Monopoly Airplane Lands in Esophagus Leading to Difficult Extraction: A Case Report on Anesthesia and Surgical Considerations
A 2-year-old child presented with an airplane game piece from the board game Monopoly lodged in her esophagus. The airplane’s wings, engines, and winglets acted like fish hooks that entered the esophageal mucosa easily but were difficult to extract. Chest radiographs were used to estimate the airplane wingspan dimensions, and a Foley catheter was used to dilate the esophagus to allow foreign body extraction via rigid esophagoscopy with optical forceps. Deliberate deep placement of the endotracheal tube facilitated surgical manipulation. This case report highlights the importance of teamwork, communication, and the involv...
Source: A&A Case Reports - October 1, 2017 Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
Hallmarks in history of esophageal carcinoma.
Authors: Karamanou M, Markatos K, Papaioannou TG, Zografos G, Androutsos G
Abstract
Esophageal cancer is one of the deadliest cancers due to its aggressive behavior and poor survival. It was mentioned in the works of ancient Chinese and Arabo-islamic physicians, centuries before the recognition of high incidence in the Asian esophageal cancer belt. Till the 19th century the disease was considered incurable and the main goal of the proposed treatments was to alleviate dysphagia and pain. The introduction of esophagoscope in 1868 by Adolf Kussmaul (1822-1902) contributed to the observation of the living esop...
Source: Journal of B.U.ON. - September 29, 2017 Category: Cancer & Oncology Tags: J BUON Source Type: research
A hamartoma presenting as an intramural upper oesophageal tumour.
We report on a 20-year-old woman who presented with dysphagia and was diagnosed with a retrosternal 4.9 cm × 9.0 cm heterogenic tumour located in her upper oesophagus. Preoperative examinations included computed tomography of the chest, bronchoscopy and esophagoscopy, and no signs of malignancy were noted. She underwent surgical resection of the mass and the final histopathological diagnosis was osteochondromatous hamartoma of the upper oesophagus. No acute or long-term complications or tumour recurrence were noted during a 6-year follow-up.
PMID: 28932589 [PubMed] (Source: Journal of Thoracic Disease)
Source: Journal of Thoracic Disease - September 23, 2017 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Magnetic Twin Stent for Short-Term Palliation of Acquired Nonmalignant Tracheoesophageal Fistula.
Abstract
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 ...
Source: The Annals of Thoracic Surgery - August 27, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Altorjay Á, Rüll M, Sárkány Á Tags: Ann Thorac Surg Source Type: research
In response to Is esophagoscopy necessary during panendoscopy?
(Source: The Laryngoscope)
Source: The Laryngoscope - August 22, 2017 Category: ENT & OMF Authors: Daniel Brickman, Daniel Clayburgh Tags: Letter to the Editor Source Type: research
In response to “in reference to is esophagoscopy necessary during panendoscopy?”
(Source: The Laryngoscope)
Source: The Laryngoscope - August 22, 2017 Category: ENT & OMF Authors: Daniel Brickman, Daniel Clayburgh Tags: Letter to the Editor Source Type: research
Concordance of clinical diagnosis of T classification among physicians for locally advanced unresectable thoracic esophageal cancer
ConclusionsThere were inter-observer variations in clinical diagnosis of the T category of locally advanced, unresectable esophageal cancer. Accurate clinical diagnosis of T classification is required for determining the optimum treatment for each patient. (Source: International Journal of Clinical Oncology)
Source: International Journal of Clinical Oncology - July 25, 2017 Category: Cancer & Oncology Source Type: research
Efficacy of prednisone for prevention of esophageal stricture after endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma
ConclusionsOur study suggested an optimal administration program of oral prednisone therapy and demonstrated that it is safe and effective for the prevention of esophageal stricture in patients after complete or semi‐circular ESD for esophageal squamous cell carcinoma. (Source: Thoracic Cancer)
Source: Thoracic Cancer - July 1, 2017 Category: Cancer & Oncology Authors: Gaosu Zhou, Fangfang Yuan, Jizhen Cai, Xiaowei Tang, Wei Gong, Lei Su, Yali Zhang Tags: ORIGINAL ARTICLE Source Type: research
Cervical Esophagotomy for Removal of an Ingested Clam Shell: A Very Uncommon Foreign Body Ingestion
Conclusion: This patient who ingested clam shell recovered well following the retrieval of the foreign body by performing a lifesaving cervical esophagotomy.Med Princ Pract (Source: Medical Principles and Practice)
Source: Medical Principles and Practice - June 19, 2017 Category: Internal Medicine Source Type: research
Severe esophagitis associated with cytomegalovirus during concurrent chemoradiotherapy for esophageal cancer
AbstractAlthough radiation esophagitis is one of the most common adverse events that occurs during chemoradiotherapy (CRT) in patients with esophageal cancer, CRT-associated cytomegalovirus (CMV) esophagitis is rare. CMV esophagitis typically occurs in patients with an immunosuppressed status. Here we report a case of CMV esophagitis during CRT initially treated as radiation esophagitis. A 64-year-old man with mid-thoracic esophageal cancer was admitted to our hospital with clinical stage cT4bN1M1 (supraclavicular lymph node metastasis) Stage IV according to the UICC ver. 7 guidelines, and he was administered definitive co...
Source: Japanese Journal of Clinical Oncology - June 7, 2017 Category: Cancer & Oncology Source Type: research
Early endoscopic management of anastomotic leakage of esophageal atresia.
Authors: Ilhan H, Tokar B
Abstract
Anastomotic leaks (AL) of esophageal atresia (EA) close spontaneously with tube drainage and nutritional support, but this conservative management carries some risk factors. The present study describes an alternative endoscopic approach in evaluation and management. The endoscopic procedure, including esophagoscopy, catheterization of leakage point, and application of fibrin glue (FG) has been evaluated. It was applied seven times to four patients. The diagnostic criteria, the technique and the results are discussed. It has been determined that early endoscopic demonstrat...
Source: Minimally Invasive Therapy and Allied Technologies - June 2, 2017 Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
Delayed diagnosis of esophageal foreign body: a case report
CONCLUSION This case highlights, the importance of recognizing, the rare and often forgotten respiratory symptoms of EFB body to avoid diagnostic delay especially in unwitnessed FB ingestion. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - May 30, 2017 Category: Surgery Source Type: research
Otorhinolaryngological emergencies in a Tertiary Hospital in Port Harcourt
Conclusion: ORL emergencies are common. The pediatric age group is the most affected; foreign body and trauma comprise the commonest emergency in our environment. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 17, 2017 Category: Rural Health Authors: UM Ibekwe Source Type: research
Office ‐based procedures for diagnosis and treatment of esophageal pathology
DiscussionWith the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office‐based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office‐based procedures. (Source: Head and Neck)
Source: Head and Neck - May 12, 2017 Category: ENT & OMF Authors: David J. Wellenstein, Henrieke W. Schutte, Henri A. M. Marres, Jimmie Honings, Peter C. Belafsky, Gregory N. Postma, Robert P. Takes, Guido B. Broek Tags: CLINICAL REVIEW Source Type: research
Cervical Esophagotomy for Removal of an Ingested Clam Shell A Very Uncommon Foreign Body Ingestion
Conclusion: This patient who ingested clam shell recovered well following the retrieval by performing a life-saving cervical esophagotomy. (Source: Medical Principles and Practice)
Source: Medical Principles and Practice - May 11, 2017 Category: Internal Medicine Source Type: research
