Pyriform Sinus Perforation in Nonaccidental Trauma
A 10-month-old girl presented to the emergency department with neck swelling and decreased activity of 1 day duration. On examination, she was in severe respiratory distress with extensive subcutaneous emphysema and an oval shaped bruise at the left submandibular area. Radiographs revealed extensive subcutaneous emphysema, pneumomediastinum, and a small right pneumothorax (, A). Bronchoscopy performed in the operating room showed a bulge in the left oropharynx. She underwent emergent tracheostomy for an unstable airway. Subsequent esophagoscopy showed a left pyriform sinus tear (, B) and retropharyngeal abscess. Pyriform ...
Source: The Journal of Pediatrics - May 12, 2014 Category: Pediatrics Authors: Asha N. Shenoi, Atul Vats Tags: Insights and Images Source Type: research
Reoperation after Vascular Ring Repair
The majority of patients having surgical intervention for a vascular ring have resolution of their symptoms. However, 5% to 10% of these patients develop recurrent symptoms related either to airway or esophageal compression and may require reoperation. In our series of 300 patients with vascular rings, we performed a reoperation on 26 patients, not all of whom were originally operated on at our institution. The four primary indications for reoperation were Kommerell diverticulum (n = 18), circumflex aorta (n = 2), residual scarring (n = 2), and tracheobronchomalacia requiring aortopexy (n = 4). All patients undergoing reop...
Source: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual - April 11, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Carl L. Backer, Michael C. Mongé, Hyde M. Russell, Andrada R. Popescu, Jeffrey C. Rastatter, John M. Costello Source Type: research
Intraoperative esophagoscopy provides accuracy and safety in video‐assisted thoracoscopic enucleation of benign esophageal submucosal tumors
Summary
Benign esophageal tumors are rare; complete surgical resection is essential for the management of the submucosal tumors. Larger, symptomatic, or non‐diagnostic lesions should be resected for both diagnostic and therapeutic indications. Video‐assisted thoracic surgery has become a popular treatment in the field of thoracic surgery; however, thoracoscopic esophageal surgery may lead to an increase in operative complications. The effect and safety of thoracoscopic surgery for esophageal submucosal lesions were evaluated. A retrospective study evaluated patients undergoing thoracoscopic treatment of benign submucos...
Source: Diseases of the Esophagus - April 9, 2014 Category: Gastroenterology Authors: H. W. Jeon, M.‐G. Choi, C.‐H. Lim, J. K. Park, S. W. Sung Tags: Original Article Source Type: research
Noticeable signs of atrial septal defect: Dysphagia and headache
A 32-year-old woman presented with dysphagia for three months. The dysphagia was not intermittent and she had more difficulty in swallowing solids, but not liquids in her middle to lower chest. She had a history of migraine and gastroesophageal reflux disease, and she occasionally used non-steroidal anti-inflammatory drugs and antacids. She had no history of trauma, smoking or being drunk, and taking any other medications including herbal or illicit drugs. Also, she had no history of aspiration, halitosis, dyspnea, neck mass, fevers, weight loss, night sweats, hematemesis, caustic injury to her esophagus or radiation expos...
Source: International Journal of Cardiology - April 3, 2014 Category: Cardiology Authors: Hakan Akinci, Fatih Karaahmet, Mevlut Hamamci, Ozlem Aydin, Sahin Coban, Ilhami Yuksel Tags: Online Letters to the Editor Source Type: research
Cervical Spondylodiscitis Following Button Battery Ingestion
A previously well 14-month-old boy presented with abnormal neck posturing, poor feeding, drooling, cough, and fever. A neck radiograph showed a 2 cm round metallic density (). Esophagoscopy found a corroded button battery in the proximal esophagus with surrounding tissue necrosis that was removed (; available at www.jpeds.com). One week later, the patient represented with neck hyperextension and inspiratory stridor. Esophagoscopy showed polypoid granulation on the posterior esophageal wall, and magnetic resonance imaging (MRI) of the spine showed an inflammatory phlegmon with adjacent spondylodiscitis (). He was treated wi...
Source: The Journal of Pediatrics - March 24, 2014 Category: Pediatrics Authors: Violet Kieu, Sudha Palit, Guin Wilson, Michael Ditchfield, Jim Buttery, David Burgner, Penelope A. Bryant Tags: Insights and Images Source Type: research
Esophageal intramural dissection after rigid esophagoscopy
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - February 19, 2014 Category: Gastroenterology Authors: Filipe Vilas-Boas, Pedro Pereira, Francisco Baldaque-Silva, Armando Ribeiro, Susana Rodrigues, Rosa Ramalho, Guilherme Macedo Source Type: research
A Bundled Payment Framework for Colonoscopy Performed for Colorectal Cancer Screening or Surveillance
With the release of the 2014 Physician Fee Schedule by the Centers for Medicare & Medicaid Services (CMS), it is clear that the substantial reductions in reimbursement for endoscopic procedures will have a profound impact on the practice of community and academic gastroenterology. In the Final Rule, CMS rejected the recommendations of the American Medical Association/Specialty Society Relative Value Update Committee, establishing significant reductions in physician payment for esophagoscopy, esophagogastroduodenoscopy, endoscopic retrograde cholangiopancreatography, and endoscopic ultrasonography services by reducing the p...
