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Esophageal Rupture

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41. Pemphigus Vulgaris in the Mouth and Esophageal Mucosa Full Text available with Trip Pro

Pemphigus Vulgaris in the Mouth and Esophageal Mucosa Pemphigus vulgaris (PV) is a chronic autoimmune mucocutaneous disease. In most cases, the initial manifestation occurs in the mouth as multiple ulcerations preceded by blisters that rupture and later spread to other mucous membranes and the skin. Esophageal impairment is rare. We report a case of PV with esophageal involvement in a 53-year-old woman who sought medical care, complaining of diffuse painful lesions in the oral cavity (...) for approximately 1 month, with no improvement with nystatin. Upper digestive endoscopy (UDE) was performed with findings of vesiculobullous lesions in the proximal and middle esophagus, which were biopsied and for which histopathology confirmed PV in the esophageal mucosa. We draw attention to UDE as important for the diagnosis, and it should be indicated in patients with vesiculobullous lesions of the mouth, especially if there are esophageal complaints.

2018 Case reports in gastroenterology

42. Fatal hemoptysis in patients with advanced esophageal cancer treated with apatinib Full Text available with Trip Pro

treatment, the dyspnea symptoms disappeared and quality of life significantly improved. Chest computed tomography showed massive necrosis of tumor tissues in each patient. The tumors significantly reduced and a cavity was formed locally in each patient. However, both patients died of massive hemoptysis, probably due to the rupture of the bronchial artery eroded by tumors. The results indicated that apatinib was effective in treating some patients with advanced esophageal cancer, and adverse effects were (...) Fatal hemoptysis in patients with advanced esophageal cancer treated with apatinib Targeted therapy is commonly used for treating advanced malignant tumors. Compared with cytotoxic drugs, targeted drugs have the characteristics of good curative results, less adverse effects, and convenient oral administration. Hence, they are especially suitable for patients with cancer who are not able to tolerate chemotherapy. Anti-angiogenic therapy can achieve the objective by inhibiting the formation

2018 OncoTargets and therapy

43. Esophagectomy after endoscopic submucosal dissection for esophageal carcinoma Full Text available with Trip Pro

); 3 patients were lost to follow-up (9%) and 1 patient died of metastasis after esophagectomy. All other patients were alive with excellent postoperative disease-free survival.Indications for esophagectomy after ESD include ESD failure, cancer recurrence, esophageal rupture, esophageal stricture refractory to endoscopic dilation, and residual tumor at the ESD specimen margin. Stage T1b alone is not an indication for esophagectomy. According to our study, we recommend that esophagectomy should (...) Esophagectomy after endoscopic submucosal dissection for esophageal carcinoma Endoscopic submucosal dissection (ESD) has been used to treat early stage esophageal cancer, but reports about additional esophagectomy after ESD and postoperative outcomes are lacking. Complete removal of cancer tissue together with lymph nodes was the advantage of esophagectomy; however, invasiveness, organ loss, postoperative complications, and worse postoperative quality of life were serious disadvantages

2018 Journal of thoracic disease

44. Esophageal Rupture (Overview)

. Bull Med Libr Assoc . 1955 Apr. 43 (2):217-40. . . Scott HJ, Rosin RD. Thoracoscopic repair of a transmural rupture of the oesophagus (Boerhaave's syndrome). J R Soc Med . 1995 Jul. 88 (7):414P-415P. . Bobo WO, Billups WA, Hardy JD. Boerhaave's syndrome: a review of six cases of spontaneous rupture of the esophagus secondary to vomiting. Ann Surg . 1970 Dec. 172 (6):1034-8. . . Kassem MM, Wallen JM. Esophageal Perforation, Rupture, And Tears . Treasure Island, FL: StatPearls; 2019. . Curci JJ (...) , Richards DG. Endoscopic placement of fibrin sealant as a treatment for a long-standing Boerhaave's fistula. Dis Esophagus . 2004. 17 (4):348-50. . Kuwabara J, Watanabe Y, Kojima Y, Higaki N, Ikeda Y, Sato K, et al. Successful closure of spontaneous esophageal rupture (Boerhaave's syndrome) by endoscopic ligation with snare loops. Springerplus . 2016 Jun 29. 5 (1):921. . . Newton NJ, Sharrock A, Rickard R, Mughal M. Systematic review of the use of endo-luminal topical negative pressure in oesophageal

