2,587 results match your criteria Gastrointestinal Reflux Imaging

The Clinical Problem of Pelvic Venous Disorders.

Interv Cardiol Clin 2022 Jul;11(3):307-324

The Ohio State University, 281 West Lane Avenue, Columbus, OH 43210, USA. Electronic address:

Pelvic venous disorders are inter-related pathologic conditions caused by reflux and obstruction in the pelvic veins. It can present a spectrum of clinical features based on the route of transmission of venous hypertension to either distal or caudal venous reservoirs. Imaging can help to visualize pelvic vascular and visceral structures to rule out other gynecologic, gastrointestinal, and urologic diseases. Read More

View Article and Full-Text PDF

Protocol for Comparing the Efficacy of Three Reconstruction Methods of the Digestive Tract (Kamikawa Versus Double-Tract Reconstruction Versus Tube-Like Stomach) After Proximal Gastrectomy.

Front Surg 2022 25;9:891693. Epub 2022 May 25.

Department of Gastrointestinal Surgery, Xijing Hospital, Air Force Military Medical University, Xi'an, China.

Background: Appropriate gastrointestinal reconstruction after proximal gastrectomy can effectively reduce the incidence of postoperative complications in patients with proximal early gastric cancer. However, there is still great controversy about the choice of digestive tract reconstruction after proximal gastrectomy, and there is no clinical consensus on the choice of digestive tract reconstruction after proximal gastrectomy. Currently, there is a lack of large-sample, prospective, randomized controlled studies to compare the efficacy of Kamikawa, double-tract reconstruction, and tube-like stomach reconstruction after proximal gastrectomy. Read More

View Article and Full-Text PDF

Organizing and Developing a GI Motility Lab in Community Practice: Challenges and Rewards.

Curr Gastroenterol Rep 2022 Jun;24(6):73-87

Division of Neurogastroenterology/Motility, Augusta University Medical Center, Augusta, GA, USA.

Purpose Of Review: Neurogastroenterology and motility is a rapidly evolving subspecialty that encompasses over 33% of gastroenterological disorders, and up to 50% of referrals to gastroenterology practice. It includes common problems such as dysphagia, gastroesophageal reflux disease, irritable bowel syndrome, chronic constipation, gastroparesis, functional dyspepsia, gas/bloating, small intestinal bacterial overgrowth, food intolerance and fecal incontinence Standard diagnostic tests such as endoscopy or imaging are normal in these conditions. To define the underlying mechanism(s)/etiology of these disorders, diagnostic motility tests are often required. Read More

View Article and Full-Text PDF

Jejunal Gastrointestinal Stromal Tumor (GIST) as a Rare Cause of GI Bleed: A Case Report.

Cureus 2022 Apr 19;14(4):e24272. Epub 2022 Apr 19.

Surgery, Kingsbrook Jewish Medical Center, Brooklyn, USA.

Jejunal gastrointestinal stromal tumor (GIST) is a rare cause of recurrent gastrointestinal bleeding (GIB). Early diagnosis for patients with jejunal GIST is often challenging, which can lead to delays in treatment. We present a case of a 32-year-old male patient with persistent abdominal pain and hematemesis despite treatment for gastroesophageal reflux disease (GERD). Read More

View Article and Full-Text PDF

Association between gastroesophageal reflux disease and coronary atherosclerosis.

PLoS One 2022 20;17(5):e0267053. Epub 2022 May 20.

Department of Internal Medicine, Healthcare Research Institute, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, Korea.

Background And Aim: Gastroesophageal reflux disease (GERD) typically presents with symptoms of heartburn and acid regurgitation but occasionally manifests as atypical chest pain. Coronary artery disease (CAD) and GERD share some risk factors, such as smoking and obesity. The aims of this study were to evaluate the association between GERD and coronary atherosclerosis and to assess the risk factors for coronary atherosclerosis in GERD patients. Read More

View Article and Full-Text PDF

Congenital true oesophageal diverticulum: a report and review of the literature.

BMJ Case Rep 2022 May 16;15(5). Epub 2022 May 16.

Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Oesophageal diverticulum occurring secondary to motility disorders or gastro-oesophageal reflux disease (GERD) is common in adults but true congenital oesophageal diverticula are rare in infants and children. We present a case of a toddler boy who presented with dysphagia and vomiting after feeds after weaning was attempted starting at 6 months of age. Barium esophagogram revealed a diverticulum in the upper one-third of the oesophagus within the thoracic cavity. Read More

View Article and Full-Text PDF

Severe Dysphagia is Rare After Magnetic Sphincter Augmentation.

