93 results match your criteria orifice barium


Surgical treatment of fourth branchial apparatus anomalies: a case series study.

J Otolaryngol Head Neck Surg 2020 Nov 16;49(1):79. Epub 2020 Nov 16.

Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, 95th Yong'an Road, Xicheng District, Beijing, 100050, China.

Background: Fourth branchial apparatus anomalies, are rare clinical entities, and present as complex cysts, sinuses and fistulae in the neck that can be difficult to manage.

Methods: This is a retrospective review of a series of consecutive patients with fourth branchial apparatus anomalies treated at Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, from Apr 2014 to Nov 2019.

Results: Ten patients with fourth branchial apparatus anomalies were identified, including 8 patients with fourth branchial fistula, and 2 patients with fourth branchial pouch sinus. Read More

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November 2020

Clinical Success and Correlation of Eckardt Scores with Barium Esophagram After Peroral Endoscopic Myotomy in Achalasia.

J Gastrointest Surg 2021 01 3;25(1):278-281. Epub 2020 Sep 3.

Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

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January 2021

Peroral Endoscopic Myotomy Is Safe and Highly Effective Treatment for Advanced Achalasia With Sigmoid Esophagus.

J Clin Gastroenterol 2021 07;55(6):505-511

Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH.

Background And Aims: In advanced achalasia patients with sigmoid esophagus, peroral endoscopic myotomy (POEM) might be technically challenging and its outcomes are not well known in western population. Hence, our study aims were to assess and compare the safety and efficacy of POEM in achalasia patients with and without sigmoid esophagus.

Materials And Methods: Medical records of achalasia patients who had POEM at our institution between April 2014 and December 2019 were reviewed. Read More

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Personalized Approach to the Management of Achalasia: How We Do It.

Am J Gastroenterol 2020 10;115(10):1556-1561

Division of Gastroenterology and Hepatology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

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October 2020

POEM for Esophageal Achalasia.

J Laparoendosc Adv Surg Tech A 2020 Jun 21;30(6):635-638. Epub 2020 Apr 21.

Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

Over the past decade, per-oral endoscopic myotomy has been shown to be a durable minimally invasive approach to the treatment of esophageal achalasia. Patients with suspected achalasia should undergo upper endoscopy, timed barium esophagram, and high-resolution manometry to confirm the diagnosis. The procedure includes several key steps including mucosotomy, submucosal tunneling, selective myotomy of the circular muscle layer, and mucosotomy closure. Read More

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Transanal Endoscopic Microsurgery: Endoscopy Assisted Treatment of Colorectal Anastomotic Stenosis.

Ann Coloproctol 2020 Aug 16;36(4):285-288. Epub 2020 Mar 16.

Department of General Surgery, Surgical Specialties and Organ Transplantation "Paride Stefanini," Sapienza University, Rome, Italy.

Transanal endoscopic microsurgery (TEM) is a type of natural orifice transluminal endoscopic surgery, developed for rectal tumors and used also to treat other rectal diseases. Anastomotic complications after colorectal surgery, including stenosis, represent a challenging problem. We present the case of a 36-year-old woman with a diagnosis of Hirschsprung disease that was submitted to a modified Duhamel operation. Read More

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Endoscopic Repair of Pharyngocutaneous Fistula Following Laryngectomy.

Cureus 2019 Oct 9;11(10):e5871. Epub 2019 Oct 9.

Radiology, Medical University of Varna, Varna, BGR.

Pharyngocutaneous fistula (PCF) is a typical complication after total laryngectomy. It is managed predominantly via conservative techniques, but in cases of a large orifice or a substantial loss of surrounding soft tissue, surgical management is mandatory. Our aim was to apply a new endoscopic surgical approach for closure of a pharyngocutaneous fistula. Read More

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October 2019

Peroral endoscopic myotomy for esophageal motility disorders.

Esophagus 2020 01 12;17(1):11-18. Epub 2019 Oct 12.

Department of Gastroenterology, Lanzhou University Second Hospital, NO. 82 Cuiying Men, Cheng Guan District, Lanzhou, 730030, Gansu Province, China.

Background: Esophageal motility disorders which include achalasia, esophagogastric junction outflow obstruction (EGJ outflow obstruction), jackhammer esophagus (JE), distal esophageal spasm (DES), etc. are rare disease of unknown causes. The diagnosis is based on endoscopy, barium meal, and high-resolution manometry (HRM). Read More

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January 2020

Obesity Does Not Impact Outcomes or Rates of Gastroesophageal Reflux After Peroral Endoscopic Myotomy in Achalasia.

