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Esophageal Rupture

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61. Esophageal Balloon Tamponade

for tube dislodgement Immediately cut tube to decompress VIII. Imaging Confirm tube placement with xray or Serial position checks are required to confirm gastric balloon remains in IX. Efficacy Successful for stabilization in >60% of cases X. Complications Inability to control bleeding (resulting in death) Respiratory obstruction Aspiration pneumonitis (if placed in non-intubated patient) Mucosal injuries (ulcerations of oral, esophageal or gastric mucosa) Tracheal rupture Duodenal rupture XI (...) Esophageal Balloon Tamponade Esophageal Balloon Tamponade Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Esophageal Balloon Tamponade

2018 FP Notebook

62. Thoracoscopic esophageal repair with barbed suture material in a case of Boerhaave’s syndrome (Full text)

Thoracoscopic esophageal repair with barbed suture material in a case of Boerhaave’s syndrome A 53-year-old man was referred to our hospital with Boerhaave's syndrome. Thirty hours after onset, a left thoracoscopic operation was performed, with carbon dioxide pneumothorax and the patient in right semi-prone position. The thoracic cavity was copiously irrigated with physiological saline and a 4-cm longitudinal rupture was identified on the left side of the lower esophagus. The esophageal (...) injury was repaired in 2 layers by using barbed absorbable suture material. The patient was allowed oral feeds after contrast esophagography confirmed the absence of contrast leak at the sutured site on postoperative day 7, and discharged by day 28. Suturing of the ruptured esophagus under thoracoscopic guidance is considered to be difficult and requires expertise. This case report demonstrates that the use of a barbed suture material simplifies thoracoscopic esophageal repair and also highlights

2016 Journal of thoracic disease PubMed

63. Aortic Pseudoaneurysm Secondary to Mediastinitis due to Esophageal Perforation (Full text)

Aortic Pseudoaneurysm Secondary to Mediastinitis due to Esophageal Perforation Esophageal perforation is a condition associated with high morbidity and mortality rates; it requires early diagnosis and treatment. The most common complication of esophageal rupture is mediastinitis. There are several case reports in the literature of mediastinitis secondary to esophageal perforation and development of aortic pseudoaneurysm as a complication. We report the case of a patient with an 8-day history (...) of esophageal perforation due to foreign body (fishbone) with mediastinitis and aortic pseudoaneurysm. The diagnosis was made using Computed Tomography (CT) with intravenous and oral water-soluble contrast material. An esophagogastroduodenoscopy did not detect the perforation.

2016 Case Reports in Radiology PubMed

64. Long peptic strictures of the esophagus due to reflux esophagitis: a case report (Full text)

Long peptic strictures of the esophagus due to reflux esophagitis: a case report Most of benign esophageal strictures caused by gastroesophageal reflux are short segments and can be treated by an endoscopic dilatation, but cases of long-segment stenosis requiring an esophagectomy are rare.A 62-year-old woman had undergone emergency surgery for a giant ovarian tumor rupture at another hospital. A duodenal perforation occurred after surgery but improved with conservative treatment. She had (...) undergone long-term nasogastric tube placement for 4 months because she was on a mechanical ventilator and did not receive proton pump inhibitors (PPIs). Thereafter, the patient experienced dysphagia. An esophagogastroduodenoscopy (EGD) revealed circumferential reflux esophagitis (grade D) and a stricture located 25 to 40 cm from the incisor teeth. She received medical treatment with fasting and PPIs. The second EGD revealed that the reflux esophagitis had improved somewhat, but that the esophageal

2016 Surgical Case Reports PubMed

65. Esophageal rupture in a child after VEPTR expansion thoracoplasty: First Report of a Rare Complication. (PubMed)

Esophageal rupture in a child after VEPTR expansion thoracoplasty: First Report of a Rare Complication. Case report and clinical discussion.To illustrate the significance of esophageal rupture as a rare complication after expansion thoracoplasty with implementation of a vertical expandable prosthetic titanium rib (VEPTR).Chest wall deformities and secondary scoliosis are rare complications after a repair operation for esophageal atresia. The new technique of VEPTR expansion thoracoplasty (...) directly treats the chest wall deformity and indirectly corrects the scoliosis. We describe a patient with an esophageal rupture after VEPTR expansion thoracoplasty.We report the case of an 11-year-old boy who developed a progressive scoliosis caused by fused ribs after multiple reoperations for esophageal atresia. The patient was treated operatively by an expansion thoracoplasty via an opening wedge thoracostomy with implementation of two VEPTRs.After surgery, the patient developed a respiratory

