Apremilast Is Effective in Lichen Planus Mucosae-Associated Stenotic Esophagitis
A 74-year-old woman with extensive lichen planus mucosae (LPM) developed stenotic esophagitis that was refractory to intravenous glucocorticosteroids. Esophageal dilatations to 14 mm width were repeatedly performed without any lasting effect. After introducing oral apremilast, she experienced complete clinical remission within the first 4 weeks of treatment. Control esophagoscopy confirmed a marked recovery of the esophageal mucosa with no recurrence of the former stenosis. Our observation is in line with the case series of Paul et al. [J Am Acad Dermatol 2013;68: 255 –261] who first reported on the benefit of apremilast...
Source: Case Reports in Dermatology - August 29, 2016 Category: Dermatology Source Type: research
Prospective multi ‐institutional transnasal esophagoscopy: Predictors of a change in management
ConclusionsIn treatment‐seeking patients TNE is predictive of a change in management in males and obese patients. In patients with HNCA and dysphagia, TNE is likely to yield findings that cause a change in management.
Level of Evidence2b. Laryngoscope, 2016 (Source: The Laryngoscope)
Source: The Laryngoscope - August 16, 2016 Category: ENT & OMF Authors: Rebecca J. Howell, Mariah B. Pate, Stacey L. Ishman, Tova F. Isseroff, Adam D. Rubin, Ahmed M. Soliman, Gregory N. Postma, Michael J. Pitman Tags: Bronchoesophagology Source Type: research
Cervical Osteomyelitis After Pharyngeal Surgical Manipulation —Reply
< span class="paragraphSection" > < strong > In Reply < /strong > We would like to thank Dr Govil et al for their insight into this potentially devastating diagnosis in patients with irradiated head and neck cancer, and for adding further patient data to be considered. Indeed, cervical spine spondylodiscitis can be a challenging diagnosis, especially when detected only on surveillance imaging in an otherwise asymptomatic patient. Esophageal dilation in patients with head and neck cancer is frequently undertaken to improve dysphagia, and up to 33% of patients may have an esophageal stricture visible on barium esophagogram....
Source: JAMA Otolaryngology - Head and Neck Surgery - July 28, 2016 Category: ENT & OMF Source Type: research
Rare complication of bronchoesophageal fistula due to pulmonary mucormycosis after induction chemotherapy for acute myeloid leukemia: a case report
Conclusion
Here we present an extremely rare case of bronchoesophageal fistula with severe necrotizing pneumonia due to pulmonary mucormycosis. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - July 15, 2016 Category: Journals (General) Source Type: research
Imaging diagnosis —use of radiography, computed tomography, and endoscopy in the diagnosis of esophageal perforation by an extra‐luminal tracheal ring prosthesis in a golden retriever
A 6‐year‐old neutered male, Golden retriever presented with regurgitation and excitement‐induced coughing. Two years prior, extra‐thoracic tracheal collapse was diagnosed and extra‐luminal tracheal ring prostheses were placed. Radiographs at presentation showed mineralized and undulant cervical tracheal cartilages. A dorsally broad‐based soft tissue opacity bulged into the caudal cervical tracheal lumen. Esophageal dysmotility and barium accumulation were identified at this level on contrast esophography. Computed tomography showed migration of a prosthetic tracheal ring, resulting in perforation of the esophag...
Source: Veterinary Radiology and Ultrasound - June 30, 2016 Category: Veterinary Research Authors: Hayley Paradise, Kyle G. Mathews, Eli B. Cohen Tags: Imaging Diagnosis Source Type: research
The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient's Perception: A Prospective Study.
Conclusion: According to our results TNE is an easy and well-tolerated procedure, it may be logical to tell the patient that the procedure will be less annoying and irritating than they assume. It is also a time saving procedure with low complication rates.