J Clin Gastroenterol 2020 04;54(4):338-343

Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH.

Background: Outcomes of laparoscopic Heller myotomy in obese patients with achalasia are suboptimal along with the increased risk of gastroesophageal reflux disease (GERD). The impact of obesity on treatment success and GERD after peroral endoscopic myotomy (POEM) are not well known. Hence, our study aims were to compare the clinical outcomes and rates of GERD after POEM in nonobese versus obese patients with achalasia. Read More

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Effect of Peroral Endoscopic Myotomy vs Pneumatic Dilation on Symptom Severity and Treatment Outcomes Among Treatment-Naive Patients With Achalasia: A Randomized Clinical Trial.

JAMA 2019 07;322(2):134-144

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Importance: Case series suggest favorable results of peroral endoscopic myotomy (POEM) for treatment of patients with achalasia. Data comparing POEM with pneumatic dilation, the standard treatment for patients with achalasia, are lacking.

Objective: To compare the effects of POEM vs pneumatic dilation as initial treatment of treatment-naive patients with achalasia. Read More

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Early onset Peutz-Jeghers syndrome, the importance of appropriate diagnosis and follow-up: A case report.

Medicine (Baltimore) 2019 Jul;98(27):e16381

Department of Pediatrics III, University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureş, Romania.

Rationale: Peutz-Jeghers syndrome (PJS) is currently defined as an inherited condition, also called a familial hamartomatous polyposis syndrome, characterized by the association between pigmented mucocutaneous lesions and hamartomatous polyps in the gastrointestinal tract, especially in the small bowel.

Patient Concerns: We present the case of a 7-year-old male patients, diagnosed at the age of 3 years with PJS due to a surgical intervention for acute abdominal pain that revealed a rectal polyp associated with hyperpigmented maculae on the lips and oral mucosa. His family history revealed the same condition in his mother, who was diagnosed much later, at the age of 25 years. Read More

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Appendiceal mucinous neoplasm with myxoglobulosis occurring 3 years after perforated barium appendicitis: a case report.

Surg Case Rep 2019 Jul 2;5(1):107. Epub 2019 Jul 2.

Department of gastrointestinal surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan.

Background: Myxoglobulosis is considered a subtype of appendiceal mucinous neoplasm (AMN). Factors affecting the occurrence of myxoglobulosis include proximal appendiceal obstruction and mucosal secretion at the residual appendiceal mucosa. In addition, myxoglobulosis has also been reportedly associated with persistent chronic inflammation. Read More

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Per oral endoscopic myotomy: Another tool in the toolbox.

J Thorac Cardiovasc Surg 2019 09 14;158(3):945-951. Epub 2018 Dec 14.

Department of Gastroenterology and Hepatology, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio.

Objective: Use of per oral endoscopic myotomy is increasing for the treatment of achalasia, with potential for rapid recovery and less invasiveness. We report our experience with per oral endoscopic myotomy to better understand how it fits into a modern paradigm of achalasia management.

Methods: A total of 152 patients with achalasia underwent per oral endoscopic myotomy from April 2014 to March 2018. Read More

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September 2019

Traction on the septum during transoral septotomy for Zenker diverticulum improves the final outcome.

Laryngoscope 2020 03 25;130(3):637-640. Epub 2019 Apr 25.

Department of Surgical, Oncological and Gastrointestinal Sciences, University of Padova, Clinica Chirurgica 3, Padova, Italy.

Objective: Transoral diverticulostomy/septotomy has become a popular treatment for patients with Zenker diverticulum (ZD). To improve the results of transoral stapler-assisted septotomy, a modification of the technique has been introduced. In this study, we aimed to compare the final outcome of such a modified transoral septotomy (MTS) with the results of traditional transoral septotomy (TTS) in patients with ZD. Read More

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Outcomes in modified transoral resection of diverticula for Zenker's diverticulum.

Eur Arch Otorhinolaryngol 2019 May 15;276(5):1423-1429. Epub 2019 Mar 15.

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

Purpose: Transoral resection of Zenker's diverticulum (TORD) was first reported in 2010. We present results for our modified approach to transoral resection (MTORD)-full-thickness cricopharyngeal myectomy, diverticulum sac excision, and suture closure of the pharyngotomy-and evaluate its safety and efficacy compared to endoscopic stapling and open approaches.

Methods: A retrospective study was performed in patients who underwent transoral resection of Zenker's diverticulum using MTORD, endoscopic stapler-assisted diverticulotomy (ESD), or trancervical diverticulectomy (TCD) from July 2009 to August 2017. Read More

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POEM in Latin America: The Rise of a New Standard.