World J Surg 2022 Apr 29. Epub 2022 Apr 29.

Department of Surgery, Division of General Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Background: Dysphagia remains the most significant concern after anti-reflux surgery, including magnetic sphincter augmentation (MSA). The aim of this study was to evaluate postoperative dysphagia rates, its risk factors, and management after MSA.

Methods: From a prospectively collected database of all 357 patients that underwent MSA at our institution, a total of 268 patients were included in our retrospective study. Read More

View Article and Full-Text PDF

Magnetic resonance imaging assessed enteric motility and luminal content analysis in patients with severe bloating and visible distension.

Neurogastroenterol Motil 2022 Apr 19:e14381. Epub 2022 Apr 19.

Centre for Medical Imaging, University College London (UCL), London, UK.

Background: Gastrointestinal symptoms in functional gut disorders occur without any discernible structural gut abnormality. Preliminary observations on enteric MRI suggest possible abnormal content and motility of the terminal ileum (TI) in constipation-predominant IBS (IBS-C) with severe bloating, and in functional bloating and distension (FABD) patients. We investigated whether MRI can quantify differences in small bowel (SB) content and motility between patients and healthy controls (HCs). Read More

View Article and Full-Text PDF

Usefulness of optical enhancement endoscopy combined with magnification to improve detection of intestinal metaplasia in the stomach.

Endosc Int Open 2022 Apr 14;10(4):E441-E447. Epub 2022 Apr 14.

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

 The light blue crest observed in narrow band imaging endoscopy has high diagnostic accuracy for diagnosis of gastric intestinal metaplasia (GIM). The objective of this prospective study was to evaluate the diagnostic accuracy of magnifying i-scan optical enhancement (OE) imaging for diagnosing the LBC sign in patients with different levels of risk for gastric cancer in a Mexican clinical practice.  Patients with a history of peptic ulcer and symptoms of dyspepsia or gastroesophageal reflux disease were enrolled. Read More

View Article and Full-Text PDF

Role of Gastric Microorganisms Other than in the Development and Treatment of Gastric Diseases.

Biomed Res Int 2022 14;2022:6263423. Epub 2022 Mar 14.

Department of Gastroenterology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China.

The microenvironment in the stomach is different from other digestive tracts, mainly because of the secretion of gastric acid and digestive enzymes, bile reflux, special mucus barrier, gastric peristalsis, and so on, which all contribute to the formation of antibacterial environment. Microecological disorders can lead to gastric immune disorders or lead to the decrease of dominant bacteria and the increase of the abundance and virulence of pathogenic microorganisms and then promote the occurrence of diseases. The body performs its immune function through innate and adaptive immunity and maintains microbial balance through the mechanism of immune homeostasis. Read More

View Article and Full-Text PDF

Airway emergency from megaoesophagus: A rare complication of an adjustable gastric band.

Anaesth Intensive Care 2022 Jul 11;50(4):320-324. Epub 2022 Mar 11.

Department of Anaesthesia, Queen Elizabeth Hospital, Adelaide, Australia.

A 77-year-old lady with a laparoscopic adjustable gastric band (LAGB), implanted 12 years earlier for obesity, developed an unusual but almost fatal complication, characterised by dysphonia and stridor within minutes and a tensely swollen anterior neck. The condition mimicked haemorrhage into the subcutaneous tissues of the neck, and the airway was secured with an awake fibreoptic intubation. Subsequent computed tomography imaging of the abdomen and chest revealed megaoesophagus with dilatation up to 7 cm, proximal to the gastric band. Read More

View Article and Full-Text PDF

Alimentary tract duplications in children - a 15 years' experience.

Rom J Morphol Embryol 2021 Jul-Sep;62(3):751-756

Discipline of Physiology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania;

Duplications of the alimentary tract are a diverse and complex spectrum of congenital malformations and can be found anywhere along the digestive tract. The management depends on multiple factors, such as age, location, size, macroscopic aspect, and the associated anomalies. This study reflects a 15-year single surgical team experience. Read More

View Article and Full-Text PDF

Once in a Bile - the Incidence of Bile Reflux Post-Bariatric Surgery.

Obes Surg 2022 05 28;32(5):1428-1438. Epub 2022 Feb 28.

Discipline of Surgery, University of Adelaide, Adelaide, South Australia, Australia.

