Mixed adeno(neuro)endocrine carcinoma arising from the ectopic gastric mucosa of the upper thoracic esophagus
We report a case of mixed adenoendocrine carcinoma of the upper thoracic esophagus arising from ectopic gastric mucosa. A 64-year-old man who had been diagnosed with an esophageal tumor on the basis of esophagoscopy was referred to our hospital. Upper gastrointestinal endoscopy revealed the presence of ectopic gastric mucosa and an adjacent pedunculated lesion located on the posterior wall of the upper thoracic esophagus. Subtotal esophagectomy with three-field lymph node dissection was performed. A microscopic examination revealed that there was a partially intermingling component of neuroendocrine carcinoma adjacent to a...
Source: World Journal of Surgical Oncology - September 4, 2013 Category: Cancer & Oncology Authors: Toshihiro KitajimaSachiko KaidaSeigi LeeShusuke HarutaHisashi ShinoharaMasaki UenoKoichi SuyamaYasunori OotaTakeshi FujiiHarushi Udagawa Source Type: research
Primary esophageal adenosquamous carcinoma: a retrospective analysis of 24 cases
Summary
Primary adenosquamous carcinoma (ASC) of the esophagus is a rare kind of malignancy characterized by mixed glandular and squamous differentiation as well as a propensity for aggressive clinical behavior. Data on the evaluation of the clinicopathological features and the prognosis of patients suffering from this malignancy are few because of the rarity of this disease. We conducted a retrospective review of 24 patients with primary esophageal ASC among 6546 esophageal cancer patients who underwent transthoracic esophagectomy in our hospital. The clinicopathological presentation, diagnosis, treatment, and prognostic ...
Source: Diseases of the Esophagus - September 1, 2013 Category: Gastroenterology Authors: H. D. Zhang, C. G. Chen, Y. Y. Gao, Z. Ma, P. Tang, X. F. Duan, P. Ren, J. Yue, Z. T. Yu Tags: Original Article Source Type: research
Practical applications of in-office fiberoptic transnasal esophagoscopy in the initial evaluation of patients with squamous cell cancer of the head and neck.
Abstract
We conducted a study to analyze the effectiveness of transnasal esophagoscopy (TNE) as an alternative to operative endoscopy (OE) for the evaluation of primary head and neck cancers and for the surveillance of synchronous esophageal cancers. Our study population was made up of 96 consecutively presenting patients-75 men and 21 women, aged 45 to 88 years (mean: 64)-who were treated at our institution for squamous cell cancer of the head and neck. Of this group, 42 patients had been evaluated with TNE and 54 with OE. More OEs were performed in patients with an unknown primary (26 vs. 3). Incidental ...
Source: Ear, Nose and Throat Journal - September 1, 2013 Category: ENT & OMF Authors: Dolan RW, Anderson TD Tags: Ear Nose Throat J Source Type: research
Transnasal esophagoscopy and the diagnosis of a mediastinal foregut duplication cyst.
PMID: 23975484 [PubMed - in process] (Source: Ear, Nose and Throat Journal)
Source: Ear, Nose and Throat Journal - August 1, 2013 Category: ENT & OMF Authors: Gill AS, Long JL Tags: Ear Nose Throat J Source Type: research
Value of helical computed tomography in the early diagnosis of esophageal foreign bodies in adults
Conclusions: Esophageal foreign bodies were associated with a high incidence of complications in adults. CT could detect foreign bodies accurately in the early stages, and then FBs could be removed as early as possible, which may reduce the incidence of complications. Moreover, the great majority of complications were of lower grades. Thus, CT may be a useful first-line radiological tool for the early diagnosis of esophageal foreign bodies in adults. (Source: The American Journal of Emergency Medicine)
Source: The American Journal of Emergency Medicine - July 29, 2013 Category: Emergency Medicine Authors: Yong-Cai Liu, Shui-Hong Zhou, Ling Ling Tags: Original Contributions Source Type: research
Management of acute blunt and penetrating external laryngeal trauma
ConclusionsAcute external injury to the larynx is both life threatening and a potential long‐term management challenge. Although a rare injury, sufficient experience now exists to recommend specific treatments, and to preserve voice and airway function. Laryngoscope, 2013 (Source: The Laryngoscope)
Source: The Laryngoscope - June 26, 2013 Category: ENT & OMF Authors: Steven D. Schaefer Tags: Laryngology Source Type: research
New device for single‐stage in‐office secondary tracheo‐esophageal puncture. Animal studies
ConclusionsWe believe the MAID can facilitate single‐stage office‐based secondary TEP in post laryngectomy patients. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - June 4, 2013 Category: ENT & OMF Authors: David P Lau, Chin Boon Chng, Chee Kong Chui Tags: Original Article Source Type: research
Causes of dysphagia in a tertiary-care swallowing center.