2014 eMedicine Surgery

45. Esophageal Rupture (Follow-up)

, with annotations. Bull Med Libr Assoc . 1955 Apr. 43 (2):217-40. . . Scott HJ, Rosin RD. Thoracoscopic repair of a transmural rupture of the oesophagus (Boerhaave's syndrome). J R Soc Med . 1995 Jul. 88 (7):414P-415P. . Bobo WO, Billups WA, Hardy JD. Boerhaave's syndrome: a review of six cases of spontaneous rupture of the esophagus secondary to vomiting. Ann Surg . 1970 Dec. 172 (6):1034-8. . . Kassem MM, Wallen JM. Esophageal Perforation, Rupture, And Tears . Treasure Island, FL: StatPearls; 2019. . Curci JJ (...) , Richards DG. Endoscopic placement of fibrin sealant as a treatment for a long-standing Boerhaave's fistula. Dis Esophagus . 2004. 17 (4):348-50. . Kuwabara J, Watanabe Y, Kojima Y, Higaki N, Ikeda Y, Sato K, et al. Successful closure of spontaneous esophageal rupture (Boerhaave's syndrome) by endoscopic ligation with snare loops. Springerplus . 2016 Jun 29. 5 (1):921. . . Newton NJ, Sharrock A, Rickard R, Mughal M. Systematic review of the use of endo-luminal topical negative pressure in oesophageal

2014 eMedicine Surgery

46. Esophageal Rupture (Treatment)

, with annotations. Bull Med Libr Assoc . 1955 Apr. 43 (2):217-40. . . Scott HJ, Rosin RD. Thoracoscopic repair of a transmural rupture of the oesophagus (Boerhaave's syndrome). J R Soc Med . 1995 Jul. 88 (7):414P-415P. . Bobo WO, Billups WA, Hardy JD. Boerhaave's syndrome: a review of six cases of spontaneous rupture of the esophagus secondary to vomiting. Ann Surg . 1970 Dec. 172 (6):1034-8. . . Kassem MM, Wallen JM. Esophageal Perforation, Rupture, And Tears . Treasure Island, FL: StatPearls; 2019. . Curci JJ (...) , Richards DG. Endoscopic placement of fibrin sealant as a treatment for a long-standing Boerhaave's fistula. Dis Esophagus . 2004. 17 (4):348-50. . Kuwabara J, Watanabe Y, Kojima Y, Higaki N, Ikeda Y, Sato K, et al. Successful closure of spontaneous esophageal rupture (Boerhaave's syndrome) by endoscopic ligation with snare loops. Springerplus . 2016 Jun 29. 5 (1):921. . . Newton NJ, Sharrock A, Rickard R, Mughal M. Systematic review of the use of endo-luminal topical negative pressure in oesophageal

