In-Office Esophageal Procedures
Abstract Dysphagia is a common symptom experienced by many and arising from numerous different pathologies. Advances in technology have allowed for development of thin, distal-chip, video esophagoscopes. These esophagoscopes have transformed patient care and allow the clinician to perform a comprehensive dysphagia evaluation and provide advanced treatments for swallowing disorders in the office without the need for sedation. The purpose of this manuscript is to provide a state-of-the-art review of office-based esophageal procedures. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - July 7, 2015 Category: ENT & OMF Source Type: research

Unsedated transnasal esophagoscopy for monitoring therapy in pediatric eosinophilic esophagitis
Unsedated transnasal endoscopy (TNE) is safer and less costly than sedated EGD. The aim of this study was to evaluate the performance of TNE with biopsies in monitoring the esophageal mucosa of pediatric patients with eosinophilic esophagitis. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - July 2, 2015 Category: Gastroenterology Authors: Joel A. Friedlander, Emily M. DeBoer, Jason S. Soden, Glenn T. Furuta, Calies D. Menard-Katcher, Dan Atkins, David M. Fleischer, Robert E. Kramer, Robin R. Deterding, Kelley E. Capocelli, Jeremy D. Prager Tags: Original article Source Type: research

The Role of the Modified Barium Swallow Study and Esophagram in Patients with Globus Sensation
Abstract Globus sensation (GS) is a common benign finding that is often associated with frequent throat clearing and is commonly a result of laryngopharyngeal reflux. The primary objective of this investigation was to examine the role of the modified barium swallow study (MBSS) with esophagram in the diagnosis and management patients who present with chief complaints of a GS. We hypothesize that these radiographic swallow studies do not add clinically significant information in the investigation of this common complaint. Retrospective chart review of patients with chief complaints of GS between 2000 and 2...
Source: Dysphagia - June 26, 2015 Category: Speech Therapy Source Type: research

Management of Esophageal Perforations in Elderly Patients
Conclusion Early diagnosis and prompt treatments are the important determinants to reduce mortalities of elderly patients with esophageal perforations. Cervical esophageal ligation combined with T-tube diversion can be considered as a salvage method for complicated perforations. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - June 6, 2015 Category: Geriatrics Source Type: research

Secondary tracheoesophageal puncture using transnasal esophagoscopy in gastric pull‐up reconstruction following total laryngopharyngoesophagectomy
Conclusion: In‐office placement of secondary TEP using TNE is an efficient means of providing a conduit for voice prostheses in patients who have undergone laryngopharyngectomy with gastric‐pull up reconstruction. This procedure can be performed with minimal complications and with expectation of voice outcomes comparable to that seen with standard laryngectomy. This article is protected by copyright. All rights reserved. (Source: Head and Neck)
Source: Head and Neck - June 3, 2015 Category: ENT & OMF Authors: Daniel Noel, Daniel S. Fink, Melda Kunduk, Mell A. Schexnaildre, Michael DiLeo, Andrew J. McWhorter Tags: Case Report Source Type: research

Finding a needle in a haystack: use of volumetric laser endomicroscopy in targeting focal dysplasia in long-segment Barrett’s esophagus
A 64-year-old man underwent esophagoscopy 15 months earlier, which diagnosed long-segment Barrett’s esophagus. Examination of random biopsy specimens yielded a diagnosis of intestinal metaplasia, with 1 biopsy specimen as indefinite for dysplasia. Two subsequent esophagoscopies were performed 6 months apart, and random biopsy specimens were negative for dysplasia. The patient was referred for volumetric laser endomicroscopy (VLE) (NVisionVLE, NinePoint Medical, Cambridge, Mass). At esophagoscopy, high-definition white-light endoscopy showed a 7-cm segment of flat salmon-colored mucosa (Prague class C6M7) (A). (Source: Ga...
Source: Gastrointestinal Endoscopy - May 21, 2015 Category: Gastroenterology Authors: Arvind J. Trindade, Arunan S. Vamadevan, Divyesh V. Sejpal Tags: At the focal point Source Type: research

Proposal for methods of diagnosis of fish bone foreign body in the Esophagus
ConclusionCT is a useful method for identification of esophageal fish bone foreign bodies. Therefore, CT should be considered as the first‐choice technique for the diagnosis of esophageal fish bone foreign body. Level of Evidence4. Laryngoscope, 2015 (Source: The Laryngoscope)
Source: The Laryngoscope - May 11, 2015 Category: ENT & OMF Authors: Seung Hoon Woo, Kyung Hee Kim Tags: General Otolaryngology Source Type: research

Narrow-Band Imaging of Laryngeal Images and Endoscopically Proven Reflux Esophagitis
Conclusion The endoscopic findings with the NBI view permit an easier identification of the RFS parameters of laryngeal erythema/vocal cord edema, which have a stronger correlation with the severity of reflux esophagitis, than the WL view. The importance of NBI in the evaluation of reflux laryngitis and gastroesophageal reflux disease deserves further study. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - May 7, 2015 Category: ENT & OMF Authors: Wang, W.-H., Tsai, K.-Y. Tags: Laryngology and Neurolaryngology Source Type: research

