Tag: esophagus

A multistep approach for managing a complex esophageal perforation

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Post written by Dronamraju Sujay Prabhath, MD, Shiran Shetty, DM, Balaji Musunuri, DNB, and Praveen M.C.S., MD, from the Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India. An 85-year-old man with severe chest pain, difficulty breathing, and decreased air entry in the right-lower lung zone after endoscopic dilatation of a benign esophageal stricture was diagnosed with …

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Laser-assisted endoscopic removal of a foreign body impacted in the esophagus

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Post written by Sugata Narayan Biswas, MD, DM, from the Department of Gastroenterology, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India. We often see patients who accidentally ingest various foreign bodies that get lodged in the esophagus and bear risk of esophageal perforation. Prompt diagnosis and timely removal are the key to successful management. Endoscopic removal …

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Predictors of stricture after non-circumferential endoscopic submucosal dissection of the esophagus and single-dose triamcinolone injection immediately after the procedure

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Post written by Muneaki Miyake, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The focus of our study was to identify predictors of stricture after endoscopic submucosal dissection (ESD) of the esophagus with local triamcinolone (TA) injection. Local TA injection is widely used to prevent stricture formation after ESD of the …

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High-resolution manometry–guided endoscopic myotomy in a case with jackhammer esophagus

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Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we demonstrated the technique of peroral endoscopic myotomy (POEM) in a case with Jackhammer esophagus. The highlight of the video is the selection of the appropriate length of esophageal myotomy using high-resolution esophageal manometry. The point …

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Hemospray hemostasis in bleeding diffusely ulcerated esophagus

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Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. The authors present 3 consecutive cases of diffusely ulcerated esophagus with clinically significant bleeding. The first 2 cases failed conventional hemostatic treatment including clipping and injection therapy. In the third case, hemospray …

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Ruptured varix: tips to tackle the demon

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Vishal Ghevariya, MD, from Eden Medical Center in Castro Valley, California, USA describes this video case "Ruptured varix: tips to tackle the demon." A 36-year-old man with alcohol induced liver cirrhosis presented with hematemesis. After initial resuscitation, an upper endoscopy was performed. Several columns of Grade III varices were noted in the esophagus. Two fibrin …

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Esophageal intramural pseudodiverticulosis

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Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in Elmhurst, New York presents this VideoGIE case "Esophageal intramural pseudodiverticulosis." Esophageal intramural pseudodiverticulosis (EIPD) is a condition characterized by the development of numerous epithelium lined cystic foci or diverticulum within the esophageal wall. Progressive dysphagia and chest discomfort are the most common …

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