12,643 results match your criteria Esophageal Stricture


Use of stent for prevention of esophageal stricture after circumferential endoscopic submucosal dissection.

Dig Endosc 2019 Apr;31 Suppl 1:21

Department of Gastroenterology, The First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou, China.

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http://dx.doi.org/10.1111/den.13335DOI Listing

Management of adverse events related to endoscopic resection of upper gastrointestinal neoplasms: Review of the literature and recommendations from experts.

Dig Endosc 2019 Apr;31 Suppl 1:4-20

Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan.

Prevention therapy is recommended for lesions >1/2 of the esophageal circumference. Locoregional steroid injection is recommended for lesions >1/2-3/4 of the esophageal circumference and oral steroids are recommended for lesions >1/2 of the subtotal circumference. For lesions of the entire circumference, oral steroid combined with injection steroid is considered. Read More

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http://dx.doi.org/10.1111/den.13388DOI Listing

History of gastroesophageal reflux disease in patients with suspected coronary artery disease.

Heart Vessels 2019 Apr 16. Epub 2019 Apr 16.

Department of Cardiovascular Medicine, JR Hiroshima Hospital, 3-1-36 Futabanosato, Higashi-ku, Hiroshima, 732-0057, Japan.

It is well known that patients with gastroesophageal reflux disease (GERD) experience GERD-related chest pain, but little is known about the relationship between GERD and coronary artery disease (CAD). We evaluated medical history of GERD in patients with suspected CAD and its association with types of CAD. We enrolled 236 patients who underwent coronary angiography (CAG). Read More

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http://dx.doi.org/10.1007/s00380-019-01413-1DOI Listing

Endoscopic Submucosal Single- or Multi-tunnel Dissection for Near-Circumferential and Circumferential Superficial Esophageal Neoplastic Lesions.

Gastroenterol Res Pract 2019 12;2019:2943232. Epub 2019 Mar 12.

Department of Gastroenterology and Hepatology, West China Hospital of Sichuan University, No. 37 Guo Xue Alley, Chengdu, 610041 Sichuan, China.

This study reports the outcomes of endoscopic submucosal single-tunnel dissection or endoscopic submucosal multi-tunnel dissection for the treatment of esophageal neoplastic lesions of at least three-quarters of the esophageal circumference, including circumferential superficial esophageal neoplastic lesions. From July 2014 to February 2018, a total of 124 lesions underwent endoscopic submucosal tunnel dissection at our hospital. One to four submucosal tunnels were created in the oral to anal direction. Read More

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http://dx.doi.org/10.1155/2019/2943232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434308PMC

Prevalence and Associated Impacts of Cervical Esophageal Clearance Issues Post Chemoradiotherapy for Nasopharyngeal Carcinoma (NPC).

Dysphagia 2019 Apr 15. Epub 2019 Apr 15.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.

At present, the nature and extent of upper esophageal stage clearance issues following nonsurgical management of nasopharyngeal cancer (NPC) is not well elucidated. The aim of this study was to conduct an initial retrospective study of the prevalence and severity of upper esophageal clearance impairments in a cohort of patients post-NPC management. A secondary aim was to explore any observed relationship between severity of impairment with both (a) aspiration and (b) temporal oropharyngeal swallowing measures. Read More

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http://dx.doi.org/10.1007/s00455-019-10007-yDOI Listing

Long-term outcome and risk factors associated with death or the need for revision surgery in dogs with permanent tracheostomies.

J Am Vet Med Assoc 2019 May;254(9):1086-1093

Objective: To evaluate long-term outcomes and identify factors associated with death or the need for revision surgery in dogs with permanent tracheostomies (PTs).

Design: Retrospective cohort study.

Animals: 69 client-owned dogs that received a PT between January 2002 and June 2016 at 1 of 4 veterinary teaching hospitals. Read More

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http://dx.doi.org/10.2460/javma.254.9.1086DOI Listing

Mucosal loss as a critical factor in esophageal stricture formation after mucosal resection: a pilot experiment in a porcine model.

Surg Endosc 2019 Apr 12. Epub 2019 Apr 12.

Department of Gastroenterology, First Affiliated Hospital of Zhengzhou University, No. 1 Eastern Jianshe Road, Zhengzhou, 450052, China.

