Vocal cord paralysis following lithium button battery ingestion in children
Conclusion: Accidentally ingested button batteries should be removed promptly to avoid severe complications. Respiratory support and neurotrophic treatment in the early stage of vocal cord paralysis may be beneficial for recovery of vocal cord movement.What is Known:•Button battery ingestion in children is extremely harmful, especially when the diameter of the button battery exceeds 20 mm.•Esophageal button battery impaction can cause serious complications such as esophageal perforation, mediastinal infection, tracheoesophageal fistula, vocal cord paralysis, and life-threatening bleeding.What is New:•Vocal cord par...
Source: European Journal of Pediatrics - March 9, 2021 Category: Pediatrics Source Type: research
Hypopharyngeal Perforation Mimicking Esophageal Atresia: A Case Report of an Extremely Low Birth Weight Infant Emphasizing the Need for Preoperative Endoscopy
We report a case of an extremely low birth weight premature infant born at 27 weeks of gestation, transferred to our tertiary pediatric referral center for surgical repair of an esophageal atresia. Endoscopic evaluation before the start of surgery revealed a hypopharyngeal perforation, resulting in the false impression of esophageal atresia. If no tracheoesophageal fistula is found during tracheoscopy, esophagoscopy should be done before surgical intervention as the inability to pass a nasogastric tube into the stomach is not sufficiently reliable for a correct diagnosis of esophageal atresia. (Source: A&A Case Reports)
Source: A&A Case Reports - March 1, 2021 Category: Anesthesiology Tags: Case Report Source Type: research
Secondary tracheoesophageal puncture with the blind technique: 10 years’ experience
ConclusionThe blind technique offers an alternative method to perform a secondary TEP safely and efficiently in patients with unfavorable anatomical or clinical conditions, lowering the risk of procedure-related complications. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 13, 2021 Category: ENT & OMF Source Type: research
Temperature Monitoring and Temperature-driven irrigated Radiofrequency Energy Titration do not prevent thermally-induced Esophageal Lesions in Pulmonary Vein Isolation A randomized study controlled by esophagoscopy before and after catheter ablation
Endoscopically detected esophageal lesions (EDEL) are common following pulmonary vein isolation (PVI) and may progress to atrio-esophageal fistula (AEF). (Source: Heart Rhythm)
Source: Heart Rhythm - February 6, 2021 Category: Cardiology Authors: Dirk Grosse Meininghaus, Kai Blembel, Claudia Waniek, Juergen Kruells-Muench, Helmut Ernst, Tobias Kleemann, J. Christoph Geller Source Type: research
Anesthesia and airway managements for emergency removal of esophageal foreign body in a trisomy 21 patient with mental retardation and predicted difficult airway: A case report
Introduction:
The typical manifestations of patients with a trisomy 21 syndrome are mental retardation and anatomical deformities of face and neck. In the available literature, all case reports regarding anesthetic management of mentally retarded patients have focused on elective surgeries. There is no report regarding anesthetic management of mentally retarded patients undergoing emergency surgery.
Patient concerns:
A 47-year-old woman with a mental retardation grade 2 by trisomy 21 syndrome suffered from an esophageal foreign body for 3 days and needed emergency removal of esophageal foreign body. The patient ...
Source: Medicine - December 18, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Management of button batteries in the upper gastrointestinal tract of children: A case-series study
Button batteries are the second most frequently-ingested foreign bodies and can lead to serious clinical complications within hours of ingestion. The purpose of this study was to analyze the outcomes of 14 children with button batteries lodged in the upper gastrointestinal tract.
Totally 14 children with button batteries lodged in the upper gastrointestinal tract were included. The diagnosis was made primarily by the history of button battery ingestion, physical examination and chest-abdomen X-ray examination.
The button batteries lodged in the esophagus were removed by esophagoscope, and those in the gastrointestinal tr...
Source: Medicine - October 16, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Discordance between high-resolution manometry, esophagoscopy and contrast esophagogram in determining landmarks for per-oral endoscopic myotomy in spastic esophageal disorders: a word of caution
ConclusionsDiscordance among HRM, esophagography and esophagoscopy can be significant. Caution should be employed with using these methods to determine myotomy length in POEM. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - October 13, 2020 Category: Surgery Source Type: research
Clinical Application of Oral Meglumine Diatrizoate Esophagogram in Screening for Esophageal Fistula During Radiotherapy or Chemoradiotherapy for Esophageal Cancer
Conclusion: Oral meglumine diatrizoate esophagography has high sensitivity and specificity in screening for esophageal fistulas during radiotherapy or chemoradiotherapy with minimal side effects. Early diagnosis and timely intervention can significantly improve the prognosis and prolong the survival period of patients.Trial Registration: Chictr.org.cn, Identifier: ChiCTR-DDD-17012617. Registered on September 7, 2017. The first participant was enrolled on September 25, 2017. http://www.chictr.org.cn/showproj.aspx?proj=21526. (Source: Frontiers in Oncology)
Source: Frontiers in Oncology - October 1, 2020 Category: Cancer & Oncology Source Type: research
Case Series: Role of Pill Esophagram to Identify Pediatric Patients With Eosinophilic Esophagitis Amenable to Therapeutic Dilation
Eosinophilic esophagitis (EoE) is a chronic disease of the esophagus that leads to esophageal remodeling. Dysphagia is a common symptom that likely results from the inflammatory process or remodeling. Identifying patients that may benefit from dilation can be challenging because of difficulties in detecting subtle narrowing in patients with EoE. Here we report the benefits of a pill esophagram in the detection of esophageal narrowing in EoE. We identified a series of children with EoE and symptoms of dysphagia who underwent barium esophagram with a barium-coated pill to assess symptoms. Three subjects had a normal fluorosc...
