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Esophageal Rupture

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801. Nadolol can prevent the first gastrointestinal bleeding in cirrhotics: a prospective, randomized study. (Abstract)

Nadolol can prevent the first gastrointestinal bleeding in cirrhotics: a prospective, randomized study. Propranolol has been reported to prevent the risk of hemorrhage in patients who survived episodes of variceal rupture. Since the first bleeding episode can be lethal, we did a prospective, randomized trial to see whether beta-blockers could also prevent the first hemorrhage. Seventy-nine consecutive cirrhotics with large esophageal varices by endoscopy and who had never bled were randomly

1988 Hepatology Controlled trial quality: uncertain

802. Propranolol reduces the rebleeding rate during endoscopic sclerotherapy before variceal obliteration. (Abstract)

gastrointestinal bleeding, which was endoscopically proven to originate from ruptured esophageal varices, were included. After initial control of bleeding, the patients were randomized into the following two groups: group 1 treated with sclerotherapy alone (36 patients) and group 2 treated with sclerotherapy plus propranolol (39 patients). They were followed up to variceal obliteration. In group 2, 7 patients rebled as compared with 14 patients treated with sclerotherapy alone (P less than 0.005). When (...) considering only rebleedings from esophageal varices, 4 patients rebled in group 2 vs. 10 in group 1 (P less than 0.10). The total number of rebleeding episodes was lower in group 2 than in group 1 whether considering all causes (8 vs. 17; P less than 0.07) or variceal rebleedings alone (4 vs. 13; P less than 0.01). Mean total blood requirement per patient was lower in group 2 than in group 1 (1.4 +/- 3.4 vs. 2.79 +/- 6.4 units of blood, respectively; P less than 0.01). Mortality was similar in both

1992 Gastroenterology Controlled trial quality: uncertain

803. Spontaneous intramural haematoma of the oesophagus. Full Text available with Trip Pro

Spontaneous intramural haematoma of the oesophagus. 6879491 1983 09 09 2018 11 13 0040-6376 38 5 1983 May Thorax Thorax Spontaneous intramural haematoma of the oesophagus. 394-5 Biagi G G Cappelli G G Propersi L L Grossi A A eng Case Reports Journal Article England Thorax 0417353 0040-6376 25BB7EKE2E Barium Sulfate IM Barium Sulfate Esophageal Diseases diagnostic imaging Esophagus diagnostic imaging Female Hematoma diagnostic imaging Humans Middle Aged Radiography Rupture, Spontaneous 1983 5 1

1983 Thorax

804. Spontaneous linear tears of the stomach in the newborn infant. Full Text available with Trip Pro

. The perforation occurs characteristically within the first seven days of life. Mortality is high, and surgical intervention is urgent. Three such patients have been successfully managed during the past 15 years. These patients are presented in detail, and the esophageal motilities in two of the survivors are presented. Pressure studies with rupture of cadaver stomachs and esophagi of newborn infants and adults are also presented in an effort to better understand the pathogenesis of this gastric catastrophy (...) Spontaneous linear tears of the stomach in the newborn infant. Spontaneous linear tears in the stomach of the newborn infant can be lethal. While the etiology of this problem is unknown, pneumatic rupture of the stomach seems to be the most logical explanation for the gastric tear. The mechanism is much like Boerhaave's syndrome, the stomach being the target organ. Tremendous intragastric pressures may result because of incoordination and immaturity of the vomiting mechanism in the infant

1981 Annals of Surgery

805. Diverticulum and Fistula of the Lower Cervical Esophagus in a Horse Full Text available with Trip Pro

of food material between the muscular planes of the cervical region and the horse was euthanized. At necropsy a food-filled periesophageal tract was found extending from the esophageal rupture to the left guttural pouch. (...) Diverticulum and Fistula of the Lower Cervical Esophagus in a Horse Esophageal diverticulum and perforation were diagnosed in a horse. The condition was characterized clinically by dysphagia, polypnea, diffuse swelling of the ventral aspect of neck and cutaneous fistula. Endoscopic examination revealed the presence of food material in the guttural pouch. A barium sulfate esophagram was performed to outline the diverticulum.Exploratory surgery confirmed esophageal perforation and entrapment

1983 The Canadian Veterinary Journal

806. Instrumental perforation of the oesophagus into the pericardial cavity. Full Text available with Trip Pro

Instrumental perforation of the oesophagus into the pericardial cavity. 3660294 1987 11 10 2018 11 13 0040-6376 42 5 1987 May Thorax Thorax Instrumental perforation of the oesophagus into the pericardial cavity. 393-4 Nair U R UR Regional Cardiothoracic Centre, Wythenshawe Hospital, Manchester. eng Case Reports Journal Article England Thorax 0417353 0040-6376 IM Aged Esophageal Perforation diagnostic imaging etiology Esophagoscopy adverse effects Humans Intraoperative Complications Male (...) Pericardium diagnostic imaging injuries Pneumopericardium diagnostic imaging Radiography Rupture 1987 5 1 1987 5 1 0 1 1987 5 1 0 0 ppublish 3660294 PMC460763 Ann Thorac Surg. 1975 Mar;19(3):233-8 1119877 Thorax. 1977 Jun;32(3):241-9 882938 Gut. 1984 Apr;25(4):398-404 6706219 Br J Surg. 1981 Aug;68(8):580-4 7272679 Br J Surg. 1978 Sep;65(9):629-32 698535

