keyword
https://read.qxmd.com/read/38205690/endoscopic-ultrasound-performed-by-surgical-approach-in-a-patient-with-pancreatic-lesion-and-stenosing-esophageal-adenocarcinoma
#21
JOURNAL ARTICLE
José Ruiz Pardo, Pedro Antonio Sánchez Fuentes, Elisabet Vidaña Márquez, Eva Iglesias Asenjo, María Francisca Anguita Montes, Íñigo Gorostiaga, Ricardo Belda Lozano, Ángel Reina Duarte
Endoscopic retrograde cholangiopancreatography (ERCP) performed in situations of altered anatomy has been described. Thus, in cases of Roux-en-Y gastric by-pass, several approaches have been documented for performing ERCP: by enteroscopy, guided by laparoscopic approach through the gastric remnant, and direct transgastric guided by endoscopic ultrasound through a stent between the reservoir or alimentary loop and the gastric remnant. However, there are clinical situations in which the anatomy is not altered, but there may be pancreatic lesions subsidiary to study by endoscopic ultrasound in situations where the endoscope cannot pass through the esophagus...
January 11, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38181655/successful-treatment-of-an-anastomotic-leakage-after-total-gastrectomy-using-a-fully-covered-self-expandable-metal-stent-with-an-anchoring-thread-a-case-report
#22
Yosuke Egami, Keijiro Sugimura, Toru Masuzawa, Shinnsuke Katsuyama, Yutaka Takeda, Kohei Murata
INTORODUCTION AND IMPORTANCE: The incidence of anastomotic leakage in the esophagojejunostomy after total gastrectomy is a serious complication of this procedure. Here, we report a case in which a fully covered stent was endoscopically placed into a fistula caused by anastomotic leakage after total gastrectomy. CASE PRESENTATION: An 88-year-old man diagnosed with advanced gastric cancer had tumor invasion close to the esophagogastric junction. We performed a laparoscopic total gastrectomy and Roux-en-Y reconstruction...
January 4, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38162840/medical-radiation-exposure-during-gastrointestinal-enteral-metallic-stent-placement-post-hoc-analysis-of-the-rex-gi-study
#23
JOURNAL ARTICLE
Junki Tokura, Toshiyuki Yoshio, Shiro Hayashi, Masashi Yamamoto, Satoshi Asai, Takayuki Yakushijin, Kenji Ikezawa, Koji Nagaike, Tadayuki Takagi, Toshio Fujisawa, Takuya Yamada, Hidetaka Tsumura, Iruru Maetani, Yasuki Hori, Hideyuki Ihara, Kazuhiro Matsunaga, Toshio Kuwai, Yukiko Ito, Kenkei Hasatani, Yoriaki Komeda, Akira Kurita, Shinjiro Yamaguchi, Hirotsugu Maruyama, Takuji Iwashita, Mamoru Takenaka, Makoto Hosono, Tsutomu Nishida
BACKGROUND AND AIM: Recently, the use of various endoscopic procedures performed under X-ray fluoroscopy guidance has increased. With the popularization of such procedures, diagnostic reference levels (DRLs) have been widely accepted as the global standard for various procedures with ionizing radiation. The Radiation Exposure from Gastrointestinal Fluoroscopic Procedures (REX-GI) study aimed to prospectively collect actual radiation exposure (RE) data and establish DRLs in gastrointestinal endoscopy units...
December 2023: JGH Open: An Open Access Journal of Gastroenterology and Hepatology
https://read.qxmd.com/read/38100731/management-and-outcomes-in-a-consecutive-series-of-patients-with-aero-digestive-fistula-at-a-tertiary-gastro-esophageal-surgery-center
#24
JOURNAL ARTICLE
Fahad Murad, Fredrik Klevebro, Gert Henriksson, Ioannis Rouvelas, Mats Lindblad, Magnus Nilsson
Aerodigestive fistula (ADF) is defined as a pathological connection between the upper digestive tract and the airway. ADF is associated with high morbidity and mortality and management is often complex. A cohort study including all patients admitted with ADF 2004-2022 at a single tertiary esophageal surgery center was performed based on prospectively collected administrative data and retrospectively collected electronic patient chart data,. Patient demographics, performance status, comorbidity, fistula characteristics, management, and outcomes in terms of morbidity and mortality were assessed in patients with ADF of three distinct types: (i) tumor overgrowth-related, (ii) various benign etiologies, and (iii) post-esophagectomy...