Source: Journal of Pediatric Gastroenterology and Nutrition - September 22, 2020 Category: Gastroenterology Tags: Short Communication: Gastroenterology: Eosinophilic GI Disease Source Type: research
Heterogeneous Presentations of Pharyngoesophageal Diverticula Occurring after Cervical Spine Surgery
AbstractDysphagia after anterior cervical spine surgery (ACSS) may be secondary to pharyngoesophageal diverticulum. Our objectives are to (1) highlight the heterogeneity in clinical presentation, (2) discuss pathophysiology and management, and (3) present a comprehensive literature review of these diverticula. All patients undergoing pharyngoesophageal diverticulum repair between 2013 and 2019 were identified. Cases with ACSS history underwent detailed review of clinical presentation, assessment, and management. Literature review and analysis of all reported ACSS-associated pharyngoesophageal diverticula was performed. Two...
Source: Dysphagia - September 2, 2020 Category: Speech-Language Pathology Source Type: research
Characterization of Esophageal Motility in Children With Operated Esophageal Atresia Using High-resolution Impedance Manometry and Pressure Flow Analysis
Objectives:
Esophageal dysmotility is common in patients with esophageal atresia (EA). High-resolution impedance manometry and pressure flow analysis (PFA) allow characterization of biomechanical events that drive bolus flow. The aims were to assess esophageal motility in children with EA, using PFA, and to test whether there is a correlation between PFA parameters and symptoms or endoscopic/histologic findings.
Methods:
High-resolution impedance manometry was performed in 16 children with EA (median age 11 years), compared with 13 patient controls (median age 14 years; P = NS vs patients). Wet swallows were analyzed ...
Source: Journal of Pediatric Gastroenterology and Nutrition - August 25, 2020 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
Fistulas between the Esophagus and Adjacent Vital Organs in Esophageal Cancer.
Authors: Cho S
Abstract
Esophageal fistulas may occur in an advanced stage or as a potentially life-threatening complication of treatment. They can be divided into esophageal-respiratory and esophageal-aorta fistulas. The diagnosis is confirmed with fluoroscopy using dilute barium oral contrast, followed by thin-section computed tomography, which defines the precise location and extent of the fistula. Flexible esophagoscopy and bronchoscopy are required for confirmation and anatomic assessment of the suspected fistula and provide additional information for treatment planning. Contamination is traditionally...
Source: Korean Journal of Thoracic and Cardiovascular Surgery - August 16, 2020 Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
Retroversion of the esophagoscope to find a bronchoesophageal fistula inside an esophageal diverticulum in a patient with achalasia
Endosc Int Open 2020; 08: E1042-E1043 DOI: 10.1055/a-1190-7854 © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | open access Full text (Source: Endoscopy International Open)
Source: Endoscopy International Open - July 20, 2020 Category: Gastroenterology Authors: Gunjan, Deepak Agarwal, Ashish Jagannath, Soumya Kaushal, Kanav Tags: VidEIO Source Type: research
To Intensify or Not to Intensify? Consideration of Competing Risks in the Management of Locoregionally Advanced p16+ Oropharyngeal Cancer
A 65-year-old man with a history of preventricular contractions treated with bisoprolol, a glomerular filtration rate of 64 to 78 mL/min/1.73 m2, a body mass index of 26.5, no significant tobacco history, and Zubrod performance status of 0 presented to his general practitioner with a sore throat. He underwent an esophagoscopy to evaluate for esophagitis and was found to have a large mass in the tongue base, obliterating the epiglottis. A biopsy showed p16+ squamous cell carcinoma. Imaging, including diagnostic computed tomography, magnetic resonance imaging, and positron emission tomography/computed tomography showed a...
Source: International Journal of Radiation Oncology * Biology * Physics - June 24, 2020 Category: Radiology Authors: Aaron B. Simon, Loren K. Mell Tags: Gray Zone Source Type: research
Pattern of esophageal injuries and surgical management: A retrospective review
Conclusion: Corrosive esophageal injuries were the most frequent form of esophageal injury at our center due to unrestricted access to corrosive substances. Generally, appropriate surgical intervention in patients with esophageal injury based on individualization of care yields excellent early and mid-term results. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 3, 2020 Category: Rural Health Authors: M Tettey F Edwin E Aniteye M Tamatey K Entsua-Mensah KB Gyan I Adzamli Source Type: research
