Usefulness of intraoperative endoscopy in pediatric surgery: state of the art.
CONCLUSION: Intraoperative endoscopy is an indispensable tool for gastrointestinal surgery. In the hands of experienced endoscopists, intraoperative endoscopy can be performed safely, in time-efficient manner, facilitating diagnosis and treatment. PMID: 30561422 [PubMed - in process] (Source: Acta Bio-Medica : Atenei Parmensis)
Source: Acta Bio-Medica : Atenei Parmensis - December 17, 2018 Category: General Medicine Authors: Borgogni R, Gaiani F, Di Mario F, Fornaroli F, Leandro G, Bizzarri B, Ghiselli A, De' Angelis GL, Casolari E Tags: Acta Biomed Source Type: research

A Lodged Barramundi Fish-Bone Stabbing the Piriform Fossa in a Child
We describe a 3-year-old healthy boy who had a large bone of Barramundi fish lodged in his upper esophagus causing significant distress. Soft tissue neck radiograph revealed a mildly thickened epiglottis and bulbous and hypertrophied adenoid soft tissue. A 21-mm foreign body was noticed. A flexible fiberoptic laryngoscopy revealed a large fish bone emerging from the left piriform fossa and arcing over the left arytenoid to hover over the posterior glottis. The bone was removed during anesthesia induction before a rigid esophagoscopy. The fish-bone entry point was seen stabbing through the edge of the piriform fossa and run...
Source: Pediatric Emergency Care - December 1, 2018 Category: Emergency Medicine Tags: Illustrative Cases Source Type: research

The Difficult Secondary Tracheoesophageal Puncture: A Technique for Safe Insertion
Conclusions: In patients with anatomical constraints preventing traditional TEP placement through rigid esophagoscopy, fiberoptic guidance through an endotracheal tube stent provides a safe and efficient approach for TEP placement.ORL 2019;81:10 –15 (Source: ORL)
Source: ORL - November 28, 2018 Category: ENT & OMF Source Type: research

High expression level of CD44v8-10 in cancer stem-like cells is associated with poor prognosis in esophageal squamous cell carcinoma patients treated with chemoradiotherapy.
Conclusion: High CD44v8-10 expression was an independent prognostic factor in E-SCC patients treated with dCRT. CD44v8-10-xCT-GSH axis inhibition sensitized CD44v8-10High E-SCC cells to ROS-inducing treatments such as radiotherapy. Targeting CD44v8-10-xCT-GSH axis may improve the prognosis of post-dCRT E-SCC patients. PMID: 30405881 [PubMed] (Source: Oncotarget)
Source: Oncotarget - November 9, 2018 Category: Cancer & Oncology Tags: Oncotarget Source Type: research

Real steak knives of cincinnati: Repeated foreign body ingestion with novel endoscopic removal
We report a 32 ‐year‐old female patient with history of multiple previous foreign body ingestions requiring several past exploratory laparotomies, who presents with a knife blade in the esophagus. We present a novel method of using a rigid cervical esophagoscope with a salivary bypass tube. The tip of the knif e was isolated into the cervical esophagoscope, and the salivary bypass tube advanced off the cervical esophagoscope over the knife, shielding the serrated edge during removal preventing laceration to the esophagus. (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Erin Harvey, David Lee, John Paul Giliberto Tags: Laryngology Source Type: research

The Prevalence of Cricopharyngeal Webs in Elderly Cadavers
ConclusionThe prevalence of cricopharyngeal webs in elderly cadavers is high (68%). The clinician should maintain a high index of suspicion for CPWs in patients with no other identifiable etiology of solid food dysphagia.Level of Evidence3b.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 8, 2018 Category: ENT & OMF Authors: Omid B. Mehdizadeh, Peter Wickwire, Mena Said, Peter C. Belafsky Tags: Bronchoesophagology Source Type: research

Fish Bone Foreign Body: The Role of Imaging
Conclusion In patients > 40 years old suspected of fish bone impaction, non-contrast CT is recommended and should be urgently performed, even in the presence of ambiguous symptoms. However, in patients < 40 years old presenting within 24 hours from ingestion, imaging has little diagnostic value due to the low probability of esophageal fish bones. For this specific subgroup, in the absence of clinical findings, discharge without imaging studies may be considered safe. [...] Thieme Revinter Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals: Table of contents  |  Abstract  |  open ac...
Source: International Archives of Otorhinolaryngology - October 26, 2018 Category: ENT & OMF Authors: Klein, Ayala Ovnat-Tamir, Sharon Marom, Tal Gluck, Ofer Rabinovics, Naomi Shemesh, Shay Tags: Systematic Review Source Type: research

Transnasal Esophagoscopy —Our Experience
Conclusion Transnasal esophagoscopy can be successfully delivered within a DGH. A previous EGD does not mean that the TNE will not reveal positive findings due to its superior visualization of the pharynx and the upper esophagus. [...] Thieme Revinter Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: International Archives of Otorhinolaryngology)
Source: International Archives of Otorhinolaryngology - October 11, 2018 Category: ENT & OMF Authors: Rocke, John Ahmed, Shadaba Tags: Original Research Source Type: research