December 14, 2023: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/38090037/management-of-aero-digestive-fistulas-the-gastroenterologist-s-perspective-a-narrative-review
#25
REVIEW
Fredy Nehme, Phillip S Ge, Emmanuel Coronel
BACKGROUND AND OBJECTIVE: Esophagorespiratory fistulas (ERFs) are pathologic communications between the esophagus and respiratory tract that may be congenital or acquired, and benign or malignant. ERFs can lead to significant respiratory compromise and increased mortality through recurrent respiratory infections. As the condition spans multiple organ systems, ERFs pose unique diagnostic and management challenges to pulmonologists, gastroenterologists, and thoracic surgeons. The aim of this manuscript is to provide an up-to-date review of the management of aero-digestive fistulas from the gastroenterologist's perspective...
2023: Mediastinum
https://read.qxmd.com/read/38090030/management-of-aero-digestive-fistulas-in-adults-the-bronchoscopist-s-perspective
#26
REVIEW
Christopher H Chang, Julie Lin
Aero-digestive fistulas (ADFs) are pathologic connections between the airways and gastrointestinal system. These most commonly occur between the central airways and esophagus. Fistulas may develop congenitally or be acquired from a benign or malignant process. Most fistulas presenting in adulthood are acquired, with similar rates of benign and malignant etiologies. Symptoms may severely impact a patient's quality of life and result in dyspnea, cough, and oral intolerance. ADFs have been associated with increased mortality, often related to pneumonias and malnutrition...
2023: Mediastinum
https://read.qxmd.com/read/38075577/carotid-subclavian-bypass-and-endovascular-aortic-repair-of-kommerell-s-diverticulum-with-aberrant-left-subclavian-artery-a-case-report
#27
Wajeehullahi Akilu, Yi Feng, Xiao-Xue Zhang, Shi-Liang Li, Xian-Tao Ma, Min Hu, Cai Cheng
BACKGROUND: Kommerell's diverticulum (KD) with aberrant left subclavian artery is a rare congenital deformity and also has very little research literature about it (35% of case study). There are three types of aortic arch diverticulum. Even literature concerning the treatment options are limited. CASE SUMMARY: We present a case report of a 50-year-old male with KD in the right aortic arch with aberrant left subclavian artery. We conducted a total endovascular repair procedure, which is innovative and will spread more light in the medical world...
November 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/38058370/clinical-profile-and-treatment-outcomes-of-boerhaave-s-syndrome-a-13-year-experience-from-an-upper-gastrointestinal-surgical-unit
#28
JOURNAL ARTICLE
Suraj Surendran, Coelho Victor, Myla Yacob, Negine Paul, Sudhakar Chandran, Anoop John, Ebby George Simon, Inian Samarasam
OBJECTIVES: IBoerhaave's syndrome (BS) is a rare, but potentially fatal condition, characterized by barogenic esophageal rupture and carries a high mortality. We aimed to study our institutional experience of managing patients with BS. MATERIAL AND METHODS: A retrospective review of patients with BS presenting to a tertiary care centre from 2005 to 2018 was carried out in this study. Clinical presentation, diagnostic evaluations, treatments received, and treatment outcomes were studied...
September 2023: Turkish Journal of Surgery
https://read.qxmd.com/read/37907880/endoscopic-iatrogenic-esophageal-perforation-and-management-a-retrospective-outcome-analysis-in-the-modern-era
#29
JOURNAL ARTICLE
Eric M Montminy, Blake Jones, J Christie Heller, Augustin Attwell
INTRODUCTION: Iatrogenic esophageal perforation (IEP) is a severe adverse event (AE) of upper endoscopy procedures (UEPs) associated with morbidity. Management has shifted from surgery to endotherapy with clip closure (CC), self-expanding metal stent (SEMS), and vacuum therapy (VT). Limited analyses measure outcomes during contemporary interventional endoscopy periods. METHODS: IEPs associated with EGD, upper EUS, small bowel enteroscopy (SBE), and ERCP at a 3-hospital academic center from January 2011 to December 2023 were identified retrospectively from a centralized AE database...
October 31, 2023: BMC Gastroenterology
https://read.qxmd.com/read/37899957/endoscopic-internal-drainage-achieving-successful-closure-of-iatrogenic-pharyngoesophageal-fistula
#30
Ahmad Rimawi, Yahia Al-Turk, Abdul Monem Swied
Endoscopic internal drainage (EID) is a minimally invasive endoscopic technique that effectively closes upper gastrointestinal fistulas. We report the successful closure of an oropharyngeal fistula in a 78-year-old man with a history of supraglottic squamous cell carcinoma. He presented with inspiratory stridor after biopsy of a lateral wall lesion in the piriformis sinus. Imaging showed a fistula tract between the piriformis sinus and the esophagus. EID was performed using a double-pigtail stent inserted inside the fistula...
