keyword
https://read.qxmd.com/read/38525940/management-of-esophageal-anastomotic-leaks-a-systematic-review-and-network-meta-analysis
#1
JOURNAL ARTICLE
William Murray, Mathew G Davey, William Robb, Noel E Donlon
There is currently no consensus as to how to manage esophageal anastomotic leaks. Intervention with endoscopic vacuum-assisted closure (EVAC), stenting, reoperation, and conservative management have all been mooted as potential options. To conduct a systematic review and network meta-analysis (NMA) to evaluate the optimal management strategy for esophageal anastomotic leaks. A systematic review was performed as per the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines with extension for NMA...
March 24, 2024: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/38525841/rapid-formation-of-aortoesophageal-fistula-complicated-by-mycotic-thoracic-aortic-aneurysm-secondary-to-infective-endocarditis
#2
JOURNAL ARTICLE
Maki Setake, Yasuhiro Uechi, Yuzuru Kinjo, Masaru Miyazato, Noriya Nakachi, Ryosaku Tomiyama, Namio Higa, Akira Hokama
A 73-year-old man was admitted with four weeks of intermittent fever. He had a history of total aortic arch replacement for aortic arch aneurysm four years prior. CT scans showed no abnormalities before admission. Repeated blood cultures yielded Streptococcus anginosus and Prevotella melaninogenica, suggesting infective endocarditis (IE). Transesophageal echocardiography revealed a vegetation on the aortic valve, confirming IE. He suddenly presented with massive hematemesis and hypotension. Endoscopy revealed an elevated lesion with a laceration but no active bleeding in the esophagus...
March 25, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38523834/experience-in-the-treatment-of-long-gap-esophageal-atresia-by-intraluminal-esophageal-stretching-elongation
#3
JOURNAL ARTICLE
Ning Zhang, Wenjie Wu, Yujia Zhuang, Weipeng Wang, Weihua Pan, Jun Wang
OBJECTIVE: To summarize the experience with intraluminal esophageal stretching elongation (ILESE) in the successful treatment of long-gap esophageal atresia (LGEA) at a single center. METHODS: Clinical data of 68 neonates who underwent LGEA between February 2015 and January 2022 were retrospectively analyzed. Four patients died of multiple associated severe malformations and did not undergo ILESE. Esophageal anastomosis was successfully performed in 60 cases (93...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38505410/case-report-unique-management-strategy-for-rare-case-of-esophageal-foreign-body
#4
Dastan Rustemov, Ruslan Bilal, Ruslan Tukinov, Adilzhan Nekessov, Damir Dzhenalaev, Erbulat Ermeshev, Zarip Mukhamedov, Dulat Mustafinov, Ruslan Utebaliev, Zhenis Sakuov, Baurzhan Kaliev
BACKGROUND: Foreign bodies that enter the esophagus can cause serious complications that may require extensive surgical intervention, including open surgery. The treatment method depends on the location, size, configuration, and number of foreign bodies in the esophagus, but to date, the best method to remove foreign bodies from the esophagus remains uncertain. Foreign bodies which can damage the walls of esophagus varies from bones and bone fragments, to metallic objects and batteries...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38505335/pericardioesophageal-fistulae-after-left-atrial-ablation-a-case-series
#5
Savan K Shah, Audrey C Pendleton, Arsalan A Khan, Gillian C Alex
Pericardioesophageal fistula is an uncommon, yet serious complication that can occur after left atrial ablation for cardiac arrhythmias. Timing of this complication is variable; however, it has been reported to occur from a week to over a month post-ablation. The incidence of this complication after ablation is <0.05%; however with increasing rates of left atrial ablations, early recognition is imperative. Nonspecific symptoms, including chest pain, dysphagia, and fever, can indicate the presence of a fistula within the first month after ablation...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38505009/palliation-of-malignant-esophageal-stent-esophagorespiratory-fistula-with-rigid-bronchoscope-and-y-silicone-trachea-stent-experience-with-seven-patients
#6
JOURNAL ARTICLE
Qixia Wang, Yanghuan Chen, Yihua Xu, Hang Xu, Xiaoting Cai, Runchen Wang, Zhiming Ye, Zijian Wen, Shiyue Li, Yu Chen