1987 Thorax

807. Boerhaave's syndrome. Full Text available with Trip Pro

Boerhaave's syndrome. 2286974 1991 03 22 2018 11 13 0141-0768 83 10 1990 Oct Journal of the Royal Society of Medicine J R Soc Med Boerhaave's syndrome. 668 Kallis P P Belsham P A PA Pepper J R JR eng Comment Letter England J R Soc Med 7802879 0141-0768 IM J R Soc Med. 1989 Aug;82(8):498 2506347 Esophageal Diseases surgery therapy Humans Rupture, Spontaneous 1990 10 1 1990 10 1 0 1 1990 10 1 0 0 ppublish 2286974 PMC1292876 Ann Thorac Surg. 1986 Sep;42(3):235-9 3753071 Br J Surg. 1985 Mar;72(3

1990 Journal of the Royal Society of Medicine

808. Intramural oesophageal dissection. Full Text available with Trip Pro

Intramural oesophageal dissection. 1877040 1991 09 26 2018 11 13 0040-6376 46 7 1991 Jul Thorax Thorax Intramural oesophageal dissection. 524-7 Hanson J M JM Department of Surgery, Hope Hospital, Salford. Neilson D D Pettit S H SH eng Case Reports Journal Article Review England Thorax 0417353 0040-6376 IM Esophageal Diseases etiology Female Humans Male Middle Aged Prognosis Rupture, Spontaneous 26 1991 7 1 1991 7 1 0 1 1991 7 1 0 0 ppublish 1877040 PMC463252 Jpn J Surg. 1983 Jul;13(4):354-7

1991 Thorax

809. Short- and Long-Term Outcomes after Hepatic Resection for Hepatocellular Carcinoma with Concomitant Esophageal Varices in Patients with Cirrhosis. (Abstract)

Short- and Long-Term Outcomes after Hepatic Resection for Hepatocellular Carcinoma with Concomitant Esophageal Varices in Patients with Cirrhosis. Hepatic resection for hepatocellular carcinoma (HCC) in cirrhotic patients with esophageal varices (EV) is often avoided because of poor liver function reserve. Outcomes of resection in such cases have not been fully investigated.We conducted a retrospective study of 134 cirrhotic patients (Child-Pugh class A or B) who underwent hepatic resection (...) for HCC, comparing short- and long-term outcomes in patients with EV (n = 31) to those in patients without EV (n = 103).Patients with EV had higher tumor differentiation, fewer instances of portal invasion, lower liver function reserve, and more limited resections than did patients without EV. Of 31 patients with EV, four died of postoperative complication, and nine of liver failure, seven of HCC, two of ruptured EV, and two of other causes. Median survival time for patients who died of liver failure

2008 Annals of Surgical Oncology

810. Esophageal fistula after endovascular treatment in a type B aortic dissection of the descending thoracic aorta. Full Text available with Trip Pro

Esophageal fistula after endovascular treatment in a type B aortic dissection of the descending thoracic aorta. We report a type B aortic dissection treated with stenting of the descending thoracic aorta that subsequently developed an ischemic necrosis of the esophagus with a posterior mediastinum abscess. The surgical treatment consisted of an extra-anatomic bypass to revascularize the supra-aortic trunks and the distal abdominal aorta through a middle sternal laparotomy, the resection (...) of the thoracic aorta, and the drainage of the mediastinal abscess. Despite this aggressive surgical approach and an initial favorable postoperative course, the patient suddenly died 3 weeks later, likely from a rupture of the aortic stump.

2005 Journal of Vascular Surgery

811. Topical application of mitomycin C in the treatment of esophageal and tracheobronchial stricture: a report of 2 cases. (Abstract)

Topical application of mitomycin C in the treatment of esophageal and tracheobronchial stricture: a report of 2 cases. We present 2 cases of successful treatment of recurrent anastomotic strictures using a topical application of mitomycin C. In the first case, a 4-year-old boy had a cervical cyst excised, which appeared to be an ectopic gastric mucosa. He consequently presented severe stenosis at the origin of the cervical esophagus that needed repeated balloon dilatations. The second case (...) is about a 12-year-old girl who presented a traumatic complete rupture of the right mainstem bronchus managed by primary repair, with subsequent anastomotic stricture. Both patients were successfully managed with topical application of mitomycin C (1 mg/mL), and needed no more dilatations.