Background And Aim: Esophageal stricture is a major complication of large areas endoscopic submucosal dissection (ESD). Until now, the critical mechanism of esophageal stricture remains unclear. We examined the role of mucosal loss versus submucosal damage in esophageal stricture formation after mucosal resection using a porcine model. Read More

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http://dx.doi.org/10.1007/s00464-019-06793-zDOI Listing

Evaluation of the efficacy of Hypericum perforatum (St. John's wort) oil in the prevention of stricture due to esophageal corrosive burns.

Esophagus 2019 Apr 11. Epub 2019 Apr 11.

Department of Pediatric Surgery, Kocaeli University Medical Faculty, Umuttepe, 41380, Kocaeli, Turkey.

Background/purpose: The inflammatory response that follows the caustic burns results in fibrosis on the esophageal wall leading to esophageal stricture, dysphagia, and malnutrition. The controversy over the use of corticosteroids warrants alternative therapeutic interventions. We investigated the effect of extracts from St. Read More

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http://dx.doi.org/10.1007/s10388-019-00671-2DOI Listing
April 2019
3 Reads

Esophageal Anastomotic Stricturotomy: Electroincision Therapy with a Needle Knife.

GE Port J Gastroenterol 2019 Mar 12;26(2):137-138. Epub 2018 Jun 12.

aGastroenterology Department, Hospital Santa Luzia, Viana do Castelo, Portugal.

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http://dx.doi.org/10.1159/000489722DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454385PMC

Comparison of grading of aortic stenosis between transthoracic and transesophageal echocardiography in adult patients undergoing elective aortic valve replacement surgeries: A prospective observational study.

Ann Card Anaesth 2019 Apr-Jun;22(2):194-198

Department of Cardiac Anesthesia, AIIMS, New Delhi, India.

Introduction: Intraoperative trans-esophageal echocardiography (TEE) has been found to underestimate severity of aortic stenosis (AS) compared to trans-thoracic echo (TTE). We conducted a prospective study comparing pre induction TTE and intra operative TEE grading of AS in patients posted for aortic valve replacement surgeries.

Methods: Sixty patients with isolated AS who were undergoing aortic valve replacement were enrolled in our study. Read More

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http://dx.doi.org/10.4103/aca.ACA_4_18DOI Listing

A New Method For Lumen Restoration In A Patient With Aphagia: Oro-Esophageal Through The Scope Magnetic Compression Anastomosis.

Clin Otolaryngol 2019 Apr 10. Epub 2019 Apr 10.

Sakarya University, Faculty of Medicine Department of Otorhinolaryngology, Sakarya, Turkey.

1. The treatment of complete esophageal stricture, defined as no identifiable lumen on endoscopic evaluation, is challenging and may necessitate surgical correction, which represents a devastating treatment-related complication for the patient. 2. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/coa.13337
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http://dx.doi.org/10.1111/coa.13337DOI Listing
April 2019
3 Reads

Growth and Management of Repaired Complete Tracheal Rings after Slide Tracheoplasty.

Otolaryngol Head Neck Surg 2019 Apr 9:194599819841893. Epub 2019 Apr 9.

1 Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Objective: This study documents the growth and course of repaired complete tracheal rings over time after slide tracheoplasty.

Study Design: Case series with review.

Setting: Tertiary pediatric academic medical center. Read More

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http://dx.doi.org/10.1177/0194599819841893DOI Listing
April 2019
1.721 Impact Factor

Esophageal stenosis secondary to aortic dissection.

Med Intensiva 2019 Apr 4. Epub 2019 Apr 4.

Unidad de Cuidados Intensivos Cardiológica, Hospital Universitario 12 de Octubre, Madrid, España.

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http://dx.doi.org/10.1016/j.medin.2019.02.003DOI Listing
April 2019
1 Read

Endoscopic Management of Esophagopleural Fistula in a Case of Corrosive Esophageal Stricture.

Am J Gastroenterol 2019 Apr;114(4):550

Department of Gastroenterology, Thumbay Hospital, Al Qusais, Dubai, United Arab Emirates.

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http://dx.doi.org/10.14309/ajg.0000000000000174DOI Listing

Accelerated Idioventricular Rhythm at the Termination of an Episode of Vasospastic Angina.

Cureus 2019 Jan 16;11(1):e3895. Epub 2019 Jan 16.

Cardiology, West Virginia University, Morgantown, USA.