2014 eMedicine Surgery

47. Esophageal Rupture (Diagnosis)

. Bull Med Libr Assoc . 1955 Apr. 43 (2):217-40. . . Scott HJ, Rosin RD. Thoracoscopic repair of a transmural rupture of the oesophagus (Boerhaave's syndrome). J R Soc Med . 1995 Jul. 88 (7):414P-415P. . Bobo WO, Billups WA, Hardy JD. Boerhaave's syndrome: a review of six cases of spontaneous rupture of the esophagus secondary to vomiting. Ann Surg . 1970 Dec. 172 (6):1034-8. . . Kassem MM, Wallen JM. Esophageal Perforation, Rupture, And Tears . Treasure Island, FL: StatPearls; 2019. . Curci JJ (...) , Richards DG. Endoscopic placement of fibrin sealant as a treatment for a long-standing Boerhaave's fistula. Dis Esophagus . 2004. 17 (4):348-50. . Kuwabara J, Watanabe Y, Kojima Y, Higaki N, Ikeda Y, Sato K, et al. Successful closure of spontaneous esophageal rupture (Boerhaave's syndrome) by endoscopic ligation with snare loops. Springerplus . 2016 Jun 29. 5 (1):921. . . Newton NJ, Sharrock A, Rickard R, Mughal M. Systematic review of the use of endo-luminal topical negative pressure in oesophageal

2014 eMedicine Surgery

48. Esophageal Perforation, Rupture and Tears (Diagnosis)

bout of emetic-induced vomiting. However, on this occasion, the Admiral experienced a sudden and severe pain in his upper abdomen after violent but minimally productive retching. Dead less than 24 hours later, his autopsy revealed a transverse tear of his distal esophagus and gastric contents in the pleural spaces. Spontaneous esophageal rupture is a rare and dangerous entity, which today is commonly known as . Today, most instances of esophageal perforation are iatrogenic, but this remains (...) , stricture) predisposes toward perforation with instrumentation, which often occurs distal to the affected area. Perforation during surgery most often occurs in the abdominal esophagus. Spontaneous esophageal rupture (Boerhaave syndrome) occurs secondary to a sudden increase in intraluminal pressures, usually due to violent vomiting or retching, and often follows heavy food and alcohol intake. In more than 90% of cases, perforation occurs in the lower third of the esophagus; most frequently, the tear

2014 eMedicine Emergency Medicine

49. Esophageal Perforation, Rupture and Tears (Follow-up)

. . Eroglu A, Can Kurkcuogu I, Karaoganogu N, Tekinbas C, Yimaz O, Basog M. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus . 2004. 17(1):91-4. . Fan Y, Song HY, Kim JH, et al. Evaluation of the incidence of esophageal complications associated with balloon dilation and their management in patients with malignant esophageal strictures. AJR Am J Roentgenol . 2012 Jan. 198(1):213-8. . Furugaki K, Yoshida J, Hokazono K, et al. Esophageal ruptures: triage using (...) Jan. 14(1):53-6. . Johnsson E, Lundell L, Liedman B. Sealing of esophageal perforation or ruptures with expandable metallic stents: a prospective controlled study on treatment efficacy and limitations. Dis Esophagus . 2005. 18(4):262-6. . Kaneda T, Onoe M, Asai T. Delayed esophageal necrosis and perforation secondary to thoracic aortic rupture: a case report and review of the literature. Thorac Cardiovasc Surg . 2005 Dec. 53(6):380-2. . Lowell M, Barsan WG. Esophageal perforation. Marx JA, ed

2014 eMedicine Emergency Medicine

50. Esophageal Perforation, Rupture and Tears (Treatment)

. . Eroglu A, Can Kurkcuogu I, Karaoganogu N, Tekinbas C, Yimaz O, Basog M. Esophageal perforation: the importance of early diagnosis and primary repair. Dis Esophagus . 2004. 17(1):91-4. . Fan Y, Song HY, Kim JH, et al. Evaluation of the incidence of esophageal complications associated with balloon dilation and their management in patients with malignant esophageal strictures. AJR Am J Roentgenol . 2012 Jan. 198(1):213-8. . Furugaki K, Yoshida J, Hokazono K, et al. Esophageal ruptures: triage using (...) Jan. 14(1):53-6. . Johnsson E, Lundell L, Liedman B. Sealing of esophageal perforation or ruptures with expandable metallic stents: a prospective controlled study on treatment efficacy and limitations. Dis Esophagus . 2005. 18(4):262-6. . Kaneda T, Onoe M, Asai T. Delayed esophageal necrosis and perforation secondary to thoracic aortic rupture: a case report and review of the literature. Thorac Cardiovasc Surg . 2005 Dec. 53(6):380-2. . Lowell M, Barsan WG. Esophageal perforation. Marx JA, ed