BACKGROUND: Malignant esophageal stent esophagorespiratory fistula (ERF) is an abnormal communication between esophagus and airway among advanced tumor patients with indwelling esophageal stent, which is devastating and life-threatening. This study aims to provide a new feasible treatment scheme for malignant esophageal stent ERF and report its potential advantage compared with double stenting, which was recommended by European Society of Gastrointestinal Endoscopy Guideline. METHODS: We retrospectively analyzed the medical data of malignant esophageal stent ERF patients between January 2018 to May 2023 at the First Affiliated Hospital of Guangzhou Medical University and divided them into two groups...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38481783/efficacy-of-esophageal-stents-as-a-primary-therapeutic-option-in-spontaneous-esophageal-perforations-a-systematic-review-and-meta-analysis-of-observational-studies
#7
JOURNAL ARTICLE
Ioannis Margaris, Tania Triantafyllou, Theodoros A Sidiropoulos, Giorgos Sideris, Dimitrios Theodorou, Nikolaos Arkadopoulos, Nikolaos V Michalopoulos
BACKGROUND: Spontaneous esophageal perforation traditionally mandates urgent surgical treatment. Lately, esophageal stents have been used to reduce the associated morbidity and mortality. The current systematic review aimed to assess the efficacy of stents as a primary treatment option in this scenario. METHODS: A systematic search was conducted in PubMed/MEDLINE, Scopus and the Cochrane Library for studies published in the English language between 2000 and 2023...
2024: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://read.qxmd.com/read/38476305/the-efficacy-and-safety-of-treatment-outcomes-for-refractory-benign-esophageal-strictures-using-a-novel-combination-of-needle-knife-stricturoplasty-balloon-dilation-and-steroid-injection-with-video
#8
Andrew Canakis, Varun Kesar, Benjamin Twery, Osman Ali, Justin Canakis, Caleb Hudspath, Eric M Goldberg
BACKGROUND AND AIMS: Benign esophageal strictures often present with dysphagia and can significantly impair a patient's quality of life, especially when refractory to standard endoscopic techniques. When repeat dilations fail to achieve an adequate luminal diameter or resolve dysphagia, further therapy with needle-knife or steroid injections is needed. However, patients can still clinically fail. To manage such strictures, we employed a novel combination of all three techniques. METHODS: Single-center case series of adult patients with benign strictures that were refractory to conventional endoscopic therapy and removable self-expanding metal stenting...
February 2024: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/38461352/vascular-covered-stent-and-video-assisted-thoracoscopic-surgery-for-aortoesophageal-fistula-caused-by-esophageal-fishbone-a-case-report
#9
JOURNAL ARTICLE
Jianfeng Chen
BACKGROUND: Aortoesophageal fistula (AEF) is a rare condition characterized by communication between the aorta and esophagus. AEF caused by an esophageal foreign body is even rare, and there is currently no recommended standard treatment protocol. We report a case of delayed aortic rupture after the endoscopic removal of a fish bone, which was successfully treated with a combined approach of vascular stenting and thoracic surgery. CASE PRESENTATION: A 33-year-old man presented to the hospital after experiencing chest discomfort for 3 days following the accidental ingestion of a fish bone...
March 9, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38455768/isolated-blowout-distal-esophageal-injury-from-blunt-thoraco-abdominal-trauma-following-airbag-deployment-in-an-unrestrained-driver-a-case-report
#10
Hatoon Dagestani, Sahar Alomar, Doaa Alfraidy, Khaled I Twier, Ghassan Alramahi
Esophageal perforation from blunt trauma is rare. It is more frequently encountered in a penetrative mechanism where the cervical esophagus is most commonly injured. Blunt esophageal injury is challenging to diagnose with nonspecific findings clinically and radiologically within trauma settings. The main factors contributing to difficulty in early recognition are its scarce occurrence combined with nonspecific manifestations clinically on patient examination and radiologically on usual trauma computed tomography with intravenous contrast...