A 57-year-old male with gastroesophageal reflux disease and esophageal stricture with dilation presented as a cardiac catheterization lab activation for anterolateral ST-segment elevation myocardial infarction. He had suffered an unwitnessed syncopal episode after severe substernal chest pain. Electrocardiogram (ECG) showed anterolateral ST-segment elevation. Read More

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https://www.cureus.com/articles/15210-accelerated-idioventri
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http://dx.doi.org/10.7759/cureus.3895DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433444PMC
January 2019
16 Reads

Clinical presentations, management, and outcomes of acute esophageal necrosis: a systemic review.

Expert Rev Gastroenterol Hepatol 2019 Apr 1:1-8. Epub 2019 Apr 1.

a Sanford School of Medicine , University of South Dakota , Sioux Falls , SD , USA.

Background: To review all the reported literature on acute esophageal necrosis.

Research Methods: Databases were searched using the special Medical Subject Heading (MeSH) terms. All the available reported cases of acute esophageal necrosis were analyzed. Read More

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http://dx.doi.org/10.1080/17474124.2019.1601555DOI Listing
April 2019
2 Reads

Implementation of endoscopic submucosal dissection for early upper gastrointestinal tract cancer after primary experience in colorectal endoscopic submucosal dissection.

Endosc Int Open 2019 Apr 21;7(4):E446-E451. Epub 2019 Mar 21.

Department of Medicine and Gastroenterology, Gemeinschaftskrankenhaus Bonn, Academic Teaching Hospital, University of Bonn, Bonn, Germany.

 Current guidelines recommend endoscopic submucosal dissection (ESD) as a treatment option for early cancers of the upper gastrointestinal tract with absent or minimal risk of lymph node metastasis. However, due to the low prevalence of these entities, it is difficult to achieve a competence level for ESD of upper gastrointestinal tract cancers in the Western World. Here, we present single-center data on the implementation of upper gastrointestinal ESD after previous experience with 89 colorectal ESD cases. Read More

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http://dx.doi.org/10.1055/a-0854-3610DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428673PMC
April 2019
1 Read

Clinical feasibility of endoscopic submucosal dissection with minimum lateral margin of superficial esophageal squamous cell carcinoma.

Endosc Int Open 2019 Apr 15;7(4):E396-E402. Epub 2019 Mar 15.

National Cancer Center Hospital, Endoscopy Division, Tokyo, Japan.

 Esophageal stricture following endoscopic submucosal dissection (ESD) for superficial esophageal squamous cell cancer (SESCC) has been associated with wide mucosal defects greater than three-quarters of the luminal circumference. Some patients developed dysphagia and required repeated endoscopic balloon dilation even after steroid therapy. As iodine staining clearly visualized the margin of SESCC, we made a longitudinal mucosal incision close to the margin of the lesion to avoid a mucosal defect involving over three-quarters of the luminal circumference for large lesions. Read More

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http://dx.doi.org/10.1055/a-0838-5064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420336PMC
April 2019
1 Read

[Atypical skull base osteomyelitis suspected of spreading inflammation from the ear canal with unilateral multiple cranial neuropathy and cerebral infarctions].

Rinsho Shinkeigaku 2019 Mar 30. Epub 2019 Mar 30.

Department of Neurology, Japan Community Healthcare Organization Kyushu Hospital.

A 76-year-old man, who had undergone surgery for esophageal cancer in 2010, presented to our hospital in April 2017 complaining of prolonged slight fever, loss of appetite, and dysphagia. Initial evaluation revealed a paralyzed left vocal cord, slight muscle weakness of the extremities, left facial paralysis, hoarseness, left sternocleidomastoid and trapezius muscle weakness, tongue deviation to the left, and left hypacusia-suggesting a diagnosis of Garcin's syndrome. Laboratory tests revealed increased white blood cells and C-reactive protein. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001258DOI Listing
March 2019
1 Read

Outcomes of Endoscopic Dilation in Patients with Esophageal Anastomotic Strictures: Comparison Between Different Etiologies.

Dysphagia 2019 Mar 30. Epub 2019 Mar 30.

Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Background And Aims: This retrospective study was aimed at assessing the efficacy of endoscopic dilation for esophageal anastomotic strictures, and to compare response between caustic anastomotic strictures (CAS) and non-caustic anastomotic strictures (NCAS).