October 2023: ACG Case Reports Journal
https://read.qxmd.com/read/37879543/western-outcomes-of-circumferential-endoscopic-submucosal-dissection-for-early-esophageal-squamous-cell-carcinoma
#31
JOURNAL ARTICLE
Enrique Rodríguez de Santiago, Laurelle van Tilburg, Pierre H Deprez, Mathieu Pioche, Roos E Pouw, Michael J Bourke, Stefan Seewald, BasLAM Weusten, Jeremie Jacques, Sara Leblanc, Pedro Barreiro, Arnaud Lemmers, Adolfo Parra-Blanco, Ricardo Küttner-Magalhães, Diogo Libânio, Helmut Messmann, Eduardo Albéniz, Michal F Kaminski, Noor Mohammed, Felipe Ramos Zabala, Alberto Herreros-de-Tejada, Hugo Uchima Koecklin, Timothée Wallenhorst, João Santos-Antunes, João A Cunha Neves, Arjun D Koch, Myriam Ayari, Rodrigo Garces Duran, Thierry Ponchon, Jérôme Rivory, Jacques J G H M Bergman, Eva P D Verheij, Sunil Gupta, Stefan Groth, Vincent Lepilliez, Ana Rita Franco, Sanaa Belkhir, Jonathan White, Alanna Ebigbo, Andreas Probst, Romain Legros, Nastazja Dagny Pilonis, Diego de Frutos, Raquel Muñoz González, Mario Dinis-Ribeiro
BACKGROUND AND AIMS: Circumferential endoscopic submucosal dissection (cESD) in the esophagus has been reported to be feasible in small Eastern case series. We assessed the outcomes of cESD in the treatment of early esophageal squamous cell carcinoma (ESCC) in Western countries. METHODS: We conducted an international study at 25 referral centers in Europe and Australia using prospective databases. We included all patients with ESCC treated with cESD before November 2022...
October 23, 2023: Gastrointestinal Endoscopy
https://read.qxmd.com/read/37818399/niti-s-esophageal-mega-stent-an-emerging-endoscopic-tool-with-different-applications-in-the-management-of-surgical-anastomotic-leaks
#32
Mariana Brito, Gonçalo Nunes, Carlos Luz, Gabriel Oliveira, Pedro Pinto Marques, Jorge Fonseca
INTRODUCTION: Anastomotic leak (AL) is a dangerous complication in the early postoperative period after total gastrectomy or esophagectomy being associated with high mortality. Self-expandable metal stents (SEMS) play a significant role in AL management. Only one case report described the use of Mega-Stent in AL setting. The authors report a two-case series with different applications of a Niti-S esophageal Mega-Stent in AL management. CASE REPORT: Case 1 is a 67-year-old male who underwent an esophagectomy due to a squamous cell carcinoma of the distal esophagus...
September 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/37818397/best-practices-in-esophageal-gastroduodenal-and-colonic-stenting
#33
REVIEW
Renato Medas, Joel Ferreira-Silva, Mohit Girotra, Monique Barakat, James H Tabibian, Eduardo Rodrigues-Pinto
Endoscopic stenting is an area of endoscopy that has witnessed noteworthy advancements over the last decade, resulting in evolving clinical practices among gastroenterologists around the world. Indications for endoscopic stenting have progressively expanded, becoming a frequent part of the management algorithm for various benign and malignant conditions of the gastrointestinal tract, from esophagus to rectum. In addition to expanded indications, continuous technological enhancements and development of novel endoscopic stents have resulted in an increased success of these approaches and, in some cases, allowed new applications...
September 2023: GE Portuguese Journal of Gastroenterology
https://read.qxmd.com/read/37771883/gastroesophageal-junction-adenocarcinoma-1-year-after-sleeve-gastrectomy
#34
Kevin C Brown, Gabriela Esnaola, Dan Boffa, John M Morton
Gastroesophageal malignancy after sleeve gastrectomy is rare. A 70-year-old male with a BMI of 46 underwent laparoscopic sleeve gastrectomy with normal endoscopy. By 10 months postop, the patient had reduced BMI to 30.5. Eleven months postop, he presented with emesis and endoscopy showed severe stenosis at the gastroesophageal junction with EUS showing a circumferential mass. Patient had adenocarcinoma of the distal esophagus HER 3+ and MMR proficient, clinical T2N1. He underwent esophageal stent placement followed by FOLFOX switched to carboplatin-Taxol with radiation therapy complicated by a localized perforation requiring antibiotics...