2011 Spine

66. The long-term benefits of nucleos(t)ide analogs on esophageal varices in compensated HBV cirrhotics with no or small esophageal varices: A 12-year prospective cohort study. (PubMed)

The long-term benefits of nucleos(t)ide analogs on esophageal varices in compensated HBV cirrhotics with no or small esophageal varices: A 12-year prospective cohort study. Esophageal varices (EV) are a marker of disease severity in compensated cirrhosis due to hepatitis B virus (HBV) which predicts also the risk of hepatocellular carcinoma (HCC), clinical decompensation and anticipated liver related death. The dynamics and prognostic significance of EV in patients under long-term HBV (...) . No bleedings from ruptured EV occurred, 12 patients died (9 HCC) and 15 were transplanted (13 HCC): the 12-year cumulative incidence of HCC and overall survival was 33% (95% CI: 24-42%) and 76% (95% CI: 67-83%), respectively.Long-term pharmacological suppression of HBV in HBeAg-seronegative patients with compensated cirrhosis leads to a significant regression of pre-existing EV accompanied by a negligible risk of developing de novo EV.Copyright © 2015 European Association for the Study of the Liver

2015 Journal of Hepatology

67. [Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. (PubMed)

[Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. 303817 1978 01 27 2006 11 15 0040-5957 32 3 1977 May-Jun Therapie Therapie [Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. 283-6 Fourtanier G G Tournut R R Clanet J J Joncquiert F F Pascal J P JP fre Clinical Trial English Abstract (...) Journal Article Randomized Controlled Trial L'intérêt de la vasopressine dans le traitement des hémorragies digestives par rupture de varices oesophagiennes--étude randomisée--résultats préliminaires. France Therapie 0420544 0040-5957 11000-17-2 Vasopressins IM Drug Evaluation Esophageal and Gastric Varices complications Gastrointestinal Hemorrhage drug therapy Humans Vasopressins therapeutic use 1977 5 1 1977 5 1 0 1 1977 5 1 0 0 ppublish 303817

1978 Therapie

68. Esophageal Rupture Complicating Craniotomy—Symptom Complex and Proposed Surgical Treatment (Full text)

Esophageal Rupture Complicating Craniotomy—Symptom Complex and Proposed Surgical Treatment 17859344 2007 09 17 2008 11 20 0003-4932 129 5 1949 May Annals of surgery Ann. Surg. Esophageal Rupture Complicating Craniotomy-Symptom Complex and Proposed Surgical Treatment. 619-28 Fincher E F EF Swanson H S HS eng Journal Article United States Ann Surg 0372354 0003-4932 1949 5 1 0 0 1949 5 1 0 1 1949 5 1 0 0 ppublish 17859344 PMC1514140

1949 Annals of Surgery PubMed

69. Predictive Factors and Outcome of Esophageal Ulcers After Endoscopic Treatment of Esophageal Varices

to reduce variceal wall tension by obliteration of the varix. The two principal methods available for esophageal varices are endoscopic sclerotherapy (EST) and band ligation (EBL). Endoscopic therapy is a local treatment that has no effect on the pathophysiological mechanisms that lead to portal hypertension and variceal rupture. However, a spontaneous decrease in HVPG occurs in around 30% of patients treated with either EST or EBL to prevent variceal rebleeding. Device: Esophagogastroduodenoscope (...) Endoscopic therapies for varices aim to reduce variceal wall tension by obliteration of the varix. The two principal methods available for esophageal varices are endoscopic sclerotherapy (EST) and band ligation (EBL). Endoscopic therapy is a local treatment that has no effect on the pathophysiological mechanisms that lead to portal hypertension and variceal rupture. However, a spontaneous decrease in HVPG occurs in around 30% of patients treated with either EST or EBL to prevent variceal rebleeding