Purpose: Excellent metabolic improvement following one anastomosis gastric bypass (OAGB) remains compromised by the risk of esophageal bile reflux and theoretical carcinogenic potential. No 'gold standard' investigation exists for esophageal bile reflux, with diverse methods employed in the few studies evaluating it post-obesity surgery. As such, data on the incidence and severity of esophageal bile reflux is limited, with comparative studies lacking. Read More

View Article and Full-Text PDF

Peroral Endoscopic Myotomy for Achalasia.

World J Surg 2022 Jul 25;46(7):1542-1546. Epub 2022 Feb 25.

Department of Surgery, NorthShore University HealthSystem, 2650 Ridge Ave, GCSI Suite B665, Evanston, IL, 60201, USA.

Background: Peroral endoscopic myotomy (POEM) utilizes the principles of natural orifice transluminal surgery to create an operative tunnel within the submucosal space, perform an endoluminal esophagogastromyotomy, and ultimately mitigate the progressive symptoms of achalasia. POEM is an innovative minimally invasive technique increasing in popularity and clinical significance as an effective treatment for achalasia and other disorders of spastic esophageal motility.

Methods: A comprehensive literature review was performed regarding the procedure, outcomes, and technical advancements in POEM. Read More

View Article and Full-Text PDF

Biosensor-Assisted Method for Abdominal Syndrome Classification Using Machine Learning Algorithm.

Comput Intell Neurosci 2022 28;2022:4454226. Epub 2022 Jan 28.

Department of Computer Science, Hawassa University, Awasa, Ethiopia.

The digestive system is one of the essential systems in human physiology where the stomach has a significant part to play with its accessories like the esophagus, duodenum, small intestines, and large intestinal tract. Many individuals across the globe suffer from gastric dysrhythmia in combination with dyspepsia (improper digestion), unexplained nausea (feeling), vomiting, abdominal discomfort, ulcer of the stomach, and gastroesophageal reflux illnesses. Some of the techniques used to identify anomalies include clinical analysis, endoscopy, electrogastrogram, and imaging. Read More

View Article and Full-Text PDF
February 2022

Devices for esophageal function testing.

VideoGIE 2022 Jan 22;7(1):1-20. Epub 2021 Oct 22.

Division of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.

Background And Aims: Esophageal function testing is an integral component of the evaluation of refractory GERD and esophageal motility disorders. This review summarizes the current technologies available for esophageal function testing, including the functional luminal imaging probe (FLIP), high-resolution esophageal manometry (HRM), and multichannel intraluminal impedance (MII) and pH monitoring.

Methods: We performed a MEDLINE, PubMed, and MAUDE database literature search to identify pertinent clinical studies through March 2021 using the following key words: esophageal manometry, HRM, esophageal impedance, FLIP, MII, and esophageal pH testing. Read More

View Article and Full-Text PDF
January 2022

Clinical and Endoscopic Characteristics Associated With Post-Endoscopy Upper Gastrointestinal Cancers: A Systematic Review and Meta-analysis.

Gastroenterology 2022 04 25;162(4):1123-1135. Epub 2021 Dec 25.

Norwich Medical School, University of East Anglia, Norwich, UK; Department of General Surgery, Norfolk & Norwich University Hospital NHS Foundation Trust, Norwich, UK.

Background & Aims: Ten percent of patients with an upper gastrointestinal cancer will have received an esophagogastroduodenoscopy (EGD) within 3 years before diagnosis, termed post-endoscopy upper gastrointestinal cancers (PEUGIC). We aimed to determine the characteristics of PEUGIC, and compare these with detected cancers.

Methods: We searched MEDLINE and Embase from inception for studies comparing the characteristics of PEUGIC and detected upper gastrointestinal cancers, and reported findings at the initial "cancer-negative" endoscopy. Read More

View Article and Full-Text PDF

Advanced Endoscopic Imaging and Interventions in GERD: An Update and Future Directions.

Front Med (Lausanne) 2021 29;8:728696. Epub 2021 Nov 29.

Division of Gastroenterology, Long School of Medicine, University of Texas Health San Antonio, San Antonio, TX, United States.

Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases encountered in primary care and gastroenterology clinics. Most cases of GERD can be diagnosed based on clinical presentation and risk factors; however, some patients present with atypical symptoms, which can make diagnosis difficult. An esophagogastroduodenoscopy can be used to assist in diagnosis of GERD, though only half of these patients have visible endoscopic findings on standard white light endoscopy. Read More

View Article and Full-Text PDF
November 2021

Urethral obstruction from Cobb's collar in association with VACTERL.