Low-dose spectral insufflation computed tomography protocol preoperatively optimized for T stage esophageal cancer - preliminary research experience.
CONCLUSION: EICT combined with GSI assist allows differential diagnosis between the T1/2 and T3 stages. The ability to differentially diagnose the T3 and T4 stages of medullary ESCC can be improved by quantitatively and qualitatively analyzing the adipose tissue in front of the vertebral body. PMID: 30271084 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)
Source: World Journal of Gastroenterology : WJG - September 28, 2018 Category: Gastroenterology Authors: Zhou Y, Liu D, Hou P, Zha KJ, Wang F, Zhou K, He W, Gao JB Tags: World J Gastroenterol Source Type: research

A Hem-o-Lok–Induced Tracheoesophageal Fistula Cured by Temporary Airway Stenting Modified With Three-Dimensional Printing
We present the case of a fistula between the trachea and the esophagogastric anastomosis in a 58-year-old man after esophagectomy. A Hem-o-Lok clip (Teleflex, Morrisville, NC) used at the time to ligate the azygos vein was discovered by esophagoscopy and bronchoscopy to be eroding into both structures. A covered self-expandable Y-shaped metallic tracheobronchial stent was customized with a three-dimensional printed airway model and inserted in place with endoscopic injection of fibrin glue to the anastomotic site. The stent was withdrawn 64 days after implantation, with complete healing of the fistula. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current Indications for Transnasal Esophagoscopy: An American Broncho-Esophagological Association Survey.
CONCLUSIONS: TNE indications have not been well established. According to respondents from the American Broncho-Esophagological Association, TNE is most commonly used for dysphagia and laryngopharyngeal reflux and slightly less so for GER and head and neck cancer screening and surveillance. Several clinical indicators were identified that influence the decision to perform TNE. PMID: 30235935 [PubMed - as supplied by publisher] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - September 21, 2018 Category: ENT & OMF Authors: Best AR, Halum SL, Parker NP Tags: Ann Otol Rhinol Laryngol Source Type: research

Analysis of the management and risk factors for complications of esophageal foreign body impaction of jujube pits in adults.
Conclusions: Computed tomography without contrast material is the preferred diagnostic method for adults with esophageal jujube pit impaction, and rigid esophagoscopy can be used for therapy even though the first flexible esophagoscopy failed. Large diameter of the jujube pit constituting the esophageal foreign body (≥ 25 mm) and long duration between pit ingestion and presentation (> 12 h) were associated with increased complications in the patients in this study. PMID: 30002759 [PubMed] (Source: Videosurgery and Other Miniinvasive Techniques)
Source: Videosurgery and Other Miniinvasive Techniques - July 15, 2018 Category: Surgery Tags: Wideochir Inne Tech Maloinwazyjne Source Type: research

Rigid Esophagoscopy–Induced Aortic Rupture During Oral Gastric Tube Placement in Patient With Esophageal Stricture: A Case Report
We describe the resultant hemothorax and hemodynamic collapse and the successful treatment with massive volume resuscitation, vasopressors, and timely surgical intervention including thoracic endovascular aortic repair. We discuss the importance of rapid diagnosis, relevant anatomy, treatment modalities, and communication as cornerstones for learning. (Source: A&A Case Reports)
Source: A&A Case Reports - July 1, 2018 Category: Anesthesiology Tags: Case Reports Source Type: research

Analysis of 334 Cases of Pediatric Esophageal Foreign Body Removal Suggests that Traditional Methods Have Similar Outcomes Whereas a Magnetic Tip Orogastric Tube Appears to Be an Effective, Efficient, and Safe Technique for Disc Battery Removal.
Abstract Procedures and outcomes for pediatric esophageal foreign body removal were analyzed. Traditional methods of battery removal were compared with a magnetic tip orogastric tube (MtOGT). A single institution retrospective review from 1997 to 2014 of pediatric patients with esophageal foreign bodies was performed. Balloon extraction with fluoroscopy (performed in 173 patients with 91% success), flexible endoscopy (92% success in 102 patients), and rigid esophagoscopy (95% in 38 patients) had excellent success rates. A MtOGT had 100 per cent success in six disc battery patients, when other methods were ...
Source: The American Surgeon - July 1, 2018 Category: Surgery Authors: Ham PB, Ellis MA, Simmerman EL, Walsh NJ, Lalani A, Young M, Hatley R, Howell CG, Hughes CA Tags: Am Surg Source Type: research

Eosinophilic esophagitis: an underdiagnosed cause of dysphagia and food impaction to be recognized by otolaryngologists.
The objective of this article is to raise awareness of this condition, update otolaryngologists with the new EoE consensus, and highlight the need for biopsy in patients with dysphagia to rule out EoE. PMID: 29876624 [PubMed - as supplied by publisher] (Source: HNO)
Source: HNO - June 8, 2018 Category: ENT & OMF Tags: HNO Source Type: research