Materials And Methods: Patients with anastomotic strictures (enrolled during January 1996-December 2015) were analyzed. Short- and long-term outcomes of dilation, in terms of clinical success, refractory, and recurrent strictures were compared between NCAS and CAS. Read More

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http://dx.doi.org/10.1007/s00455-019-10004-1DOI Listing
March 2019
1 Read

Dilation after laryngectomy: Incidence, risk factors and complications.

Oral Oncol 2019 Apr 6;91:107-112. Epub 2019 Mar 6.

Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, the Netherlands.

Background: Neopharyngeal stenosis is a recognized sequela of total laryngectomy (TL). We aim to investigate the incidence of stenosis requiring dilation, risk factors for stenosis and complications of dilation.

Methods: Retrospective cohort study of patients undergoing TL in two dedicated head and neck centers in the Netherlands. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2019.02.025DOI Listing
April 2019
1 Read
3.607 Impact Factor

Treatment of high-grade dysplasia and intramucosal carcinoma using radiofrequency ablation or endoscopic mucosal resection + radiofrequency ablation: Meta-analysis and systematic review.

World J Gastrointest Endosc 2019 Mar;11(3):239-248

Gastrointestinal Endoscopy Unit, Gastroenterology Department, University of Sao Paulo School of Medicine, São Paulo, SP 05403-000, Brazil.

Background: The progression of Barrett's esophagus (BE) to early esophageal carcinoma occurs sequentially; the metaplastic epithelium develops from a low-grade dysplasia to a high-grade dysplasia (HGD), resulting in early esophageal carcinoma and, eventually, invasive carcinoma. Endoscopic approaches including resection and ablation can be used in the treatment of this condition.

Aim: To compare the effectiveness of radiofrequency ablation (RFA) endoscopic mucosal resection (EMR) + RFA in the endoscopic treatment of HGD and intramucosal carcinoma. Read More

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http://dx.doi.org/10.4253/wjge.v11.i3.239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425278PMC
March 2019
2 Reads

The Sternocleidomastoid Myocutaneous Flap: A Laryngeal Preservation Option for Total Hyopharyngoesophageal Stenosis.

Otolaryngol Head Neck Surg 2019 Mar 26:194599819835784. Epub 2019 Mar 26.

1 Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, USA.

Complete hypopharyngoesophageal (HPE) stenosis is rare and a challenging condition to treat. When endoscopic therapy fails, total laryngectomy with or without pharyngeal reconstruction is usually performed. We present a retrospective case series involving 3 patients with complete HPE stenosis who failed endoscopic repair and were gastrostomy dependent. Read More

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http://dx.doi.org/10.1177/0194599819835784DOI Listing

Innovative management of severe tracheobronchomalacia using anterior and posterior tracheobronchopexy.

Laryngoscope 2019 Mar 25. Epub 2019 Mar 25.

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Objectives/hypothesis: Combined anterior and posterior tracheobronchopexy is a novel surgical approach for the management of severe tracheobronchomalacia (TBM). We present our institutional experience with this procedure. Our objective was to determine the utility and safety of anterior and posterior tracheopexy in the treatment of severe TBM. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27938
Publisher Site
http://dx.doi.org/10.1002/lary.27938DOI Listing
March 2019
10 Reads

[Efficacy and safety of digestive tract stent placement under direct visual endoscopy without X-ray monitoring in treatment of digestive tract stricture].

Authors:
Hong Shen Feng Ji

Zhejiang Da Xue Xue Bao Yi Xue Ban 2018 Dec;47(6):643-650

Department of Gastroenterology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

Objective: To evaluate the efficacy and safety of digestive tract stent implantation under direct visual endoscopy without X-ray monitoring in the treatment of digestive tract stricture.

Methods: The clinical data of patients undergoing digestive tract stent placement under direct visual endoscopy without X-ray monitoring in the First Affiliated Hospital of Zhejiang University School of Medicine from March 2003 to November 2017 were retrospectively analyzed. The process of procedures, the postoperative complications and the postoperative follow-up data were documented. Read More

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December 2018
2 Reads

Esophageal Stricture Due to a Self-Expandable Metal Stent (SEMS) Placement for Post Sleeve Gastrectomy Leak: a Case Report.

Obes Surg 2019 Mar 21. Epub 2019 Mar 21.

Department of General and Digestive Surgery, Bariatric Surgery Unit, Poissy Saint Germain Medical Center, 10 rue du Champ Gaillard, Poissy, 78300, France.