2014 Clinical Trials

70. Life-Threatening Retropharyngeal Hemorrhage Secondary to Rupture of the Inferior Thyroid Artery (Full text)

was deviated anteriorly and there was esophageal compression. An emergent arteriogram and catheterization confirmed bleeding from branches of the ITA, and successful embolization was performed. It is important to recognize the ITA rupture as a potential etiology of an acute airway compromise. In emergent situations, while securing an airway is a priority, rapidly initiating diagnostic testing to confirm the diagnosis and arranging for arterial embolization can be life-saving. (...) Life-Threatening Retropharyngeal Hemorrhage Secondary to Rupture of the Inferior Thyroid Artery Inferior thyroid artery (ITA) rupture is rare and may progress to life-threatening conditions. We present a patient who visited the emergency department after an episode of syncope and dizziness in which he had a mechanical fall that resulted in abrasions and a hematoma to his left forehead. The patient presented with dysphagia and anterior neck swelling that progressed rapidly into airway compromise

2015 Case Reports in Emergency Medicine PubMed

71. Esophageal Balloon Tamponade

for tube dislodgement Immediately cut tube to decompress VIII. Imaging Confirm tube placement with xray or Serial position checks are required to confirm gastric balloon remains in IX. Efficacy Successful for stabilization in >60% of cases X. Complications Inability to control bleeding (resulting in death) Respiratory obstruction Aspiration pneumonitis (if placed in non-intubated patient) Mucosal injuries (ulcerations of oral, esophageal or gastric mucosa) Tracheal rupture Duodenal rupture XI (...) Esophageal Balloon Tamponade Esophageal Balloon Tamponade Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Esophageal Balloon Tamponade

2016 FP Notebook

72. Esophageal Rupture

Esophageal Rupture Esophageal Rupture - Gastrointestinal Disorders - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge Helicobacter pylori (...) to a study published online March 5 in the Annals... 3D Model GI Tract Video How to Insert a Nasogastric Tube SOCIAL MEDIA Add to Any Platform Loading , MD, Perelman School of Medicine at The University of Pennsylvania Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Esophageal rupture may be iatrogenic during endoscopic procedures or other instrumentation or may be spontaneous (Boerhaave syndrome). Patients are seriously ill, with symptoms of . Diagnosis

2013 Merck Manual (19th Edition)

73. Revisional surgery for recurrent tracheoesophageal fistula and anastomotic complications after repair of esophageal atresia in 258 infants. (PubMed)

reviewed.Forty-two (16%) patients required a total of 57 reoperations after primary repair (n=37) or esophageal reconstruction (n=5). The indications were anastomotic leakage (n=17), anastomotic rupture after endoscopic dilatation (n=5), recurrent tracheoesophageal fistula (TOF) (n=12), undiagnosed proximal TOF (n=3), recalcitrant anastomotic stricture (n=11, primary anastomosis 9, reconstruction 2), undetected proximal fistula (n=3), and inadvertently perforated jejunal graft (n=1). Anastomotic leakage (...) and rupture after dilatation were treated with rethoracotomy and suture and recurrent or undetected TOF by open repair. Strictures not manageable with repeated dilatations were resected and esophageal ends reanastomosed (n=10) or bridged with jejunum graft (n=1). Five (12%) patients required further reoperations, two after recurrent TEF (reocclusion n=1, reconstruction with gastric tube n=1), two after stricture operations (re-resection n=1, resuture after leakage n=1), and one after recurrent dilatation

2015 Journal of Pediatric Surgery

74. Emergent Esophagectomy for Esophageal Perforations: A Safe Option. (PubMed)

Emergent Esophagectomy for Esophageal Perforations: A Safe Option. Esophageal perforation is an injury associated with high morbidity and mortality. Initial management ranges from observation to esophagectomy. The aim of this study was to evaluate the relative mortality and safety of emergent esophagectomy for acute esophageal rupture when compared with elective esophagectomies.We performed a retrospective review of a prospective esophagectomy database from a single institution from 1977 (...) to 2013. Patients who were admitted for esophageal perforation and underwent esophagectomy were identified and compared with patients who underwent elective esophagectomy.In all, 3,015 patients received an esophagectomy in elective and emergent settings; 90 esophagectomies were for acute injuries (52 for benign and 38 for malignant causes). A longer median length of stay was associated with emergent esophagectomy compared with elective esophagectomy (13 versus 10 days, p < 0.0001