J Clin Gastroenterol 2019 09;53(8):e352-e355

Gastrointestinal Endoscopy Unit, University of Sao Paulo Medical School, Sao Paulo, Brazil.

Background: Per-oral endoscopic myotomy (POEM) has become the preferred alternative treatment to standard Heller myotomy for patients with esophageal achalasia, in Latin American countries. The aim of our study was to evaluate the efficacy and safety of a POEM in the management of achalasia with and without Chagas disease in patients receiving POEM.

Methods: Patients who underwent POEM from tertiary centers in Latin America were included in a dedicated registry. Read More

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September 2019

Outcome of peroral endoscopic myotomy (POEM) in treatment-naive patients. A systematic review.

Scand J Gastroenterol 2019 Jan 16;54(1):1-7. Epub 2019 Jan 16.

a Department of Gastroenterology , Oslo University Hospital.

Objectives: Achalasia is a primary motility disorder of the esophagus characterized by aperistalsis and failure of lower esophageal sphincter (LES) relaxation. Treatment of achalasia aims at reducing LES pressure. The common treatment modalities are laparoscopic Heller myotomy and pneumatic dilatation, but during the last decade, a promising treatment, per oral endoscopic myotomy (POEM), has been introduced. Read More

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January 2019

Feasibility of the peroral endoscopic myotomy (POEM) procedure with a new small-caliber endoscope (thin-POEM) in patients with achalasia.

Endoscopy 2019 04 10;51(4):350-354. Epub 2019 Jan 10.

Division of Gastroenterology and Hepatology, National Medical Center Century XXI, Mexico City, Mexico.

Background: Peroral endoscopic myotomy (POEM) is a recognized technique for patients with achalasia. We aimed to evaluate the feasibility of using a small-caliber endoscope (thin-POEM) to perform POEM in patients with achalasia.

Methods: Naïve or previously treated patients were included between February 2016 and April 2018. Read More

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Peroral endoscopic myotomy leads to higher rates of abnormal esophageal acid exposure than laparoscopic Heller myotomy in achalasia.

Surg Endosc 2019 07 19;33(7):2284-2292. Epub 2018 Oct 19.

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.

Background And Aims: Peroral endoscopic myotomy (POEM) may be associated with higher rates of gastroesophageal reflux disease (GERD) than laparoscopic Heller's myotomy with fundoplication (LHM), since POEM is not combined with a fundoplication. However, peri-esophageal anti-reflux barriers are preserved in POEM, which might prevent GERD. Hence, we sought to compare the objective esophageal pH study findings in achalasia patients after POEM and LHM. Read More

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Long-term outcomes following POEM for non-achalasia motility disorders of the esophagus.

Surg Endosc 2019 05 19;33(5):1632-1639. Epub 2018 Sep 19.

Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, 3805 NE Glisan St, Suite 6N60, Portland, OR, 97213, USA.

Background: Optimal treatment for symptomatic patients with non-achalasia motility disorders (NAD) such as diffuse esophageal spasm, esophagogastric junction outlet obstruction, and hypercontractile disorder is not well established. POEM has been offered to these patients since it is a less invasive and less morbid procedure but long-term outcomes remain undetermined. The aim of this study was to assess long-term outcomes of POEM for patients with NAD. Read More

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Modern management of esophageal achalasia: From pathophysiology to treatment.

Curr Probl Surg 2018 Jan 31;55(1):10-37. Epub 2018 Jan 31.

Center of Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, NC. Electronic address:

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January 2018

A Barium Swallow Study Leading to an Incidental Finding on a Screening Colonoscopy.

Cureus 2017 Dec 7;9(12):e1920. Epub 2017 Dec 7.

Gastroenterology, Orlando VA Medical Center.

Barolith is a mixture of firm feces with barium sulfate, and a frequent cause of obstruction of the appendiceal lumen that can result in appendicitis. Nonetheless, some other complications like aspiration, allergic reaction, and bowel obstruction have also been reported.  We present the case of a 71-year-old man with a history of amyotrophic lateral sclerosis (ALS), who came to the gastroenterology clinic complaining of intermittent loose stools and dysphagia to solids for the past months. Read More

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December 2017

Preliminary study of 1940 nm thulium laser usage in peroral endoscopic myotomy for achalasia.