S Afr J Surg 2021 Dec;59(4):196a-196c

Division of Urology, University of the Witwatersrand, South Africa; Department of Urology, Charlotte Maxeke Johannesburg Academic and Helen Joseph and Rahima Moosa Mother and Child (Coronation) Cluster Hospitals, South Africa and Wits Donald Gordon Medical Centre, South Africa.

Summary: Cobb's collar is a rare intraluminal congenital cause of bulbar urethral obstruction that is commonly mislabelled congenital obstructive posterior urethral membrane (COPUM) but may be distinguished from this endoscopically as it has no connecting folds to the verumontanum. In this report, Cobb's collar is described for the first time in association with the VACTERL syndrome. The abnormality was diagnosed and treated by diathermy and dilatation at the time of endoscopic evaluation, with improvement of vesicoureteric reflux on micturating cystourethrogram and renal ultrasound. Read More

View Article and Full-Text PDF
December 2021

Assessment of esophagogastric junction morphology by dynamic real-time MRI: comparison of imaging features to high-resolution manometry.

Jpn J Radiol 2022 Apr 7;40(4):376-384. Epub 2021 Dec 7.

Department of Diagnostic and Interventional Radiology, University Medical Center Göttingen, Göttingen, Germany.

Purpose: To assess the esophagogastric junction (EGJ) on real-time MRI and compare imaging parameters to EGJ morphology on high-resolution manometry (HRM).

Methods: A total of 105 of 117 eligible patients who underwent real-time MRI and high-resolution manometry for GERD-like symptoms between 2015 and 2018 at a single center were retrospectively evaluated (male n = 57; female n = 48; mean age 52.5 ± 15. Read More

View Article and Full-Text PDF

Clinical and endoscopic characteristics of acute esophageal necrosis and severe reflux esophagitis.

Medicine (Baltimore) 2021 Nov;100(44):e27672

Department of Gastroenterology, St. Luke's International Hospital, Chuo-ku, Tokyo, Japan.

Abstract: The similarities and differences between acute esophageal necrosis and severe reflux esophagitis have not been elucidated. We compared Los Angeles classification Grade C reflux esophagitis, Grade D reflux esophagitis, and acute esophageal necrosis to consider the similarities and differences between acute esophageal necrosis and severe reflux esophagitis.We retrospectively reviewed records of patients who underwent esophagogastroduodenoscopy at a tertiary referral center from January 2012 to December 2019. Read More

View Article and Full-Text PDF
November 2021

Impedance planimetry (EndoFLIP) measurements persist long term after anti-reflux surgery.

Surgery 2022 03 2;171(3):628-634. Epub 2021 Dec 2.

Department of Surgery, NorthShore University Health System, Evanston, IL.

Purpose: The functional lumen imaging probe provides objective measurements of the gastroesophageal junction during laparoscopic anti-reflux surgery. There is a lack of data on how functional lumen imaging probe measurements change at follow-up. We aim to describe our institutional experience in performing functional lumen imaging probe during postoperative endoscopy after laparoscopic anti-reflux surgery. Read More

View Article and Full-Text PDF

One year comprehensive prospective follow-up of achalasia patients after peroral endoscopic myotomy.

Ann Med 2021 12;53(1):2225-2233

Department of Gastroenterology, Oslo University Hospital, Oslo, Norway.

Background And Aims: Peroral endoscopic myotomy (POEM) is an established therapy for achalasia, but outcome evaluation has often been limited to Eckardt score (ES). The present study was aimed to improve knowledge about outcome evaluation and predictive outcome factors by performing a comprehensive objective evaluation of achalasia patients treated by POEM.

Methods: This single centre prospective study reports outcome data 12 months after POEM in treatment-naive achalasia patients. Read More

View Article and Full-Text PDF
December 2021

ACR Appropriateness Criteria® Epigastric Pain.

J Am Coll Radiol 2021 11;18(11S):S330-S339

Specialty Chair; and Director, CT and MRI, and Section Chief, Abdominal Imaging, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Epigastric pain can have multiple etiologies including myocardial infarction, pancreatitis, acute aortic syndromes, gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, and hiatal hernia. This document focuses on the scenarios in which epigastric pain is accompanied by symptoms such as heartburn, regurgitation, dysphagia, nausea, vomiting, and hematemesis, which raise suspicion for gastroesophageal reflux disease, esophagitis, peptic ulcer disease, gastritis, duodenal ulcer disease, gastric cancer, or hiatal hernia. Although endoscopy may be the test of choice for diagnosing these entities, patients may present with nonspecific or overlapping symptoms, necessitating the use of imaging prior to or instead of endoscopy. Read More

View Article and Full-Text PDF
November 2021

The Outcomes of Performing Partial Fundoplication Based on Endoflip Versus Manometric Findings.

