Items tagged “esophagus”

15 results found
Article

Congenital tracheo-esophageal fistula

Congenital tracheo-esophageal fistula is a congenital pathological communication between the trachea and esophagus.   Epidemiology Tracheo-esophageal fistula and esophageal atresia have a combined incidence of approximately 1 in 3500 live births 1-3,5. There is only a minimal hereditary/geneti...
Article

Esophageal atresia (classification)

Esophageal atresia is closely related to tracheo-esophageal fistula and can be divided into1: type A: isolated esophageal atresia (8%) type B: proximal fistula with distal atresia (1%) type C: proximal atresia with distal fistula (85%) type D: double fistula with intervening...
Article

Feingold syndrome

Feingold syndrome is characterized by the combination of: microcephaly digital abnormalities alimentary tract atresias especially esophageal atresia
Article

Corrosive esophagitis

Corrosive esophagitis is a form of esophagitis and usually occurs from accidental or suicidal ingestion of alkaline substances (e.g. lye, household cleaners, bleaches, washing soda) and is harmful to the esophagus due to their alkali medium. The stomach is not affected as the gastric acid can ne...
Article

Esophageal leiomyoma

Esophageal leiomyoma is a benign smooth muscle neoplasm of the esophagus. It is the most common benign tumor of the esophagus. Epidemiology It is most frequently presents in young and middle age groups (20-50 years). The overall incidence is around 8-43 per 10,000 autopsy series 4. Clinical p...
Article

McKeown procedure

The McKeown procedure ("tri-incisional esophagectomy") is a type of esophagectomy, that is similar in concept to an Ivor Lewis procedure, but it tends to be used for esophageal lesions that are higher in the esophagus. Procedure laparotomy stomach mobilized, the esophagus "gastric tube" may ...
Article

Fluoroscopic evaluation of esophagectomy

Fluoroscopic evaluation of esophagectomy is an important study, given the high rate of complication following esophagectomy (~10-20% rate of leak). Although the approach will differ slightly depending on the type of esophagectomy performed, the principles are similar. Procedure Preprocedural e...
Article

Per-oral esophageal myotomy (POEM)

Per-oral esophageal myotomy (POEM) is a natural orifice endoscopic surgery that has been gaining increasing use as an alternative to traditional esophageal myotomies (e.g. Heller myotomy and Nissen fundoplication) to treat achalasia by weakening the lower esophageal sphincter. Technique The en...
Article

HIV esophagitis

HIV esophagitis is a possible cause of odynophagia in immunosuppressed patients with HIV. Epidemiology The actual incidence and prevalence of idiopathic esophagitis of HIV are unknown. Most of the patients have AIDS and a CD4 count <100 cells/mm3  3. Clinical presentation Principal clinical ...
Article

Esophageal squamous papilloma

Esophageal squamous papilloma is an uncommon finding on esophagography (barium swallow). It is a benign lesion, but it is difficult to differentiate it from osophageal carcinoma on esophagography and the diagnosis is usually made with endoscopic biopsy. Clinical presentation Often asymptomatic...
Article

Myenteric plexus

The myenteric plexus (also known as the Auerbach plexus) (plural: plexuses) refers to a network of nerves between the layers of the muscular propria in the gastrointestinal system. Among other things, the plexus helps regulate peristalsis in the gastrointestinal tract. The plexus is part of the...
Article

B ring

The B ring is a mucosal ring that develops in the distal esophagus at the gastro-esophageal junction (Z line).  Terminology If the ring becomes symptomatic, then it is usually termed a Schatzki ring, although some use the terms synonymously. Pathology Its development is thought to be a react...
Article

CT esophagography

CT esophagography is a CT study designed to primarily evaluate the esophagus, particularly in the situation of esophageal trauma and potential perforation. It has been developed partly as an alternative to fluoroscopic barium swallow evaluation in this situation. Indications potential esophage...
Article

Mackler's triad

Mackler's triad consists of the clinical symptoms of vomiting, followed by severe pain in the chest, usually retrosternal, lower thoracic, and upper abdominal, associated with subcutaneous emphysema detected on physical examination, which is suggestive of esophageal rupture (Boerhaave syndrome) ...
Article

Esophageal foreign bodies

Esophageal foreign bodies are frequently encountered in clinical practice, representing the most common site for ingested foreign bodies or food impaction within the gastrointestinal tract. This article discusses esophageal foreign bodies; a general view of the theme is available in the main a...

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