Source: Gastroenterology - January 30, 2014 Category: Gastroenterology Authors: Joel V. Brill, Rajeev Jain, Peter S. Margolis, Lawrence R. Kosinski, Worthe S. Holt, Scott R. Ketover, Lawrence S. Kim, Laura E. Clote, John I. Allen Tags: AGA Section Source Type: research
New device for single‐stage in‐office secondary tracheoesophageal puncture: Animal studies
ConclusionWe believe the MAID can facilitate single‐stage office‐based secondary TEP in postlaryngectomy patients. © 2013 Wiley Periodicals, Inc. Head Neck 36: 882–886, 2014 (Source: Head and Neck)
Source: Head and Neck - January 29, 2014 Category: ENT & OMF Authors: David P. Lau, Chin Boon Chng, Chee Kong Chui Tags: Original Article Source Type: research
Congenital esophageal stenosis associated with esophageal atresia
Summary
Congenital esophageal stenosis (CES) is a rare clinical condition but is frequently associated with esophageal atresia (EA). The aim of this study is to report the diagnosis, management, and outcome of CES associated with EA. Medical charts of CES‐EA patients from Lille University Hospital, Sainte‐Justine Hospital, and Montreal Children's Hospital were retrospectively reviewed. Seventeen patients (13 boys) were included. The incidence of CES in patients with EA was 3.6%. Fifteen patients had a type C EA, one had a type A EA, and one had an isolated tracheoesophageal fistula. Seven patients had associated additi...
Source: Diseases of the Esophagus - January 22, 2014 Category: Gastroenterology Authors: F. McCann, L. Michaud, A. Aspirot, D. Levesque, F. Gottrand, C. Faure Tags: Original Article Source Type: research
Use of flexible esophagoscopy by otolaryngologists.
CONCLUSIONS: There has been a rapid increase in the use of flexible esophagoscopy by otolaryngologists. The majority of residency programs currently include flexible esophagoscopy in their training. Otolaryngologists play a major role in esophageal foreign body management and primarily use the rigid esophagoscope for this purpose.
PMID: 24574417 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - January 1, 2014 Category: ENT & OMF Authors: Wexler SJ, Wernick B, Soliman AM Tags: Ann Otol Rhinol Laryngol Source Type: research
A submucosal esophageal fish bone foreign body surgically removed using intraoperative ultrasonography
Abstract: A 68year-old female was referred to our department with a history of swallowing a fish bone, she reported continuous pain when swallowing. The bone was not evident on endoscopic examination; however, on CT scans a foreign body was identified in the upper esophagus. The bone was buried in the mucosa of the upper esophagus and an emergent rigid esophagoscopy was performed under general anesthesia in order to remove it. The fish bone was successfully removed with the use of intraoperative cervical ultrasonography. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 2, 2013 Category: Endocrinology Authors: Shintaro Baba, Katsumi Takizawa, Chikako Yamada, Hiroko Monobe Tags: Case Reports Source Type: research
[Endoscopic submucosal dissection of a leiomyoma originating from the muscularis propria of upper esophagus].
Abstract
The technique of endoscopic submucosal dissection is occasionally used for resection of myogenic tumors originating from muscularis mucosa or muscularis propria of stomach and esophagus. However, endoscopic treatments for esophageal myogenic tumors >2 cm have rarely been reported. Herein, we report a case of large leiomyoma originating from muscularis propria in the upper esophagus. A 59-year-old woman presented with dysphagia. Esophagoscopy and endoscopic ultrasonography revealed an esophageal subepithelial tumor which measured 25×20 mm in size, originated from muscularis propria, and was loc...
Source: Korean J Gastroenter... - October 25, 2013 Category: Gastroenterology Authors: Kang MS, Hong SJ, Han JP, Seo JY, Yoon LY, Choi MH, Kim HK Tags: Korean J Gastroenterol Source Type: research
Development of a Program to Train Physician Extenders to Perform Transnasal Esophagoscopy and Screen for Barrett's Esophagus
(Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - October 25, 2013 Category: Gastroenterology Authors: Bronia Alashkar, Ashley L. Faulx, Ashley Hepner, Richard Pulice, Srikrishna Vemana, Katarina B. Greer, Gerard A. Isenberg, Yngve Falck–Ytter, Amitabh Chak Tags: Alimentary Tract Source Type: research
Development of a Program to Train Physician Extenders to Perform Transnasal Esophagoscopy and Screen for Barrett's Esophagus
Conclusions: We developed a program at a VA medical center to train PEs to perform TNE to screen for BE. The PEs were able to perform TNE and recognize esophageal landmarks independently after a modest number of supervised procedures. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - October 25, 2013 Category: Gastroenterology Authors: Bronia Alashkar, Ashley L. Faulx, Ashley Hepner, Richard Pulice, Srikrishna Vemana, Katarina B. Greer, Gerard A. Isenberg, Yngve Falck–Ytter, Amitabh Chak Tags: Alimentary Tract Source Type: research
Association between hospital case volume and the use of bronchoscopy and esophagoscopy during head and neck cancer diagnostic evaluation
CONCLUSIONSPatients with head and neck cancer who are undergoing diagnostic laryngoscopy are much more likely to undergo concurrent bronchoscopy and esophagoscopy at low‐ and medium‐volume hospitals than at high‐volume hospitals. Whether this represents overuse of concurrent procedures or appropriate care that leads to earlier diagnosis and better outcomes merits further investigation. Cancer 2013;. © 2013 American Cancer Society. (Source: Cancer)
Source: Cancer - September 24, 2013 Category: Cancer & Oncology Authors: Gordon H. Sun, Oluseyi Aliu, Nicholas M. Moloci, Joshua K. Mondschein, James F. Burke, Rodney A. Hayward Tags: Original Article Source Type: research