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http://dx.doi.org/10.1007/s11695-019-03835-2DOI Listing

Management and outcomes of gastric volvulus in children: a systematic review.

World J Pediatr 2019 Mar 21. Epub 2019 Mar 21.

Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom.

Background: Gastric volvulus (GV) in children is a rare condition. This study reviewed management and outcomes of GV in the pediatric population.

Methods: MEDLINE/PubMed, Embase, and Google Scholar databases were searched for studies in English regarding GV in patients < 18 years old between 2008 and 2017, selected by two reviewers. Read More

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http://link.springer.com/10.1007/s12519-019-00244-4
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http://dx.doi.org/10.1007/s12519-019-00244-4DOI Listing
March 2019
3 Reads

Endoscopic Management of Postradiation Dysphagia in Head and Neck Cancer Patients: A Systematic Review.

Ann Otol Rhinol Laryngol 2019 Mar 21:3489419837565. Epub 2019 Mar 21.

1 Department of Otolaryngology-Head and Neck Surgery, Stanford University-School of Medicine, Stanford, California, USA.

Objectives:: To systematically review the success rate and safety profile of the available endoscopic surgical options for radiation-induced dysphagia in head and neck cancer patients following organ preservation treatment, including upper esophageal sphincter (UES) dilation, cricopharyngeus (CP) myotomy (CPM), and CP intramuscular botulinum toxin (Botox) injection.

Methods:: A search of MEDLINE, Scopus, Google Scholar, and Cochrane databases was done to identify articles published between January 1980 and December 2017. Pediatric series, foreign language articles, series with Zenker's diverticulum or following primary surgical treatment including laryngectomy, open UES/CP surgery, or samples with fewer than 5 patients were excluded. Read More

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http://dx.doi.org/10.1177/0003489419837565DOI Listing
March 2019
5 Reads

Use of benzodiazepine medications during pregnancy and potential risk for birth defects, National Birth Defects Prevention Study, 1997-2011.

Birth Defects Res 2019 Mar 19. Epub 2019 Mar 19.

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.

Background: Benzodiazepine medications can be used to treat anxiety, a condition affecting 15% of women of childbearing age in the United States. Studies have shown conflicting results for the association between benzodiazepine use during pregnancy and birth defects.

Methods: We analyzed 1997-2011 data from the National Birth Defects Prevention Study, a multisite, population-based case-control study. Read More

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http://dx.doi.org/10.1002/bdr2.1497DOI Listing
March 2019
7 Reads

Metastases of ductal carcinoma of the breast in the esophagus. Case report

Rev Med Inst Mex Seguro Soc 2019 Mar 15;56(6):562-565. Epub 2019 Mar 15.

Instituto Mexicano del Seguro Social, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez, Servicio de Anatomía Patológica. Ciudad de México, México

Background: Invasive breast cancer is the most common carcinoma in women, 23% of all cancers in the world. It is classified according to its histological pattern and expression of immunohistochemical markers; 75% are ductal type. The incidence of metastases is 10 to 80% of the cases according to their immunophenotype, the main sites of metastases are bone, visceral and brain. Read More

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March 2019
5 Reads

Should Proton Pump Inhibitors be Systematically Prescribed in Patients with Esophageal Atresia After Surgical Repair?

J Pediatr Gastroenterol Nutr 2019 03 5. Epub 2019 Mar 5.

Division of Pediatric Gastroenterology Hepatology and Nutrition, CHU Sainte-Justine, Université de Montréal, Montréal, Canada.

Objective: To evaluate outcomes of patients with esophageal atresia (EA) on systematic treatment with proton pump inhibitors (PPI) since the neonatal period and to determine factors associated with successful discontinuation of PPI.

Study Design: Longitudinal cohort study with prospective data collection of 73 EA patients, over 11 years systematically treated with PPI. Outcome and predictive factors for discontinuation of PPI treatment were evaluated at study end in February 2017. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002328DOI Listing

Boix-Ochoa (Partial Fundoplication) Treats Reflux, Even in Neurologically Impaired Patients. Can it Take the Title of "Gold Standard" from Total Fundoplication?

J Gastrointest Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Pediatric Surgery, Başkent University Faculty of Medicine, Gazipaşamahallesi Barajcaddesi No: 7, Seyhan, 01250, Adana, Turkey.

