Comparison of Detection Methods for Tracheoesophageal Fistulae With a Novel Method: Capnography With CO: 2: Insufflation
Conclusion: Attention to etCO2 during esophagoscopy with CO2 insufflation represents a simple, novel way to detect TEF. Identification of TEF remains challenging, though combinations of diagnostic modalities improve diagnostic sensitivity. (Source: Journal of Pediatric Gastroenterology and Nutrition)
Source: Journal of Pediatric Gastroenterology and Nutrition - April 27, 2020 Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research

Commentary: Pigmented Spot During Esophagoscopy – A Mole or Melanoma?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tahsin M. Khan, Chuong D. Hoang Source Type: research

Commentary: Pigmented spot during esophagoscopy —a mole or melanoma?
Primary malignant melanoma of the esophagus (PMME) is a very rare noncutaneous tumor first described in 1906 but not histopathologically proven until 1952.1 It is thought to arise in this organ from the anomalous migration of neural crest cells during development. The world literature contains fewer than 350 cases of reported PMME.2 Consequently, a standard-of-care treatment approach for this disease remains largely undefined, although surgical intervention is a mainstay for this serious cancer, with poor overall survival rates. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tahsin M. Khan, Chuong D. Hoang Tags: Commentary Source Type: research

Failure of standard methods for retrieving an unusual foreign body in esophagus: A case report
We report our experience retrieving a large and spherical FB in the upper esophagus using gallbladder grasping forceps. This proved to be an effective strategy, eliminating the need for thoracotomy. (Source: Medicine)
Source: Medicine - November 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Clinical Analysis of Denture Impaction in the Esophagus of Adults
AbstractDenture impacted in the esophagus of adults has been a complex foreign body for otolaryngologists. We reviewed clinical characteristics, diagnosis, and treatment of these patients and evaluated computed tomography (CT) scans to identify a better method of dealing with such tricky situations. Twenty-nine patients who underwent rigid esophagoscopy were included in this retrospective study conducted at the University hospital. The patients underwent preoperative tests and examinations, including complete blood count, blood type and coagulation, electrocardiogram, and CT. The commonest symptoms were retrosternal pain, ...
Source: Dysphagia - August 27, 2019 Category: Speech-Language Pathology Source Type: research

Esophagitis Dissecans Superficialis Diagnosed by Unsedated Transnasal Esophagoscopy
No abstract available (Source: Journal of Pediatric Gastroenterology and Nutrition)
Source: Journal of Pediatric Gastroenterology and Nutrition - July 26, 2019 Category: Gastroenterology Tags: Image of the Month Source Type: research

Severe acquired tracheomalacia caused by a chronic esophageal foreign body
Publication date: Available online 20 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Collin F. Mulcahy, Joseph C. Park, Eva I. Rubio, Allison L. Speer, Andrea Badillo, Maria PenaAbstractA 3-year-old otherwise healthy boy presented with new-onset progressive stridor that began 3 months prior. He was noted to have dyspnea on exertion, inspiratory stridor, and occasional regurgitation of undigested food. Direct laryngoscopy with bronchoscopy revealed tracheomalacia of the cervical trachea with marked compression extending down to 2 cm above the carina. Magnetic resonance imaging, computed tomography, a...
Source: Journal of Pediatric Surgery Case Reports - June 20, 2019 Category: Surgery Source Type: research

A novel percutaneous approach to retrieve an ingested extra-esophageal foreign body
We report a case of an 8-year-old boy who presented to our emergency department with progressive onset of dysphagia and odynophagia after eating barbecued steak that evening. Radiographs revealed a metal bristle from a barbecue brush at the level of the proximal esophagus. The otolaryngologist attempted to retrieve this bristle using flexible esophagoscopy, but unfortunately it pushed the bristle extra-esophageal. In order to avoid major open surgery with associated morbidity, a novel percutaneous image-guided minimally invasive percutaneous approach was used to successfully retrieve the bristle. (Source: Pediatric Radiology)
Source: Pediatric Radiology - May 16, 2019 Category: Radiology Source Type: research