CONCLUSIONS: The most common causes of dysphagia in a tertiary-care swallowing center are reflux, postirradiation dysphagia, and cricopharyngeus muscle dysfunction. A precise cause for the symptom could not be identified in 13% of our cohort. Endoscopic visualization (laryngoscopy, flexible endoscopic evaluation of swallowing, and transnasal esophagoscopy) and fluoroscopic swallow studies were the investigations most often utilized. These techniques can be used to arrive at a diagnosis in 80% of cases.
PMID: 23815051 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - May 1, 2013 Category: ENT & OMF Authors: Hoy M, Domer A, Plowman EK, Loch R, Belafsky P Tags: Ann Otol Rhinol Laryngol Source Type: research
Yield of Chest Radiography After Removal of Esophageal Foreign Bodies
CONCLUSIONS:
We conclude that intraoperative findings during rigid esophagoscopy suggestive of an injury are predictive of esophageal perforation. Routine chest radiography is not warranted in children who do not meet this criterion. In patients with a concern for injury, we suggest that chest radiography should be deferred in favor of esophagram. (Source: PEDIATRICS)
Source: PEDIATRICS - May 1, 2013 Category: Pediatrics Authors: Fisher, J., Mittal, R., Hill, S., Wulkan, M. L., Clifton, M. S. Tags: Surgery Article Source Type: research
Aortoesophageal Fistula after Endovascular Repair for Aberrant Right Subclavian Artery Aneurysm.
Abstract
A 76-year-old woman with malignant rheumatic arthritis developed dysphagia and hoarseness secondary to an aberrant right subclavian artery aneurysm. We performed a hybrid endovascular repair with concomitant surgical treatment for the aberrant right subclavian artery aneurysm. One month after discharge, she was emergently admitted to our hospital because of chest pain and fever. We diagnosed aortoesophageal fistula and stent graft infection based on computed tomography, gallium scintigraphy, and esophagoscopy results. Esophagectomy, elimination of the infected stent graft, and muscle plombage were...
Source: Annals of Thoracic and Cardiovascular Surgery - March 22, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Morisaki A, Hirai H, Sasaki Y, Hige K, Bito Y, Suehiro S Tags: Ann Thorac Cardiovasc Surg Source Type: research
[Esophageal Perforation in Children: A Review of one Pediatric Surgery Institution's Experience (16 Years)].
Conclusions: The delay of the diagnosis is associated with a mortality which can oscillate between 20 and 40%.
PMID: 23809740 [PubMed - in process] (Source: Acta Medica Portuguesa)
Source: Acta Medica Portuguesa - March 1, 2013 Category: Journals (General) Authors: Vieira E, Cabral MJ, Gonçalves M Tags: Acta Med Port Source Type: research
Isolated Crohn's disease of the esophagus.
Abstract
Crohn's disease (CD) is a chronic inflammatory disease of unknown etiology characterized by chronic, granulomatous, segmental transmural inflammation that may occur in any part of the alimentary tract from the mouth to the anus. In the human upper digestive tract, the esophagus is the segment least commonly involved in CD (1,2). Further, almost all esophageal CD has coexisted with the disease of such sites as the ileum, rectum and colorectum, with only 12 cases in the literature having been described as isolated esophageal involvement of CD (1,3,4). Here, we report a patient with isolated esophage...
Source: The Turkish Journal of Gastroenterology - February 1, 2013 Category: Gastroenterology Authors: Cheng Q Tags: Turk J Gastroenterol Source Type: research
Pulmonary Sequestration Presenting as an Esophageal Submucosal Tumor.
We present the case of a patient whose initial symptom was mild dysphagia. Esophagoscopy showed the presence of a submucosal tumor in the lower-third section of the esophagus. The tumor was excised via video-assisted thoracoscopic surgery. The histopathology results indicated extrapulmonary sequestration. To our knowledge, such a case of extralobar sequestration presenting as an esophageal submucosal tumor has not yet been reported.
PMID: 23303580 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kao MW, Tsai JH, Lee JM Tags: Thorac Cardiovasc Surg Source Type: research
Routine Endoscopy to Detect Anastomotic Leakage After Esophagectomy [ORIGINAL ARTICLES: GENERAL THORACIC]
Conclusions
Esophagoscopy within 1 week of esophagectomy is a safe and highly accurate method of diagnosing leaks and provides unique information on the condition of the stomach. We believe it allows a more targeted approach to patient care in the context of anastomotic healing and in the treatment of leaks. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Page, R. D., Asmat, A., McShane, J., Russell, G. N., Pennefather, S. H. Tags: Esophagus - cancer ORIGINAL ARTICLES: GENERAL THORACIC Source Type: research