PMID: 27334507 [PubMed - as supplied by publisher] (Source: Clinical and Experimental Otorhinolaryngology)
Source: Clinical and Experimental Otorhinolaryngology - June 25, 2016 Category: ENT & OMF Tags: Clin Exp Otorhinolaryngol Source Type: research
Electroincision for hypopharyngoesophageal stricture caused by Plummer-Vinson syndrome
A 69-year-old woman reported worsening nausea and vomiting. Physical examination showed conjunctival anemia and spoon nails. The results of blood tests indicated moderate iron deficiency anemia. Esophagoscopy showed hypopharyngoesophageal stenosis, and passage of an insertion tube 5.4 mm in diameter (GIF-XP 290N, Olympus, Tokyo, Japan) was impossible (Fig. 1A). Esophagography showed a circumferential stricture at the level of the sixth cervical vertebra (Fig. 1B). Thus, Plummer-Vinson syndrome was diagnosed. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 12, 2016 Category: Gastroenterology Authors: Masaki Nishitani, Mitsuru Matsuda, Fumitaka Arihara, Akito Sakai, Yatsugi Noda Tags: VideoGIE Source Type: research
Office-based treatment of dysphagia
Publication date: Available online 27 April 2016 Source:Operative Techniques in Otolaryngology-Head and Neck Surgery Author(s): Naren N. Venkatesan, Peter C. Belafsky Dysphagia is a common symptom affecting many patients with several different causes. The use of thin, distal-chip, video esophagoscopes allows for a thorough evaluation and management of dysphagia in the office. Esophagitis should be recognized on endoscopy in addition to webs, rings, and strictures. Procedures to treat the cause of dysphagia can be performed in clinic with the use of topical anesthesia. Descriptions of how to perform procedures for d...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 1, 2016 Category: ENT & OMF Source Type: research
Office-based treatment of dysphagia
Dysphagia is a common symptom affecting many patients with several different causes. The use of thin, distal-chip, video esophagoscopes allows for a thorough evaluation and management of dysphagia in the office. Esophagitis should be recognized on endoscopy in addition to webs, rings, and strictures. Procedures to treat the cause of dysphagia can be performed in clinic with the use of topical anesthesia. Descriptions of how to perform procedures for dysphagia, including vocal fold medialization, diagnostic esophagoscopy, and esophageal procedures for intervention are reviewed. (Source: Operative Techniques in Otolaryngolog...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2016 Category: ENT & OMF Authors: Naren N. Venkatesan, Peter C. Belafsky Source Type: research
Esophageal foreign bodies in children: Emphasis on complicated cases.
CONCLUSION: EFBs are a relatively common problem in pediatric patients, and underlying predisposing factors to EFB impaction are not uncommon. Long-retained EFBs are associated with a higher incidence of complications. Rigid esophagoscopy was successful in extracting most of the EFBs and was shown to be a safe and effective procedure.
PMID: 26922630 [PubMed - as supplied by publisher] (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - February 24, 2016 Category: Surgery Authors: Altokhais TI, Al-Saleem A, Gado A, Al-Qahtani A, Al-Bassam A Tags: Asian J Surg Source Type: research
Synchronous primary cancers in the head and neck region and upper aero digestive tract: Role of triple endoscopy
Conclusion: Endoscopy can be rationally used during the pre-therapeutic work-up of patients with a history of smoking and/or in patients over the age of 62 years. Instead of complete upper gastro intestinal endoscopy up to the second part of duodenum, only esophagoscopy is needed for the detection of synchronous primary of upper aero-digestive tract in cancers of the head and neck region. (Source: Indian Journal of Cancer)
Source: Indian Journal of Cancer - February 3, 2016 Category: Cancer & Oncology Authors: M KrishnatreyaT RahmanAC KatakiK Lahkar Source Type: research
Is rigid endoscopy necessary with childhood corrosive ingestion? a retrospective comparative analysis of 458 cases
Summary
The aim of this study was to determine the necessity of endoscopy in cases in which a corrosive substance was ingested and to find a practical way to avoid unnecessary endoscopies for similar cases in the future. The clinical records of 458 hospitalized cases with clinical histories of corrosive substance ingestion between January 2007 and December 2013 were retrospectively reviewed. The demographics of the cases, the ingested substances, and the rigid endoscopy findings were evaluated. The three most commonly ingested corrosive agents were household bleach (22.9%), household degreaser (15.9%), and drain cleaner (1...
Source: Diseases of the Esophagus - January 29, 2016 Category: Gastroenterology Authors: O. Bosnalı, S. Moralıoğlu, A. Celayir, O. Z. Pektaş Tags: Original Article Source Type: research
Pneumopericardium due to ingestion of button battery
Jai Prakash Soni, Sandeep Choudhary, Pramod Sharma, Mohan MakwanaAnnals of Pediatric Cardiology 2016 9(1):94-95Mostly ingested button batteries passed through the gastrointestinal tract without any adverse effects. But button battery can lead to hazardous complications including tracheoesophageal fistula (TEF), especially when the battery is impacted in the esophagus. Urgent esophagoscopic removal of the battery is essential in all cases. Once the TEF is identified, conservative management is the initial treatment of choice. Delayed primary repair can be tried if spontaneous closure does not occur. Here in we want to repor...
Source: Annals of Pediatric Cardiology - January 19, 2016 Category: Cardiology Authors: Jai Prakash SoniSandeep ChoudharyPramod SharmaMohan Makwana Source Type: research
Supragastric belch may be related to globus symptom – a prospective clinical study
Conclusions & InferencesSupragastric belch was more common in globus patients, suggesting the possible role of this condition in globus sensation. However, globus patients in this series had no acid or non‐acid GERD or elevated UES pressure.
The aim was to investigate the possible esophageal background of globus symptoms, patients with reflux symptoms served as controls. In this study, globus patients without reflux symptoms did not have acid or non‐acid GERD in 24‐h MII‐pH monitoring. However, globus patients had supragastric belch more often than patients with reflux symptoms. (Source: Neurogastroenterology and Motility)
Source: Neurogastroenterology and Motility - January 6, 2016 Category: Gastroenterology Authors: P. Nevalainen, M. Walamies, O. Kruuna, P. Arkkila, L.‐M. Aaltonen Tags: Original Article Source Type: research