2014 eMedicine Emergency Medicine

51. Esophageal Perforation, Rupture and Tears (Overview)

bout of emetic-induced vomiting. However, on this occasion, the Admiral experienced a sudden and severe pain in his upper abdomen after violent but minimally productive retching. Dead less than 24 hours later, his autopsy revealed a transverse tear of his distal esophagus and gastric contents in the pleural spaces. Spontaneous esophageal rupture is a rare and dangerous entity, which today is commonly known as . Today, most instances of esophageal perforation are iatrogenic, but this remains (...) , stricture) predisposes toward perforation with instrumentation, which often occurs distal to the affected area. Perforation during surgery most often occurs in the abdominal esophagus. Spontaneous esophageal rupture (Boerhaave syndrome) occurs secondary to a sudden increase in intraluminal pressures, usually due to violent vomiting or retching, and often follows heavy food and alcohol intake. In more than 90% of cases, perforation occurs in the lower third of the esophagus; most frequently, the tear

2014 eMedicine Emergency Medicine

52. Esophageal Varices

(a progressive complication of cirrhosis), preferentially in the sub mucosa of the lower esophagus. Rupture and bleeding from esophageal varices are major complications of portal hypertension and are associated with a high mortality rate. Variceal bleeding accounts for 10–30% of all cases of upper gastrointestinal bleeding. 1.1 WGO Cascades – a resource-sensitive approach A gold standard approach is feasible for regions and countries where the full scale of diagnostic tests and medical treatment options (...) in the distal few centimeters of the esophagus. Approximately 50% of patients with cirrhosis develop gastroesophageal varices. Gastric varices are present in 5–33% of patients with portal hypertension. The frequency of esophageal varices varies from 30% to 70% in patients with cirrhosis (Table 1), and 9–36% of patients have what are known as “high-risk” varices. Esophageal varices develop in patients with cirrhosis at an annual rate of 5– 8%, but the varices are large enough to pose a risk of bleeding

2014 World Gastroenterology Organisation

53. Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix Full Text available with Trip Pro

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal (...) varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.

2017 Case Reports in Hepatology

54. Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula after Covered Rupture of Aortic Homograft: A Durable Option? Full Text available with Trip Pro

descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion. The patient was monitored closely over time. (...) Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula after Covered Rupture of Aortic Homograft: A Durable Option? A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal

2017 AORTA Journal

55. Cholesterol crystal embolization following plaque rupture: a systemic disease with unusual features Full Text available with Trip Pro

Cholesterol crystal embolization following plaque rupture: a systemic disease with unusual features Cholesterol crystal embolic (CCE) syndrome is often a clinically challenging condition that has a poor prognostic implication. It is a result of plaque rupture with release of cholesterol crystals into the circulation that embolize into various tissue organs. Plaque rupture seems to be triggered by an expanding necrotic core during cholesterol crystallization forming sharp tipped crystals (...) including elevated sedimentation rate, abnormal renal function tests and eosinophilia are useful but non-specific. Common target organ involvement includes the skin, kidney, and brain. Various testing including fundoscopic eye examination and other non-invasive procedures such as trans-esophageal echocardiography and magnetic resonance imaging may be helpful in identifying the embolic source. Treatment includes aspirin and clopidogrel, high dose statin and possibly steroids. In rare cases, mechanical

2017 Journal of biomedical research

56. Flood Syndrome: Spontaneous Umbilical Hernia Rupture Leaking Ascitic Fluid—A Case Report Full Text available with Trip Pro

Flood Syndrome: Spontaneous Umbilical Hernia Rupture Leaking Ascitic Fluid—A Case Report We report a rare case of Flood syndrome, which is a spontaneous rupture of an umbilical hernia.A 42-year-old man with decompensated hepatitis C and alcoholic cirrhosis complicated by ascites and esophageal varices presented with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. A pigtail drain was placed in the right (...) upper abdominal quadrant to decrease fluid drainage from the abdominal wall defect, allowing it to heal naturally.The spontaneous rupture of an umbilical hernia in our patient highlights a rare complication with high mortality rates and stresses the challenge of treatment that falls in the area between medical and surgical management.