Background: In 4-5% of cases of gastroesophageal reflux disease (GERD), surgical treatment is required. The aim of the study was to evaluate the success of Boix-Ochoa antireflux surgery, which is considered more physiologic with a higher failure rate (need for reoperation) than Nissen fundoplication, which is believed to be the gold standard operation.

Method: In the 13 years from 2005 to 2018, the medical records of all children who underwent Boix-Ochoa in a single institution by pediatric surgeons were reviewed retrospectively. Read More

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http://dx.doi.org/10.1007/s11605-019-04179-zDOI Listing
March 2019
2 Reads

Laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography: Preliminary experience and technique description.

J Visc Surg 2019 Mar 15. Epub 2019 Mar 15.

IRCAD, Research institute against cancer of the digestive system, 67000 Strasbourg, France; IHU-Strasbourg, institute for image-guided surgery, 67000 Strasbourg, France; Department of digestive surgery, university hospital of Strasbourg, 67000 Strasbourg, France.

Introduction: Common bile duct lithiasis after Roux-en-Y gastric bypass (RYGB) or upper gastrointestinal stenosis has become a challenging problem nowadays, especially as obesity surgery is increasing. In this study, we assess the feasibility and performance of laparoscopy-assisted transgastric endoscopic retrograde cholangiopancreatography (LAERCP) and describe its technique.

Methods: A retrospective review of a prospectively collected database of consecutive patients undergoing a LAERCP between February 2014 and May 2015 was performed at a single institution. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2019.02.009DOI Listing
March 2019
1 Read

Autologous Skin-Grafting Surgery to Prevent Esophageal Stenosis After Complete Circular Endoscopic Submucosal Tunnel Dissection for Superficial Esophageal Neoplasms.

Am J Gastroenterol 2019 Mar 15. Epub 2019 Mar 15.

Department of Gastroenterology, Chinese PLA General Hospital, Beijing, China.

Objectives: To assess the safety and effectiveness of autologous skin-grafting surgery (ASGS) for preventing esophageal stenosis after complete circular endoscopic submucosal tunnel dissection (ccESTD) for superficial esophageal neoplasms.

Methods: Between October 2017 and March 2018, 8 patients who underwent ccESTD and ASGS were included. We assessed the occurrence of esophageal stenosis and adverse events. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000169DOI Listing
March 2019
1 Read

Use of tunnel endoscopy for diagnosis of obscure submucosal esophageal adenocarcinoma: A case report and review of the literature with emphasis on causes of esophageal stenosis.

World J Clin Cases 2019 Mar;7(5):668-675

Department of Gastroenterology, The First Hospital of Wuhan, Wuhan 430000, Hubei Province, China.

Background: The tunnel endoscopic technique is the treatment of choice for submucosal tumors. However, the use of tunnel endoscopy to diagnose adenocarcinoma of the esophagus originating from the submucosa has not been well studied.

Case Summary: A 74-year-old man who presented with dysphagia for half a year underwent a series of checks, such as gastroendoscopy, X-ray contrast examination of the upper digestive tract, endoscopic ultrasonography, high-resolution esophageal manometry, and positron emission computed tomography. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i5.668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406193PMC
March 2019
2 Reads

Application of a self-assembling peptide matrix prevents esophageal stricture after circumferential endoscopic submucosal dissection in a pig model.

PLoS One 2019 12;14(3):e0212362. Epub 2019 Mar 12.

Department of Gastroenterology, Cochin Hospital, APHP, Paris, France.

Introduction: Circumferential endoscopic submucosal dissection (ESD) allows to treat large esophageal superficial neoplasms, however with a high occurrence of severe esophageal strictures. In a previous work, we demonstrated that the application of a prototype of self-assembling peptide (SAP) matrix on esophageal wounds after a circumferential-ESD delayed the onset of esophageal stricture in a porcine model. The aim of this work was to consolidate these results using the commercialized version of this SAP matrix currently used as a hemostatic agent. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0212362PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413927PMC
March 2019
2 Reads

Outcome after iatrogenic esophageal perforation.

Scand J Gastroenterol 2019 Mar 11:1-5. Epub 2019 Mar 11.

c Department of Pediatric and Gastrointestinal Surgery , Oslo University Hospital, Ullevål , Oslo , Norway.

Objectives: Iatrogenic perforations are the most common cause of esophageal perforation. We present our experience mainly based on a non-operative treatment approach as well as long-term outcome in these patients.