Tu1530 Real-Time Viewing Esophagoscopy With Reusable Tethered- Endoscopic Capsule (RTEC). Feasibility, Safety, Quality of Images and Costs
Esophageal capsule endoscopy (ECE) is useful for detection of esophageal diseases. Nevertheless the passage of esophageal capsule along the esophagus is entirely passive and the examiner cannot control visualization of mucosa and Z line. In addition, cost of capsule is expensive (around $600 USD). Aims: To assess feasibility, safety, image quality and costs of real-time esophagoscopy with reusable tethered endoscopic capsule (RTEC). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - April 28, 2015 Category: Gastroenterology Authors: Diego Garcia-Compean, Jose A. Gonzalez, Erick J. Barrera Villarreal, Antonio Sanchez Uresti, Aldo Garza, Hector J. Maldonado Tags: Tuesday abstract Source Type: research

Tu1531 Tolerability and Accuracy of the First Generatation Eg-II Scan - a Novel Single Use TransNasal Esophagoscope
Esophageal Adenocarcinoma (EAC) has been rapidly increasing over the last decades with an estimated increase of 7 fold. Screening for BE, the only known precursor for EAC is limited by the lack of a widely applicable cost effective tool. Unsedated ultrathin transnasal endoscopy (TNE) has the potential to offer a safer and less expensive alternative to sedated endoscopy (SE). Although still not widely used in routine clinical practice it has been shown to be feasible and safe. The EG-II Scan is a novel single use transnasal esophagoscope which has not previously been assessed in a US population. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - April 28, 2015 Category: Gastroenterology Authors: Magnus Halland, Michele L. Johnson, David A. Katzka, Prasad G. Iyer Tags: Tuesday abstract Source Type: research

852 Monitoring Pediatric Eosinophilic Esophagitis Using Unsedated TransNasal Esophagoscopy
Unsedated transnasal esophagoscopy (TNE) is a safer and less costly alternative compared to sedated esophagogastroduodenoscopy (EGD) in adults1. Few studies have examined the impact of TNE in children. This is likely due to the perception that children could not tolerate the procedure. We hypothesized that TNE was a safe and effective tool to monitor the mucosa of children with eosinophilic esophagitis (EoE). The aim of this study was to perform TNE with biopsies using ultra-slim flexible bronchoscopes to assess the esophageal mucosa in pediatric subjects with EoE. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - April 28, 2015 Category: Gastroenterology Authors: Joel Friedlander, Emily Deboer, Robin Deterding, Jason Soden, Calies Menard-Katcher, Glenn Furuta, David Fleischer, Dan Atkins, Kelley Capocelli, Krystal Mesenbrink, Susanna Kantor, Lisa Ton, Rebecca Van Winkle, Robert Kramer, Jeremy D. Prager Tags: Oral abstract Source Type: research

Emergency management of a dental foreign body ingestion using rigid esophagoscopy – A clinical case report
Publication date: Available online 2 March 2015 Source:Journal of Pierre Fauchard Academy (India Section) Author(s): M.S. Ranga Reddy , Raji Viola Solomon , I.Sri Nitya Reddy Ingestion of a foreign object is a common problem and is managed by otolaryngologists efficiently depending on its location, size of the object and patient's systemic condition. In dental literature foreign body aspiration or ingestion is often experienced and documented in regard to partial dentures, indirect restorations, endodontic files and retainers. This is encountered majorly due to improper isolation techniques, crown cementing failures...
Source: Journal of Pierre Fauchard Academy (India Section) - March 3, 2015 Category: Dentistry Source Type: research

Polypoid leiomyosarcoma of the esophagus treated by endoscopic submucosal dissection
We report a rare case of polypoid leiomyosarcoma of the esophagus that was treated by endoscopic submucosal dissection (ESD). A 63‐year‐old man with complaints of progressive dysphagia was referred to Hyogo Cancer Center for treatment of esophageal tumor. Esophagoscopy revealed a polypoid tumor 25 mm in diameter on the left side of the upper esophagus. Despite several biopsy specimens, the diagnosis could not be confirmed. Computed tomography showed a protruded, homogeneously enhancing mass in the upper esophagus, but no lymph node enlargement or metastasis. After 1.5 months, the esophagogram showed a filling defect ...
Source: Digestive Endoscopy - February 24, 2015 Category: Gastroenterology Authors: Yoshinobu Yamamoto, Hogara Nishisaki, Yu‐ichiro Koma, Hiroaki Sawai, Aya Sakai, Takuya Mimura, Saeko Kushida, Hidetaka Tsumura, Takeshi Sakamoto, Kazutoshi Tobimatsu, Ikuya Miki, Toshiko Sakuma, Masahiro Tsuda, Masayuki Mano, Takanori Hirose, Hideto Ino Tags: Case Report Source Type: research

[Prevention and treatment of intraoperative complications of thoracic surgery.]
Abstract In order to achieve a minimal complication rate there is a need for a comprehensive strategy. This means in the first line preventive steps which include patient positioning, suitable approaches and access, an appropriately qualified surgical team as well as a carefully planned dissection and preparation. Furthermore, a supply of additional instrumentation, such as thrombectomy catheters, special vascular clamps and even extracorporeal membrane oxygenation (ECMO) and a heart-lung machine (HLM) in cases of centrally located lesions should be on stand-by. Control instruments, such as a bronchoscope ...
Source: Der Chirurg - February 18, 2015 Category: Surgery Authors: Lampl L Tags: Chirurg Source Type: research

The University of Chicago Contribution to the Treatment of Gastroesophageal Reflux Disease and Its Complications: A Tribute to David B. Skinner 1935–2003
Conclusions: Ten years after the death of Dr Skinner, we can appreciate the monumental contributions to benign and malignant esophageal disease under his leadership. (Source: Annals of Surgery)
Source: Annals of Surgery - February 11, 2015 Category: Surgery Tags: Review Source Type: research