2017 The Permanente journal

57. In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance

In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov

2017 Clinical Trials

58. Oesophageal rupture: a tough diagnosis to swallow Full Text available with Trip Pro

Oesophageal rupture: a tough diagnosis to swallow An elderly gentleman presented with acute dyspnoea and right-sided pleuritic chest pain. Two-weeks previously an oesophageal stent had been inserted for dysphagia secondary to oesophageal carcinoma. With low PaO(2), a neutrophilic leucocytosis, raised inflammatory markers and a right-sided pleural effusion, antibiotics were prescribed for pneumonia. Computed tomographic pulmonary angiogram (CTPA) ruled out pulmonary embolus. The patient rallied (...) transiently and his effusion improved. His respiratory distress returned 14 days later. A chest x-ray revealed a right-sided hydropneumothorax, and a chest drain-released stomach contents from the pleural cavity. A gastrografin swallow and endoscopy demonstrated malignant oesophageal rupture. An attempt to re-stent failed, and the patient returned to the ward for palliation. His initial presentation was likely that of an oesophageal leak, and not pneumonia. Oesophageal rupture is difficult to diagnose due

2013 BMJ case reports

59. Esophageal Perforation and Rupture: a Comprehensive Medicolegal Examination of 59 Jury Verdicts and Settlements. (Abstract)

Esophageal Perforation and Rupture: a Comprehensive Medicolegal Examination of 59 Jury Verdicts and Settlements. Consequences accompanying esophageal perforation make this complication a prime litigation target. We characterize factors in jury verdicts and settlements regarding esophageal perforation, including operative procedure, patient demographics, alleged cause(s) of malpractice, outcome, and other factors.Pertinent court records were examined for the aforementioned (...) of the factors important in determining legal responsibility is of great interest for practitioners in multiple specialties. The requirement of surgical repair and a delay in diagnosis are two of the most common factors present in litigated cases resulting in a payment. The importance of explicitly listing esophageal perforation in the informed consent for esophagogastroduodenoscopy, abdominal surgery, and any patients at risk of intubation injury needs to be emphasized.

2013 Journal of Gastrointestinal Surgery

60. Esophageal Rupture

, Oesophageal rupture , Esophageal rupture , Bursting injury of esophagus , Bursting injury of oesophagus , Disruption of esophagus , Disruption of oesophagus , Rupture of oesophagus , Rupture of esophagus (disorder) , esophagus; rupture , rupture; esophagus , Rupture of esophagus Hungarian Oesophagealis szakadás , Oesophagus ruptura Dutch oesofagus; ruptuur , ruptuur; oesofagus , slokdarmruptuur German Speiseroehrenriss Derived from the NIH UMLS ( ) Related Topics in Esophageal Disorders About (...) PERFORATION , esophageal perforation , esophageal perforation (diagnosis) , Esophageal perforation , Perforation esophagus , Oesophageal perforation , Perforation Of Esophagus , Esophageal Perforation [Disease/Finding] , esophagus perforation , perforation esophagus , oesophageal perforation , perforation of esophagus , Perforation of oesophagus (disorder) , Perforation oesophagus , PERFORATION OF ESOPHAGUS , Perforation of Esophagus , ESOPHAGUS, PERFORATION OF , Perforation of esophagus , Perforation

2015 FP Notebook

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