February 2024: Curēus
https://read.qxmd.com/read/38451882/successful-endoscopic-treatment-of-a-pancreatic-pseudocyst-in-a-patient-with-situs-inversus-totalis-and-upper-gi-duplication
#11
JOURNAL ARTICLE
Marko Kozyk, Olexandr Y Usenko, Steven A Kessler, Viktor P Shkarban, Ivan S Tereshkevych, Ivan V Babii, Oleksandr M Sanzharov, Kateryna Strubchevska
BACKGROUND Duplication of the gastrointestinal tract is a rare congenital malformation that can develop in any part of the digestive tract. These duplications may be asymptomatic into adult age. Situs inversus totalis is a rare congenital anomaly characterized by a mirror transposition of thoracic and abdominal organs. We present a case of a pancreatic pseudocyst in a patient with a combination of situs inversus totalis and doubling of the esophagus, stomach, and first part of the duodenum. CASE REPORT A 64-year-old woman presented with epigastric pain...
March 7, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38434147/fixation-of-an-esophageal-stent-using-a-novel-re-openable-endoclip-for-a-tracheoesophageal-fistula
#12
Yo Kubota, Ryu Nishiyama, Masaya Sasaki, Yuta Sakabe, Kusutaro Doi, Hiroyuki Kitagawa, Hidehiko Kikuchi, Chika Kusano
Although esophageal stenting is one treatment option as a palliative treatment for tracheoesophageal fistulas, serious complications are associated with stent migration. Some reports have described stent fixation using various devices to prevent stent migration. However, these have yet to be sufficiently examined. We performed esophageal stent fixation using the MANTIS Clip (Boston Scientific), a novel re-openable endoclip. An 89-year-old man developed a tracheoesophageal fistula after radiotherapy for esophageal squamous cell carcinoma...
April 2024: DEN Open
https://read.qxmd.com/read/38366609/current-aspects-in-the-management-of-esophageal-trauma-a-systematic-review-and-proportional-meta-analysis
#13
JOURNAL ARTICLE
Dimitrios Papaconstantinou, Emmanouil I Kapetanakis, Adam Mylonakis, Spyridon Davakis, Efstathios Kotidis, Evangelos Tagkalos, Ioannis Rouvelas, Dimitrios Schizas
Trauma-related esophageal injuries (TEIs) are a rare but highly lethal condition. The presentation of TEIs is very diverse depending on the location and mechanism of injury (blunt vs. penetrating), as well as the presence or absence of concurrent injuries. The aim of the present systematic review and meta-analysis is to delineate the clinical features impacting TEI management. A systematic review of the Medline, Embase, and web of science databases was undertaken for studies reporting on patients with TEIs...
February 15, 2024: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/38361358/a-green-surprise-bilateral-bilious-pleural-effusion-secondary-to-esophageal-rupture-a-case-report
#14
JOURNAL ARTICLE
Diviya Bharathi Ravikumar, Barath Prashanth Sivasubramanian, Francis Vino Dominic Savio, Tharajan Gunendran, Saketh Palasamudram Shekar
Bilothorax, an exudative pleural effusion due to the accumulation of bile. It is also called cholethorax or thoracobilia and was initially reported in 1971. Here, we report a rare case of an elderly male presenting with bilateral bilothorax due to esophageal rupture. A 78-year-old man with multiple medical ailments presented to the emergency room (ER) with a severe episode of vomiting accompanied by a popping sound, respiratory distress, and right sided chest pain. The patient had tachycardia, BP of 101/89 mm Hg, and tachypnea...
2024: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/38348124/a-rare-case-of-esophageal-carcinoma-cuniculatum-palliated-by-esophageal-and-endobronchial-stenting
#15
Matthew T Bell, Kenneth K Woo, Meifang Wu, Caroline Yap, David W Hsia, Sofiya Reicher
Carcinoma cuniculatum is a rare variant of well-differentiated squamous cell carcinoma. To date, there are less than 30 cases of esophageal carcinoma cuniculatum reported. It is frequently a diagnostic challenge: A definitive diagnosis typically cannot be made before esophagectomy. We present a uniquely aggressive case of esophageal carcinoma cuniculatum complicated by a bronchoesophageal fistula and successfully palliated with dual esophageal and endobronchial stenting.
February 2024: ACG Case Reports Journal
https://read.qxmd.com/read/38335874/portal-vein-stenting-in-recurrent-or-locally-advanced-peri-hilar-cholangiocarcinoma
#16
JOURNAL ARTICLE
Mario De Bellis, Alberto Contro, Andrea Bianco, Clizia Gasparini, Marzia Tripepi, Matilde La Raja, Laura Alaimo, Simone Conci, Tommaso Campagnaro, Alfredo Guglielmi, Giancarlo Mansueto, Andrea Ruzzenente
BACKGROUND: Recurrent or locally advanced peri-hilar cholangiocarcinoma (PHCC) usually involves the portal vein (PV) leading to significant stenosis. With disease progression, clinical symptoms such as ascites, bleeding, and hepatic insufficiency are usually observed. Little is know about the benefit of PV stenting in relieving the symptoms associated to portal hypertension and allowing anticancer therapies. The aim of this study is to review our experience in PV stenting for PHCC patients...
