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Mol Clin Oncol 2022 Jul 25;17(1):116. Epub 2022 May 25.

Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, Kashihara, Nara 634-8522, Japan.

Reconstructive surgery using the free jejunum flap for locally advanced head and neck cancer is effective in preserving the swallowing function; however, it does not allow normal oral intake in all patients. A total of 47 patients underwent surgery at Nara Medical University between Jan 2010 and Dec 2019. The patients' ages ranged from 48 to 86 years. Read More

Acta Clin Croat 2021 Dec;60(4):703-710

1Gastroenterology Department, Iasi Regional Institute of Oncology, Iasi, Romania; 2Grigore T. Popa University of Medicine and Pharmacy; Faculty of Medicine, Surgery Department 2, Iasi Regional Institute of Oncology, Iasi, Romania; 3Iasi University of Medicine and Pharmacy, Faculty of Medicine, Anesthesiology and Intensive Care Department, Iasi Regional Institute of Oncology, Iasi, Romania.

The aim of the study was to outline technical difficulties and procedural complications of using partially covered esophageal self-expandable metal stents (SEMSs) in malignant esophageal respiratory fistulas (ERFs) as a palliative treatment option. In this study, 150 patients with malignant dysphagia underwent treatment with SEMSs. A total of 36 ERFs were detected through endoscopic or clinical assessment. Read More

J Indian Assoc Pediatr Surg 2022 May-Jun;27(3):287-292. Epub 2022 May 12.

Department of Neonatology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

Background: Gastrointestinal (GI) malformations have varied short-term and long-term outcomes reported across various neonatal units in India.

Methods: This descriptive study was done to study the clinical profile, outcomes and predictors of mortality in neonates operated for congenital GI malformations in a tertiary neonatal care unit in South India between years 2011 and 2020. Details were collected by retrospective review of the case sheets. Read More

Langenbecks Arch Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 60167, Mannheim, Germany.

Purpose: Current data states that most likely there are differences in postoperative complications regarding linear and circular stapling in open esophagectomy. This, however, has not yet been summarized and overviewed for minimally invasive esophagectomy, which is being performed increasingly.

Methods: A pooled analysis was conducted, including 4 publications comparing linear and circular stapling techniques in minimally invasive esophagectomy (MIE) and robotic-assisted minimally invasive esophagectomy (RAMIE). Read More

Surg Endosc 2022 Jun 21. Epub 2022 Jun 21.

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.

Background: Removal of self-expanding esophageal metal stents that have been implanted for a long time can be difficult and risky.

Purpose: In this paper, we describe the use of the "inversion technique" under fluoroscopy for removal of self-expandable nitinol esophageal stents that have been placed for long periods and evaluate the effectiveness and safety of the method.

Methods: Retrospective analysis of patients who underwent removal of self-expanding nitinol esophageal stents by the inversion technique under fluoroscopy at our center. Read More

JA Clin Rep 2022 Jun 21;8(1):46. Epub 2022 Jun 21.

Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan.

Background: Anesthetic management of thoracic aortic aneurysms (TAAs) is sometimes difficult due to fatal complications, including hypovolemic shock secondary to aneurysm rupture. We report the successful management of an impending rupture of a TAA with associated esophageal stenosis and compression of the pulmonary artery and left bronchi.

Case Presentation: An 83-year-old woman, diagnosed with an impending rupture of the ascending TAA, was scheduled to undergo emergency total aortic arch replacement. Read More

World J Gastrointest Endosc 2022 May;14(5):311-319

Multidisciplinary Institute of Health, Federal University of Bahia, Vitória da Conquista 45029-094, Bahia, Brazil.

Background: Esophagitis is an inflammatory and damaging process of the esophageal mucosa, which is confirmed by endoscopic visualization and may, in extreme cases, result in stenosis, fistulization and esophageal perforation. The use of deep learning (a field of artificial intelligence) techniques can be considered to determine the presence of esophageal lesions compatible with esophagitis.

Aim: To develop, using transfer learning, a deep neural network model to recognize the presence of esophagitis in endoscopic images. Read More

Int J Radiat Oncol Biol Phys 2022 Jun 15. Epub 2022 Jun 15.

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address:

Background: For children, craniospinal irradiation (CSI) with photons is associated with significant toxicities. The use of electrons for spinal fields is hypothesized to spare anterior structures but the long-term effects remain uncertain. We studied late effects of CSI using electrons for spinal radiotherapy (RT). Read More

Acta Gastroenterol Belg 2022 Apr-Jun;85(2):393-395

Düzce University, Faculty of Medicine, Department of Gastroenterology, Düzce, Turkey.

Background: Complete esophageal obstruction (CEO) is a rare condition of which treatment options are challenging. Surgery is the main treatment with high morbidity and mortality rates. Magnetic compression anastomosis (MCA) is a novel technique developed to restore lumen patency in gastrointestinal and biliary tracts. Read More

J Transl Int Med 2022 Mar 2;10(1):28-35. Epub 2022 Apr 2.

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Diseases, Beijing Digestive Disease Center, Beijing 10050, China.