Am Surg 2022 May 18;88(5):908-914. Epub 2021 Nov 18.

Department of Surgery, 24729Chesapeake Regional Medical Center, Chesapeake, VA, USA.

Background: The surgical management of gastroesophageal reflux disease (GERD) involves extensive diagnostic studies and sophisticated surgical techniques. The workup should be comprehensive and purposeful. High resolution impedance manometry (HRIM) provides valuable information regarding peristalsis and lower esophageal sphincter relaxation. Read More

View Article and Full-Text PDF

Is There an Increasing Incidence of Gastroesophageal Junctional Adenocarcinoma and Barrett Esophagus in Asia? A Review of Diagnostic Conundrums.

Digestion 2022 15;103(1):37-44. Epub 2021 Nov 15.

Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.

Background: Epidemiology data of gastroesophageal junction (GEJ) cancers in Asia are extremely scarce. It is hardly registered by any cancer registry in the region, and only a few reports are available. Based on existing literature works, the overall trend indicates similar or gradually increasing GEJ cancers in Asia but comparably less than the West. Read More

View Article and Full-Text PDF
January 2022

Black oesophagus, upside-down stomach and cameron lesions: cascade effects of a large hiatal hernia.

BMJ Case Rep 2021 Nov 12;14(11). Epub 2021 Nov 12.

Division of Gastroenterology & Hepatology, New York University/Langone Medical Center, New York, New York, USA.

Acute oesophageal necrosis, black oesophagus (BE) or Gurvits syndrome (GS) is a rare form of severe oesophagitis appearing as a striking circumferential discolouration of distal mucosa with various proximal extensions abruptly terminating at the gastro-oesophageal junction. It is most commonly associated with acute exacerbations of medical comorbidities, while associations with altered gut anatomy are rare. We present a unique constellation of BE, Cameron ulcers (CU), and gastric volvulus from a large paraesophageal hiatal hernia. Read More

View Article and Full-Text PDF
November 2021

High-Pressure Tactics: Jackhammer Esophagus-Diagnosing Is Easier than Treating.

Dig Dis Sci 2022 04 21;67(4):1200-1203. Epub 2021 Oct 21.

Division of General and Foregut Surgery, Department of Biomedical Sciences for Health, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.

Diagnosis of esophageal disorders is well ahead of available treatment options. With HRM, for example, one can identify numerous conditions and their variants, which may lose meaning if the clinical and therapeutic implications of these subclassifications are limited. We report an exemplary case of a patient with hiatal hernia complaining of reflux, dysphagia, and chest pain refractory to medical treatment. Read More

View Article and Full-Text PDF

Systemic sclerosis manifesting as intractable gastro-oesophageal reflux and diarrhoea: a case report from Kenya.

Pan Afr Med J 2021 3;39:225. Epub 2021 Aug 3.

Gastro and Liver Centre, Nairobi, Kenya.

Systemic sclerosis is a rare condition that has not been well reported in Africa, and several multisystemic manifestations, including gastrointestinal ones, have not been well documented locally. We present an unusual case of persistent gastro-oesophageal reflux and diarrhoea in a 74-year-old Kenyan female, who progressively developed abdominal distention, dysphagia and Raynaud´s phenomenon. Stool tests were unremarkable, whereas antinuclear antibody, ribonucleoproteins antibody (anti-nRNP/Sm) and anti-Sjögren's-syndrome-related antigen A autoantibody (anti-SSA) tests were positive. Read More

View Article and Full-Text PDF
October 2021

Intestinal Air in the Mediastinum.

Chest 2021 09;160(3):e299-e303

Department of Thoracic Surgery and Lung Transplantation, Hôpital Louis Pradel, Hospices Civils de Lyon, Lyon, France.

Case Presentation: A 74-year-old man, in excellent physical condition and doing regular intense cycling, was evaluated for transient episodes of thoracic discomfort over a period of several months. His medical history only included a right inguinal hernia, surgically treated, and an abdominal aortic aneurysm measured at 46 mm and treated medically. Physical examination did not reveal much information. Read More

View Article and Full-Text PDF
September 2021