January 30, 2024: European Journal of Surgical Oncology
https://read.qxmd.com/read/38328322/endoscopic-treatment-of-extreme-esophageal-stenosis-complicated-with-esophagotracheal-fistula-a-case-report
#17
Jia-Heng Fang, Wei-Min Li, Cheng-Hai He, Jian-Liang Wu, Yun Guo, Zhi-Chao Lai, Guo-Dong Li
BACKGROUND: At present, there is no unified and effective treatment for extreme corrosive esophageal stenosis (CES) with esophagotracheal fistula (ETF). This case had extreme and severe esophageal stenosis (ES) and ETF after ingesting an enzyme-based chemical detergent, resulting in a serious pulmonary infection and severe malnutrition. Upper gastrointestinal imaging showed that he had an ETF, and endoscopy showed that he had extreme and severe esophageal stricture. This case was complex and difficult to treat...
January 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38291563/localized-photodynamic-therapy-using-a-chlorin-e6-embedded-silicone-covered-self-expandable-metallic-stent-as-a-palliative-treatment-for-malignant-esophageal-strictures
#18
JOURNAL ARTICLE
Dae Sung Ryu, Ji Won Kim, Hyeonseung Lee, Seong Jin Eo, Song Hee Kim, Jin Hee Noh, Yuri Kim, Seokin Kang, Kun Na, Jung-Hoon Park, Do Hoon Kim
Localized photodynamic therapy (PDT) uses a polymeric-photosensitizer (PS)-embedded, covered self-expandable metallic stent (SEMS). PDT is minimally invasive and a noteworthy potential alternative for treating esophageal strictures, where surgery is not a viable option. However, preclinical evidence is insufficient, and optimized irradiation energy dose ranges for localized PDT are unclear. Herein, we validated the irradiation energy doses of the SEMS (embedded in a PS using chlorin e6 [Ce6] and covered in silicone) and PDT-induced tissue changes in a rat esophagus...
January 30, 2024: ACS Biomaterials Science & Engineering
https://read.qxmd.com/read/38243787/strategies-for-preventing-esophageal-stenosis-after-esd-and-progress-in-stem-cell-based-therapies
#19
JOURNAL ARTICLE
Shujun Ye, Jingjing Hu, Daxu Zhang, Shuo Zhao, Xiaonan Shi, Weilong Li, Jingyi Wang, Weiping Guan, Li Yan
Endoscopic submucosal dissection (ESD) has been widely used in the early neoplasia of the esophagus. However, postoperative esophageal stenosis is a big problem, particularly when a large circumferential proportion of esophageal mucosa is resected. Currently, there are several methods available to prevent esophageal stenosis after ESD, including steroid administration, esophageal stent implantation, and endoscopic balloon dilation (EBD). However, the therapeutic effects of these are not yet satisfactory. Stem cell-based therapies has shown promising potential in reconstructing tissue structure and restoring tissue function...
January 20, 2024: Tissue Engineering. Part B, Reviews
https://read.qxmd.com/read/38226120/management-of-esophageal-squamous-cell-carcinoma-with-esophageal-stent-placement-in-an-elderly-patient-with-dysphagia
#20
Charles Vallejo, Yousra Gheit, Jerry Qi, Talwinder K Nagi, Zoilo K Suarez, Muhammad A Haider, Touqir Zahra
Esophageal cancer is typically identified as squamous cell carcinoma or adenocarcinoma. There are multiple risk factors that may contribute to esophageal squamous cell carcinoma including smoking, alcohol consumption, and the human papillomavirus. Lesions may appear ulcerated, friable, and circumferential and may obstruct the esophagus. Therefore, patients may complain of non-specific symptoms including dysphagia, weight loss, and retrosternal discomfort. Clinicians often rely on an upper endoscopy with biopsy to confirm the diagnosis...
December 2023: Curēus
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