2015 Annals of Thoracic Surgery

75. Esophageal Gastrointestinal Stromal Tumor: Is Tumoral Enucleation a Viable Therapeutic Option? (PubMed)

Esophageal Gastrointestinal Stromal Tumor: Is Tumoral Enucleation a Viable Therapeutic Option? The primary objective was to evaluate the feasibility of surgical enucleation of esophageal gastrointestinal stromal tumors (E-GISTs). Secondary objectives evaluated (i) the impact of tumor enucleation on oncological outcomes, (ii) the effect of pretherapeutic biopsy on the feasibility of E-GIST enucleation, and (iii) the impact of mucosal ulceration on outcome.E-GISTs are very rare tumors (...) and esophageal resection has been the recommended approach. The feasibility and impact on outcomes of tumor enucleation are unknown.Through a large national multicenter retrospective study, 19 patients with E-GISTs were identified between 2001 and 2010. Patients who underwent either enucleation or esophagectomy were compared.Of over 19 patients identified with E-GISTs, curative treatment was surgical for 16 patients, with enucleation in 8 and esophagectomy in 8. In the enucleation group, median tumoral

2014 Annals of Surgery

76. Successful management of esophageal necrosis after endovascular repair of chronic type B aortic dissection. (PubMed)

Successful management of esophageal necrosis after endovascular repair of chronic type B aortic dissection. We report the case of a 65-year-old patient with esophageal necrosis that developed after thoracic endovascular aortic repair (TEVAR) of a previously stented, ruptured chronic type B aortic dissection. The cause of this complication may have been related to an infected mediastinal hematoma causing esophageal compression. Emergent esophagectomy was performed with success. Copyright © 2014

2014 Annals of Thoracic Surgery

77. Esophageal Tumors, Childhood

Esophageal Tumors, Childhood Unusual Cancers of Childhood Treatment (PDQ®)—Health Professional Version - National Cancer Institute Menu Search Search Search General Information About Unusual Cancers of Childhood Introduction Cancer in children and adolescents is rare, although the overall incidence of childhood cancer has been slowly increasing since 1975.[ ] Referral to medical centers with multidisciplinary teams of cancer specialists experienced in treating cancers that occur in childhood

2012 PDQ - NCI's Comprehensive Cancer Database

78. Esophageal Varices (Overview)

hypertension). Delayed venous phase of a selective common hepatic angiogram (same patient as in the previous image) shows the portal vein (P), with filling of the left gastric vein caused by retrograde flow feeding gastric and lower esophageal varices (arrows). Retrograde flow in enlarged umbilical veins also is seen. The final diagnosis was hepatitis C cirrhosis, hepatocellular carcinoma of the left hepatic lobe (which had ruptured into the peritoneum), and portoarterial fistula (which had developed (...) ruptured into the peritoneum), and portoarterial fistula (which had developed inside the ruptured tumor, giving rise to severe portal hypertension). This video, captured via esophagoscopy, shows band ligation of esophageal varices. Video courtesy of Dan C Cohen, MD, and Dawn Sears, MD, Division of Gastroenterology, Scott & White Healthcare. of 13 Tables Table 1. Interpretation of Surrogate Portal Venous Pressure Measurements in the Differential Diagnosis of Portal Hypertension Etiology of Portal

2014 eMedicine.com

79. Esophagitis (Overview)

with Candida esophagitis. Illnesses that interfere with esophageal peristalsis, such as achalasia, progressive systemic sclerosis, and esophageal neoplasias, may contribute to fungal esophagitis. Initially, herpes esophagitis is manifested by the development of small vesicles that subsequently rupture to form discrete superficial ulcers on the mucosa. In immunocompetent patients, the host response promotes healing of the ulcers, but in patients who are severely immunocompromised, the condition may progress (...) Esophagitis (Overview) Esophagitis: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTc0MjIzLW92ZXJ2aWV3 processing > Esophagitis Updated: Apr 27, 2017 Author

2014 eMedicine.com

80. Esophageal Stricture (Overview)

esophageal strictures: incidence of esophageal rupture and its management in 589 patients. AJR Am J Roentgenol . 2011 Dec. 197(6):1481-6. . Al-Hussaini A. Savary dilation is safe and effective treatment for esophageal narrowing related to pediatric eosinophilic esophagitis. J Pediatr Gastroenterol Nutr . 2016 Apr 21. . Thyoka M, Barnacle A, Chippington S, et al. Fluoroscopic balloon dilation of esophageal atresia anastomotic strictures in children and young adults: single-center study of 103 consecutive (...) Esophageal Stricture (Overview) Esophageal Stricture: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTc1MDk4LW92ZXJ2aWV3 processing > Esophageal Stricture Updated: Apr 27

2014 eMedicine.com

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