Endoscopic submucosal dissection (ESD) is a curative treatment for superficial esophageal cancer with distinct advantages. However, esophageal stenosis after ESD remains a tough problem, especially after large circumferential proportion of esophageal mucosa is removed, which limits the wide use of ESD, especially in circumferential lesions. In this scenario, preventive procedures are highly recommended against post-ESD esophageal stenosis. Read More

Endosc Int Open 2022 Jun 10;10(6):E753-E761. Epub 2022 Jun 10.

NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.

Esophageal strictures (ES) occur frequently after semi-circumferential endoscopic submucosal dissection (ESD) for the eradication of superficial esophageal neoplasms and negatively impact a patient's quality of life. Oral corticosteroids have been shown to be clinically effective, but the most appropriate drug, dose and duration is yet to be determined. The aim of the study was to investigate the clinical effectiveness and safety of 30 mg prednisone with a shortened tapering schedule on ES after semi-circumferential ESD. Read More

Endosc Int Open 2022 Jun 10;10(6):E854-E864. Epub 2022 Jun 10.

Department of Gastroenterology, Hepatology and Nutrition, Digestive Diseases and Surgery Institute; Cleveland Clinic, Cleveland, Ohio, United States.

Anti-reflux mucosectomy (ARMS) is an emerging endoscopic treatment for refractory gastroesophageal reflux disease (GERD). We conducted a systematic review and meta-analysis to evaluate the safety and efficacy ARMS in refractory GERD. A comprehensive search of multiple databases (through March 2020) was performed to identify studies that reported outcomes of ARMS for refractory GERD. Read More

Endosc Int Open 2022 Jun 10;10(6):E832-E839. Epub 2022 Jun 10.

Johns Hopkins Hospital, Division of Gastroenterology and Hepatology, Baltimore, Maryland, United States.

Gastroparesis post-lung transplant (LTx) can lead to increased risk of gastroesophageal reflux (GER) and accelerated graft dysfunction. We aimed to evaluate the efficacy and safety of gastric per-oral endoscopic myotomy (G-POEM), a promising tool in patients with refractory gastroparesis, for managing refractory gastroparesis and GER in post-LTx patients. This was a multicenter retrospective study on post-LTx patients who underwent G-POEM for management of gastroparesis and GER that were refractory to standard medical therapy. Read More

Zhonghua Yi Xue Za Zhi 2022 May;102(20):1506-1511

Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing 210009, China.

To explore the role and specific mechanism of glucocorticoids in preventing stenosis after esophageal endoscopic submucosal dissection (ESD). Data of 81 patients [51 cases were male and 30 cases were female, aged (62.09±7. Read More

BMC Surg 2022 Jun 11;22(1):225. Epub 2022 Jun 11.

Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Sichuan, 610041, Chengdu, People's Republic of China.

Background: The gastric conduit is the best replacement organ for oesophageal reconstruction, but a reversed gastric conduit (RGC) is rare. Oesophageal reconstruction for oesophageal cancer patients with a previous history of complicated gastrointestinal surgery is rather difficult. Here, we report a case in which oesophageal reconstruction was successfully managed using RGC based solely on the left gastroepiploic artery supply. Read More

Ear Nose Throat J 2022 Jun 10:1455613221091083. Epub 2022 Jun 10.

The People's Hospital of Baoan Shenzhen, Shenzhen, China.

Surgical repair of esophageal perforation is a challenging procedure with a high risk of secondary complications, such as early esophageal leakage and late esophageal stricture, which can significantly reduce the patient's quality of life. A 34-year-old man underwent anterior cervical corpectomy decompression and fusion. On the ninth day post-operation, the patient developed fever and neck swelling. Read More

VideoGIE 2022 Jun 7;7(6):205-207. Epub 2022 Apr 7.

Ochsner Medical Center, New Orleans, Louisiana.

Video 1Endoscopic video demonstrating an esophageal stricture, which was dilated, resulting in a deep tear without perforation. Previously placed hemoclips were visualized and removed. argon plasma coagulation was applied to denude the fistula epithelium. Read More

J Cardiothorac Surg 2022 Jun 9;17(1):150. Epub 2022 Jun 9.

Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Transhiatal esophagectomy (THE) and transthoracic esophagectomy (TTE) are both accepted procedures for esophageal cancer but still the most effective surgical approach continues to be controversial. This study aimed to determine post-operative complications and outcomes of TTE compared with THE.

Methods: A retrospective analysis was performed on data of 243 adult patients with resectable esophageal cancer who underwent THE or TTE between December 2016 and October 2018. Read More

J Gastrointest Surg 2022 Jun 9. Epub 2022 Jun 9.

Department of Gastroenterological Surgery, Osaka International Cancer Institute, 3-1-69 Ohtemae, Chuo-ku, Osaka, 541-8567, Japan.

Background: In laparoscopic total gastrectomy, esophago-jejunal anastomosis is still considered a complicated procedure, even though laparoscopic surgery has become widespread. Esophagojejunostomy leakage can be fatal and adversely affect postoperative cancer treatment. The leakage rate has been reported to be 2. Read More

Chin Med J (Engl) 2022 04 5;135(7):796-798. Epub 2022 Apr 5.