Roles of Steroids in Preventing Esophageal Stricture after Endoscopic Resection.
Conclusions: Therefore, steroids play an irreplaceable role in preventing esophageal stricture after endoscopic resection. Oral and local injections of steroids are the two most acceptable methods and more prospective studies are needed to compare the effectiveness and safety of these two methods. PMID: 31058109 [PubMed - in process] (Source: Canadian Journal of Gastroenterology)
Source: Canadian Journal of Gastroenterology - May 8, 2019 Category: Gastroenterology Tags: Can J Gastroenterol Hepatol Source Type: research

A Prospective Randomized Trial to Assess the Antireflux Effect of Antireflux Mucosectomy in the Porcine Model.
Conclusion: Our study demonstrated the potential antireflux effect of ARMS. We also recommend the 2/3 circumference resection of mucosa at 3 cm distance from the GEJ. PMID: 30944560 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - April 6, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Spectral Computed Tomography for the Quantitative Assessment of Patients With Carcinoma of the Gastroesophageal Junction: Initial Differentiation Between a Diagnosis of Squamous Cell Carcinoma and Adenocarcinoma
Conclusion The diagnostic accuracy obtained by using NICAP and K40–70 keV AP combined is better than that obtained using a single parameter in differentiation between a diagnosis of squamous cell carcinoma and adenocarcinoma. (Source: Journal of Computer Assisted Tomography)
Source: Journal of Computer Assisted Tomography - March 1, 2019 Category: Radiology Tags: Abdominal Imaging Source Type: research

Cost analysis of office-based transnasal esophagoscopy
ConclusionsCost analysis showed that office-based transnasal esophagoscopy can provide significant cost savings for the current standard of care. Furthermore, this procedure resulted in good patient acceptability and few complications. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 26, 2019 Category: ENT & OMF Source Type: research

An Operable, Portable, and Disposable Ultrathin Endoscope for Evaluation of the Upper Gastrointestinal Tract
ConclusionThe new DE enabled easy observation of the entire esophagus owing to its improved maneuverability, and its diagnostic ability of esophageal diseases was comparable to that of conventional endoscopes. Non-sedated esophagoscopy with this disposable device potentially has widespread applications in outpatient clinics and areas without endoscopic facilities. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - January 25, 2019 Category: Gastroenterology Source Type: research

[Leiomyoma of the esophagus : A  further indication for robotic surgery?]
CONCLUSION: Robotic-assisted surgery for leiomyomas of the esophagus is a safe procedure. Taking the available data into account, robotic-assisted thoracic enucleation of leiomyomas was characterized by less mucosal lesions, general complications and a lower conversion rate as well as a shorter hospital stay compared to classical thoracoscopic enucleation. Thus, robotic-assisted surgery can be the method of choice for leiomyomas of the esophagus. PMID: 30666360 [PubMed - as supplied by publisher] (Source: Der Chirurg)
Source: Der Chirurg - January 21, 2019 Category: Surgery Authors: Inderhees S, Tank J, Stein HJ, Dubecz A Tags: Chirurg Source Type: research

The missing link.
We present a case of a 28-year old woman who presented with bizarre wheezing breath sounds on expiration and dysphagia, with unexplained significant dilation of the esophagus mimicking achalasia finally leading to the diagnosis of a very small congenital tracheoesophageal fistula (TEF). Congenital TEF is usually detected shortly after birth and is typically accompanied by esophageal atresia. Congenital TEF without esophageal atresia (H-type fistula) can be missed in early life and diagnosis may be postponed until adulthood due to subtle symptoms. Diagnosis is usually based upon a combination of esophagoscopy, bronchoscopy,...
Source: Acta Gastro-Enterologica Belgica - January 16, 2019 Category: Gastroenterology Tags: Acta Gastroenterol Belg Source Type: research