sutured site on postoperative day 7, and discharged by day 28...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28051197/silicotuberculosis-with-esophagobronchial-fistula-and-broncholithiasis
#4
Hua Zhang, Li Li, Xiao-Wei Sun, Chun-Ling Zhang
A 69-year-old woman was admitted to hospital 4 times from November 2007 to June 2009. The patient had silicosis complicated by broncholithiasis, esophagobronchial fistula, and relapsed tuberculosis. She had worked as a stone crusher for 3 years and was exposed to a large amount of quartz dust. Barium esophagography, gastroesophageal endoscopy, and biopsy suggested esophageal-related chronic inflammation and ulcer, which probably caused the repeated esophagobronchial fistulas observed. Bronchoscopy revealed a free broncholithiasis in the left main bronchus...
January 2017: International Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28018455/granular-cell-tumor-of-the-esophagus-in-an-adolescent
#5
Ji Sun Lee, Kyung Ok Ko, Jae Woo Lim, Eun Jeong Cheon, Young Jin Kim, Jang Sin Son, Jung Min Yoon
Esophageal granular cell tumor (GCT) is a rare neoplasm originating from the Schwann cells of the submucosal neuronal plexus. Histology is the gold standard for its diagnosis. Endoscopic resection or surgical excision should be considered, depending on the potential for malignancy. Here, we report a case of an esophageal GCT in an adolescent. A 12-year-old boy presented with a 1-year history of dysphagia and vomiting. Upper gastrointestinal endoscopic examination and esophagography showed narrowing of the midesophagus, and computed tomography angiography of the thoracic aorta revealed an esophageal or periesophageal mass posterior to the paratracheal segment of the esophagus...
November 2016: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/27928603/-laparoscopic-heller-myotomy-after-failed-poem-and-multiple-balloon-dilatations-better-late-than-never
#6
L Giulini, A Dubecz, H J Stein
BACKGROUND: Despite the lack of long-term results, peroral endoscopic myotomy (POEM) has been increasingly propagated as a feasible alternative to pneumatic balloon dilatation (BD) and laparoscopic Heller myotomy (LHM) in patients with achalasia. After a long-term follow-up, a large percentage of patients reported recurrence of dysphagia. It is unclear which kind of procedure (redo POEM or LHM) should be utilized in these patients with failed POEM. CASE REPORT AND RESULTS: We report the case of a 37-year-old female patient with type I achalasia who was successfully treated with LHM after a failed POEM procedure...
December 7, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27906089/esophageal-perforation-after-perioperative-transesophageal-echocardiography-a-case-report
#7
Hyun-Chang Kim, Jung-Hyou Oh, Yong-Cheol Lee
BACKGROUND: Transesophageal echocardiography is widely used in cardiac surgery. Transesophageal echocardiography probe insertion and manipulation can injure the esophagus. CASE PRESENTATION: A 76-year-old Asian man was admitted to our hospital for coronary artery bypass graft revascularization surgery. A right carotid endarterectomy was successfully performed 2 days before coronary artery bypass graft revascularization surgery. After the coronary artery bypass graft revascularization surgery was done successfully, postoperative computed tomography and esophagography revealed perforation of the middle esophagus...
December 1, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27852415/-the-diagnosis-and-treatment-for-pyriform-sinus-fistula-in-children
#8
T Liu, Z Wen, Q F Liang, F Liu, Z Wang, J K Liang
Objective: To discuss the diagnosis and management for pyriform sinus fistula in children. Methods: Eight cases of pyriform sinus fistula admitted in Guangzhou Women and Children's Medical Center from May 2013 to August 2015 were retrospectively analyzed. The median age at onset was 54 months (range from 11 months to 12 years). All 8 cases presented recurrent neck infection (typical of redness, swelling, heat and pain) and 2 accompanied with acute suppurative thyroiditis. The diagnosis was confirmed by the preoperative barium esophagography combined with neck computed tomography scan (plain scan, enhancement and reconstruction)...
October 25, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27755206/long-term-results-of-surgical-treatment-for-symptomatic-anterior-cervical-osteophytes-a-case-series-with-review-of-the-literature
#9
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. On the basis of 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 cohort analysis...
November 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27726411/esophageal-lichen-planus-clinical-and-radiographic-findings-in-eight-patients
#10
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...
January 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27629426/health-related-quality-of-life-and-physiological-measurements-in-achalasia
#11
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
https://www.readbyqxmd.com/read/27612868/a-case-of-surgery-for-congenital-esophagobronchial-fistula-accompanied-by-a-destroyed-lung
#12
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
https://www.readbyqxmd.com/read/27556085/antireflux-versus-conventional-self-expanding-metallic-stents-sems-for-distal-esophageal-cancer-results-of-a-multicenter-randomized-trial
#13
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
https://www.readbyqxmd.com/read/27525238/clinical-manifestations-of-spontaneous-pneumomediastinum
#14
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
https://www.readbyqxmd.com/read/27490234/consensus-statement-of-society-of-abdominal-radiology-disease-focused-panel-on-barium-esophagography-in-gastroesophageal-reflux-disease
#15
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...
November 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27451870/digital-subtraction-angiography-guided-esophagography-intraluminal-drainage-and-endoscopic-clipping-complex-managements-for-intrathoracic-esophagogastric-anastomotic-leak
#16
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
https://www.readbyqxmd.com/read/27384758/the-importance-of-esophagography-in-patients-with-recessive-dystrophic-epidermolysis-bullosa
#17
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
https://www.readbyqxmd.com/read/27171658/long-term-results-of-surgical-treatment-for-symptomatic-anterior-cervical-osteophytes-a-case-series-with-review-of-the-literature
#18
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
https://www.readbyqxmd.com/read/27162699/a-report-of-three-cases-of-surgical-removal-of-esophageal-schwannomas
#19
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
https://www.readbyqxmd.com/read/27114309/outcome-and-management-in-infants-with-esophageal-atresia-a-single-centre-observational-study
#20
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
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