Materials And Methods: Twenty-one patients were treated for iatrogenic esophageal perforation at Oslo University Hospital, Ullevål from February 2007 to March 2014. Read More

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https://www.tandfonline.com/doi/full/10.1080/00365521.2019.1
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http://dx.doi.org/10.1080/00365521.2019.1575464DOI Listing
March 2019
6 Reads

The Impact of Circular Stapler Size on the Incidence of Cervical Anastomotic Stricture After Esophagectomy.

World J Surg 2019 Mar 7. Epub 2019 Mar 7.

Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, 1-1 Kanokoden, Chikusa-ku, Nagoya, Aichi, 464-8681, Japan.

Background: Cervical anastomotic stricture after esophagectomy is a serious complication that adversely affects postoperative recovery, nutritional status and quality of life. Cervical anastomosis by a circular stapler (CS) has been widely accepted as a simple and convenient method, but anastomotic strictures are likely to occur. The aim of this study was to investigate an association between CS size and the incidence of anastomotic stricture after cervical esophagogastric anastomosis performed by a CS. Read More

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http://dx.doi.org/10.1007/s00268-019-04938-8DOI Listing
March 2019
2 Reads

Initial clinical application of tissue pH neutralization after esophageal button battery removal in children.

Laryngoscope 2019 Mar 5. Epub 2019 Mar 5.

Division of Otolaryngology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Objectives/hypothesis: Pediatric esophageal button battery (BB) injuries can progress even after removal and continue to be a significant source of morbidity and mortality. The objective in this case series is to present initial safety data for the human application of intraoperative tissue pH neutralization using 0.25% acetic acid irrigation after BB removal. Read More

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http://dx.doi.org/10.1002/lary.27904DOI Listing

White coat status is a predictive marker for post-esophageal endoscopic submucosal dissection stricture: a retrospective study.

Esophagus 2019 Mar 5. Epub 2019 Mar 5.

Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, 2-1 Midorigaoka-higashi, Asahikawa, Hokkaido, 078-8510, Japan.

Background: Steroid therapy is primarily used to prevent esophageal stricture after endoscopic submucosal dissection (ESD). However, esophageal stricture can still occur after preventive therapy, and the effect of preventive steroid therapy cannot be predicted before stricture formation. This study aimed to clarify the risk factors for esophageal stricture after preventive steroid therapy. Read More

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http://dx.doi.org/10.1007/s10388-019-00659-yDOI Listing
March 2019
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Outcomes of endoscopic submucosal dissection for superficial esophageal cancer in an elderly population: a retrospective single center cohort study.

Endosc Int Open 2019 Mar 28;7(3):E355-E360. Epub 2019 Feb 28.

Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan.

 Endoscopic submucosal dissection (ESD) is increasingly being used to treat superficial esophageal cancer in the elderly. However, data on clinical outcomes in this age group are limited. The aim of this study was to evaluate the safety and efficacy of ESD in treatment of superficial esophageal cancer and its effect on long-term outcome in the elderly. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0832-8257
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http://dx.doi.org/10.1055/a-0832-8257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6395099PMC
March 2019
3 Reads

Transhiatal esophagectomy with gastric pull-up, pyloric exclusion and Roux-en-Y gastroenterostomy for the management of esophageal caustic injury.

Int J Surg Case Rep 2019 13;56:66-69. Epub 2019 Feb 13.

Universidade Federal do Vale do São Francisco, Av. José de Sá Maniçoba, S/N - Centro CEP: 56304-917, Petrolina, PE, Brazil. Electronic address:

Introduction: Ingestion of caustic materials can lead to digestive tube perforation involving the mouth, pharynx, esophagus and stomach (Vezakis et al., 2016 [1]). In this case report, the authors opted for gastric pull-up in a case of esophageal and pyloric stenosis secondary to caustic ingestion, and a Roux-en-Y gastroenterostomy in the lower portion of the gastric pull-up. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403175PMC
February 2019
4 Reads

Esophageal Stenosis by Prostate Cancer Metastasis.

Am J Gastroenterol 2019 Apr;114(4):685-687

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata City, Niigata, Japan.

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http://dx.doi.org/10.14309/ajg.0000000000000185DOI Listing
April 2019
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Eosinophilic esophagitis: Pathophysiology, diagnosis, and management.

Arch Pediatr 2019 Apr 1;26(3):182-190. Epub 2019 Mar 1.