Natlonal Local Joint Engineering Research Center for Precision Surgery and Regenerative Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.

Gastroenterol Rep (Oxf) 2022 30;10:goac021. Epub 2022 May 30.

Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, P. R. China.

BMC Gastroenterol 2022 Jun 2;22(1):277. Epub 2022 Jun 2.

Department of Gastroenterology and Hepatology, Nagahama City Hospital, 313 Oinuicho, Nagahama, 526-8580, Shiga, Japan.

Background: Acute esophageal necrosis (AEN), commonly referred to as Gurvits syndrome or "black esophagus", is a rare clinical disease. We present a case of AEN associated with diabetic ketoacidosis (DKA).

Case Presentation: A 66-year-old male came to our hospital with coffee-ground emesis, dyspnea, and general malaise. Read More

Pediatr Surg Int 2022 May 29. Epub 2022 May 29.

Department of Neonatal Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.

Purpose: To assess the growth status of children with recurrent tracheoesophageal fistula (rTEF), and determine the possible risk factors of growth retardation (GR).

Methods: The medical records of 83 patients with rTEF who underwent surgical repair were retrospectively analyzed. The patients were retrospectively divided into two groups according to whether they had GR. Read More

Langenbecks Arch Surg 2022 May 31. Epub 2022 May 31.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.

Purpose: The search for the optimal procedure for creation of a safe gastroesophageal intrathoracic anastomosis with a lower risk of leakage in totally minimally invasive Ivor-Lewis esophagectomy (TMIIL) is ongoing. In the present study, we compared the outcomes of end-to-side (with circular stapler [CS]) and side-to-side (with linear stapler [LS]) techniques for intrathoracic anastomosis during TMIIL performed in 2 European high-volume centers for upper gastrointestinal surgery. A propensity score method was used to compare the CS and LS groups. Read More

Rev Esp Enferm Dig 2022 May 31. Epub 2022 May 31.

Gastroenterology, Zigong First People's Hospital.

A 10-year-old boy was admitted to our hospital because of frequent vomiting and impaired growth. Esophagogastroduodenoscopy showed there was a benign annular stenosis (diameter 0.6 cm) of the middle esophagus. Read More

Medicine (Baltimore) 2022 May 27;101(21):e29426. Epub 2022 May 27.

Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon 14584, Republic of Korea.

Rationale: Esophageal cancer is one of the leading causes of death worldwide; the treatments vary according to the stage at diagnosis. Advanced esophageal cancer is usually treated by concurrent chemoradiation which is associated with complications including esophagitis, esophageal stricture or perforation, radiation pneumonitis, and/or cardiac toxicity. Herein, we describe epidural abscess, which is a very rare but severe complication that can occur after concurrent chemoradiation therapy for advanced esophageal cancer. Read More

Int J Surg Case Rep 2022 Jun 19;95:107215. Epub 2022 May 19.

University Of The Philippines Manila Philippine General Hospital, Philippines.

Introduction: Caustic agents, also called corrosive agents, could be acids or alkali in nature. If ingested, these agents can injure any part of the aerodigestive tree. Extent of injury depends on the type, concentration, duration of exposure and volume of caustic agent ingested. Read More

Cureus 2022 Apr 19;14(4):e24285. Epub 2022 Apr 19.

General Surgery, Lovelace Regional Hospital, Roswell, USA.

A 42-year-old female with a past medical history of femoral facial syndrome (FFS) and years of gastroesophageal reflux disease presented to our clinic with symptoms of dysphagia and iron deficiency anemia. On upper endoscopy, esophageal stricture and adenocarcinoma were detected. Unfortunately, the patient developed coronavirus disease 2019 (COVID-19) multi-organ failure prior to cancer treatment and died with dignity after choosing comfort care measures. Read More

Open Vet J 2022 Mar-Apr;12(2):192-196. Epub 2022 Mar 25.

Gedyt, Gastroenterología Diagnóstica y Terapéutica, CABA, Argentina.

Background: Benign esophageal strictures arise from various etiologies, mostly severe esophagitis. Although endoscopic balloon dilation is still the first-line therapy, refractory or recurrent strictures do occur and remain a challenge to the endoluminal treatment. The aim of this report was to communicate a recurrent esophageal stricture resolution in a cat treated with balloon dilatation and steroid injections in Ciudad de Buenos Aires, Argentina. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2022 May;25(5):447-453

Department of Gastric Surgery, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital) , Hangzhou 310022, China.

To investigate the functional outcomes and postoperative complications of Cheng's GIRAFFE reconstruction after proximal gastrectomy. A descriptive case series study was conducted. Clinical data of 100 patients with adenocarcinoma of the esophagogastric junction who underwent Cheng's GIRAFFE reconstruction after proximal gastrectomy in Cancer Hospital of University of Chinese Academy of Sciences (64 cases), Zhejiang Provincial Hospital of Chinese Medicine (24 cases), Lishui Central Hospital (10 cases), Huzhou Central Hospital (1 case) and Ningbo Lihuili Hospital (1 case) from September 2017 to June 2021 were retrospectively analyzed. Read More