September 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37771729/hybrid-repair-of-aberrant-right-subclavian-artery-using-open-and-endovascular-techniques
#35
Daniel Nguyen, Luis R Leon, Scott S Berman
An aberrant right subclavian artery, the most common anatomic variant of the aortic arch, occurs in 0.5% of the population. Symptoms generally result from compression of the esophagus and/or trachea as the aberrant vessel passes posteriorly in the mediastinum. Treatment includes revascularization of the right subclavian artery from the right common carotid artery using a cervical approach combined with occlusion of the origin of the aberrant vessel from the thoracic aorta. We describe a hybrid treatment approach for a symptomatic aberrant right subclavian artery using cervical revascularization and branched thoracic stent graft coverage of the origin of the aberrant vessel...
December 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/37667428/delayed-esophageal-anastomotic-complication-and-ramucirumab-therapy-a-case-report
#36
Robert H Roth, Madison J Malfitano, Matthew Reilley, Linda W Martin
Current NCCN guidelines for second-line therapy in recurrent or metastatic esophago-gastric cancers recommend the use of VEGF inhibitors such as ramucirumab. VEGF inhibitors have been shown to be associated with gastrointestinal perforation in clinical trials and late colorectal anastomotic leaks in a few case reports. Here, we present a case of late esophageal anastomotic leak in a patient receiving ramucirumab. Case information was obtained from our institution's electronic medical records. The patient was found to have T4N1M0, poorly differentiated invasive adenocarcinoma and subsequently received neoadjuvant chemoradiation followed by hybrid Ivor-Lewis esophagectomy 6 weeks later...
September 4, 2023: Thoracic Cancer
https://read.qxmd.com/read/37662575/surgical-repair-of-severe-dysphagia-lusoria
#37
Lia Michos, Cassidy Hart, Sebastien Nantermet, Robert Meisner
This case report describes a case of severe dysphagia lusoria secondary to an aberrant right subclavian artery causing compression of the esophagus. Our 62-year-old female patient presented with severe dysphagia and underwent right carotid-subclavian bypass with uncovered thoracic endovascular aortic repair and coil embolization of the aberrant right subclavian artery. This case is unique in that an uncovered dissection stent graft was used to avoid occluding the anatomic left subclavian artery and, therefore, avoid a left carotid-subclavian bypass...
September 2023: Journal of Vascular Surgery Cases and Innovative Techniques
https://read.qxmd.com/read/37603306/role-of-magnetic-compression-anastomosis-in-long-gap-esophageal-atresia-a-systematic-review
#38
JOURNAL ARTICLE
Nellai Krishnan, Niklas Pakkasjärvi, Deepika Kainth, Johan Danielson, Ajay Verma, Devendra Kumar Yadav, Prabudh Goel, Sachit Anand
Background: Magnetic compression anastomosis (MCA) is an alternative technique for patients with long-gap esophageal atresia (EA). It allows for preservation of the native esophagus. We aimed to systematically summarize the current literature on MCA in EA. Methods: Studies where neonates with EA were treated with MCA devices were included, while studies on esophageal stenosis were excluded. All clinical studies, including comparative studies, case series, and case reports, were eligible for inclusion. Methodological quality assessment was performed using a validated tool...
August 21, 2023: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/37575708/case-of-tracheoesophageal-fistula-formation-as-a-rare-complication-of-antiangiogenic-tyrosine-kinase-inhibitor-therapy-for-metastatic-hepatocellular-carcinoma
#39
Oluwatayo Adeoye, Olga Kozyreva
Treatment with antiangiogenic tyrosine kinase inhibitors (TKIs) has shown longer overall survival (OS) and progression-free survival (PFS) than with placebo in patients with advanced hepatocellular carcinoma (HCC) who have previously received systemic therapy. Unfortunately, TKIs are associated with some rare adverse events such as tracheoesophageal fistula formation (TEF). The common risk factors for TEF formation include radiation therapy, prior instrumentation of the esophagus/airway, surgery, and esophagitis...
July 2023: Curēus
https://read.qxmd.com/read/37559618/advances-in-minimal-invasive-treatment-for-esophageal-perforation
#40
EDITORIAL
Magnus Sundbom
No abstract text is available yet for this article.
July 31, 2023: Journal of Thoracic Disease
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