Dis Esophagus 2018 Feb;31(2)

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Esophageal achalasia is a type of motility disorder characterized by incomplete relaxation of lower esophageal sphincter (LES) and absence of esophageal peristalsis. Peroral endoscopic myotomy (POEM) is a new treatment option for achalasia that is less invasive, more effective, and safe as compared to surgery. High-frequency electrotome is commonly used in POEM, but takes longer time to make the tunnel in the esophagus and causes many complications. Read More

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February 2018

Challenges of peroral endoscopic myotomy in the treatment of distal esophageal spasm.

Scand J Gastroenterol 2018 Mar 17;53(3):252-255. Epub 2018 Jan 17.

a Department of Gastroenterology and Hepatology , Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands.

Objective: Distal esophageal spasm (DES) is a rare motility disorder characterized by premature and rapidly propagated contractions of the distal esophagus. Treatment options are limited and often poorly effective. Peroral endoscopic myotomy (POEM) seems an effective and attractive new treatment option for DES. Read More

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Health-Related Quality of Life and Physiological Outcomes of Peroral Endoscopic Myotomy for Achalasia.

J Laparoendosc Adv Surg Tech A 2017 Aug 28;27(8):778-783. Epub 2017 Jun 28.

1 Division of General Surgery, University of South Florida Morsani College of Medicine , Tampa, Florida.

Background: Peroral endoscopic myotomy (POEM) has gained acceptance as a treatment for achalasia. The aim of this study was to assess symptomatic, quality of life (QoL), and physiological outcomes of POEM using standardized methods.

Materials And Methods: Patients who were planned to undergo POEM were evaluated pre- and postoperatively with timed barium esophagogram (TBE), high-resolution manometry (HRM), the achalasia symptom questionnaire (ASQ) (best score 10, worst score 31), and the short form (SF)-36 (best score 100, worst score 0). Read More

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Functional restoration of the esophagus after peroral endoscopic myotomy for achalasia.

PLoS One 2017 23;12(5):e0178414. Epub 2017 May 23.

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

Purpose: Peroral endoscopic myotomy (POEM) is a new efficacious treatment option for achalasia. We propose to define "esophageal remodeling" as the functional restoration of the esophagus that involves decreased lower esophageal sphincter (LES) pressure, recovery of esophageal body peristalsis, and reduction of luminal diameter. The aim of this study was to investigate "esophageal remodeling" after POEM for achalasia. Read More

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September 2017

Peroral endoscopic myotomy compared with pneumatic dilation for newly diagnosed achalasia.

Surg Endosc 2017 11 14;31(11):4665-4672. Epub 2017 Apr 14.

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, 95 Yong An Road, Xicheng District, Beijing, 100050, China.

Background: This study retrospectively compared the safety and efficacy of two endoscopic techniques for treating newly diagnosed achalasia, pneumatic dilation (PD), and peroral endoscopic myotomy (POEM).

Methods: Demographics, clinical and manometric data, and outcomes were collected from the medical records of patients who received POEM or PD as the primary therapy for achalasia at our hospital from January 2012 to August 2015.

Results: Of 72 patients, 32 and 40 received POEM and PD, respectively. Read More

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November 2017

Long-term outcomes of peroral endoscopic myotomy for patients with achalasia: a retrospective single-center study.

Dis Esophagus 2017 May;30(5):1-6

Peroral endoscopic myotomy (POEM) has been widely applied to the treatment of achalasia. The aim of this study is to retrospectively investigate the long-term outcome of POEM in patients with achalasia. Patients undergoing POEM at our center with a minimum follow-up of 3 years were enrolled in this study. Read More

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Rectal perforation during defecography: extraluminal barium impaction removed by TEM (Transanal Endoscopic Microsurgery).

Ann Ital Chir 2016 Nov 28;87. Epub 2016 Nov 28.

Aim: Defecography is the standard diagnostic technique for the diagnosis of functional disorders of the posterior pelvic compartment. However it has some limits as radiation exposure, low-contrast resolution, some degrees of embarrassment and discomfort for the patients. Furthermore it often fails to directly visualize the changes that affect the pararectal space. Read More

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November 2016

[Fourth branchial cleft deformity with skin orifice: a series of 10 cases].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016 Oct;51(10):776-779

Department of Otorhinolaryngology Head and Neck Surgery, Guangdong General Hospital, Guangdong Academy of Medical Science, Guangzhou 510080, China.

To report rare cases of congenital neck cutaneous sinus with an orifice near the sternoclavicular joint and to investigate their origins and managements. A total of ten patients with congenital neck cutaneous sinus having an orifice near the sternoclavicular joint treated in the Guangdong General Hospital from January 2010 to June 2015 were retrospectively analyzed. There four boys and six girls, aging from 11 months to 96 months with an average of 33. Read More

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October 2016