Paris-Descartes Medical University, 12, rue de l'École-de-Médecine, 75006 Paris, France.

Eosinophilic esophagitis (EoE) is a multifactorial esophageal inflammation, with a genetic predisposition, which combines a deficient esophageal mucosal barrier, an abnormal immune reaction to environmental allergens mediated by Th2 interleukins, immediate esophageal lesions and dysmotility, with secondary remodeling and fibrosis. Symptoms include reflux, abdominal pain, and food impaction, with a variation according to age. Fibroscopy shows major and minor endoscopic and histologic criteria, with a mucosal count≥15 eosinophils/high power field (Eo/hpf). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0929693X193002
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http://dx.doi.org/10.1016/j.arcped.2019.02.005DOI Listing
April 2019
6 Reads

Clinical experience of using a novel self-help inflatable balloon to prevent esophageal stricture after circumferential endoscopic submucosal dissection.

Dig Endosc 2019 Mar 2. Epub 2019 Mar 2.

Department of Gastroenterology, Chinese PLA General Hospital, Beijing, China.

Although endoscopic submucosal dissection (ESD) is gradually becoming a first-line treatment for superficial esophageal neoplasms (SEN), strictures occur in almost 100% of cases after circumferential ESD. A standard method to prevent stricture has not been established. Thus, we propose a novel self-help inflatable balloon to prevent stricture. Read More

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http://dx.doi.org/10.1111/den.13385DOI Listing
March 2019
2 Reads

Stenosis of the celiac trunk is associated with anastomotic leak after Ivor-Lewis esophagectomy.

Dis Esophagus 2019 Mar 1. Epub 2019 Mar 1.

Department of General, Visceral and Cancer Surgery, University of Cologne, Germany.

Transthoracic esophagectomy with gastric tube formation is the surgical treatment of choice for esophageal cancer. The surgical reconstruction induces changes of gastric microcirculation, which are recognized as potential risk factors of anastomotic leak. This prospective observational study investigates the association of celiac trunk (TC) stenosis with postoperative anastomotic leak. Read More

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http://dx.doi.org/10.1093/dote/doy107DOI Listing

[A case of swallow syncope associated with Parkinson disease].

Rinsho Shinkeigaku 2019 Mar 28;59(3):149-152. Epub 2019 Feb 28.

Department of Internal Medicine, Imari Arita Kyoritsu Hospital.

A 73-year-old woman with Parkinson disease (PD) was admitted to our hospital because of aspiration pneumonia. She presented with recurrent episodes of loss of consciousness with bradycardia while swallowing solid foods or fluids. Upper endoscopy revealed a normal esophagus without hiatus hernia, cancer, diverticulum, stenosis, or achalasia. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001249DOI Listing
March 2019
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Postoperative noninvasive ventilation and complications in esophageal atresia-tracheoesophageal fistula.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Pediatric Surgery, Centre Hospitalier Universitaire, Sainte-Justine, Canada; Esophageal Atresia Clinic, Department of Pediatric Gastroenterology, Centre Hospitalier Universitaire, Sainte Justine, Canada. Electronic address:

Purpose: This study examines the impact of postoperative noninvasive ventilation strategies on outcomes in esophageal atresia-tracheoesophageal fistula (EA-TEF) patients.

Methods: A single center retrospective chart review was conducted on all neonates followed at the EA-TEF Clinic from 2005 to 2017. Primary outcomes were: survival, anastomotic leak, stricture, pneumothorax, and mediastinitis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.023DOI Listing
January 2019
3 Reads

Effectiveness of an orally administered steroid gel at preventing restenosis after endoscopic balloon dilation of benign esophageal stricture.

Medicine (Baltimore) 2019 Feb;98(8):e14565

Department of Gastroenterology and Hepatology, Peking University Third Hospital, Beijing, China.

Background: Restenosis occurs in 10% to 30% of patients after endoscopic balloon dilation (EBD) of benign esophageal stricture. This study aimed to investigate whether an orally administered steroid/gel mixture would inhibit restenosis after EBD for benign esophageal stricture.

Methods: This retrospective analysis included patients with benign esophageal stricture treated with EBD at the Peking University Third Hospital, China (September 2005 to October 2017). Read More

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http://dx.doi.org/10.1097/MD.0000000000014565DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407972PMC
February 2019
1 Read