2007 Journal of Pediatric Surgery

812. Stented esophageal transfixion injury. (Abstract)

Stented esophageal transfixion injury. Esophageal perforation is a rare, but life-threatening condition with a mortality rate ranging between 10% and 40%. It can happen at the level of the cervical, intrathoracic, or intra-abdominal segment. It usually occurs as a result of iatrogenic injury after endoscopic procedures or as a spontaneous rupture. It is seen less frequently in trauma after gunshot or stab wounds. Stenting of the esophagus after iatrogenic perforation is well documented (...) in the literature, but yet it is to be published for management of penetrating injury. We report a case of esophageal perforation with a wooden fence post treated successfully with a covered esophageal stent.

2008 Annals of Thoracic Surgery

813. Upper mediastinal node dissection for hypopharyngeal and cervical esophageal carcinomas. (Abstract)

Upper mediastinal node dissection for hypopharyngeal and cervical esophageal carcinomas. Hypopharyngeal cancer (HPC) and cervical esophageal cancer (Ce) are aggressive tumors with a poor prognosis. Multiple lymph node metastases often occur in the upper mediastinum, as well as in the neck, and thus upper mediastinal dissection (MD) is crucial to improving the cure rate. However, excessive MD can increase postoperative morbidity and mortality, making it important to employ the proper technique (...) tumor developed late nodal metastasis in the lower mediastinum. The 5-year disease-specific survival and locoregional control rates were 58.6% and 90.2% in HPC, 45.5% and 94.1% in Ce, and 38.9% and 77.7% in Ce/Ut, respectively. Rupture of the greater vessels after MD was observed in 5 cases (5.3%).The present results indicate excellent locoregional control rates following upper MD, while major complications such as arterial breakdown were rare. It is suggested that upper MD may be an essential

2007 Rhinology and Laryngology

814. Fatal esophageal perforation caused by invasive candidiasis. (Abstract)

Fatal esophageal perforation caused by invasive candidiasis. Instrumental lesions, spontaneous rupture, and trauma cause most esophageal perforations. Transmural fungal infection is extremely rare, although Candida may be detected in as many as 25% of normal esophagus. In this report we present a case of fatal esophageal perforation due to transmural Candida infection in a 76-year-old woman. The patient died from septic shock and multiorgan failure, despite esophageal resection and systemic

2005 Annals of Thoracic Surgery

815. Ischemic esophageal necrosis secondary to traumatic aortic transection. Full Text available with Trip Pro

Ischemic esophageal necrosis secondary to traumatic aortic transection. Esophageal necrosis with perforation secondary to traumatic aortic transection is extremely rare but usually fatal. A 47-year-old man complained of sudden swallowing difficulty 6 days after blunt trauma. Computed tomography showed a ruptured aorta and the midesophagus shifted to the right side with luminal obliteration because of the ruptured aorta. After primary repair of the partially transected aorta, unexpected (...) mediastinitis because of esophageal perforation was noted. Upper endoscopy showed midesophageal ulceration, necrosis, and perforation. Biopsy samples were consistent with ischemia. The possibility of direct esophageal trauma or intraoperative esophageal injury was ruled out. Esophageal exclusion with thoracoscopic decortication and multiple antibiotics were ineffective, and the patient eventually died. Ischemic esophageal necrosis caused by mechanical compression can occur in a traumatic aortic transection

2004 Annals of Thoracic Surgery

816. Sclerotherapie versus ligature au cours de l'hemorragie par rupture de varices oesophagiennes: meta-analyse directe des essais randomises [Sclerotherapy versus banding ligation for bleeding esophageal varices: meta-analysis of randomized clinical trials]

Sclerotherapie versus ligature au cours de l'hemorragie par rupture de varices oesophagiennes: meta-analyse directe des essais randomises [Sclerotherapy versus banding ligation for bleeding esophageal varices: meta-analysis of randomized clinical trials] Sclerotherapie versus ligature au cours de l'hemorragie par rupture de varices oesophagiennes: meta-analyse directe des essais randomises [Sclerotherapy versus banding ligation for bleeding esophageal varices: meta-analysis of randomized (...) clinical trials] Sclerotherapie versus ligature au cours de l'hemorragie par rupture de varices oesophagiennes: meta-analyse directe des essais randomises [Sclerotherapy versus banding ligation for bleeding esophageal varices: meta-analysis of randomized clinical trials] Heresbach D, Jacquelinet C, Nouel O, Chaperon J, Bretagne J F, Gosselin M Authors' objectives To compare the effectiveness of endoscopic ligation and endoscopic sclerotherapy in the treatment of bleeding oesophageal varices. Searching

1995 DARE.

817. Asymptomatic esophageal perforation caused by late screw migration after anterior cervical plating: report of a case and review of relevant literature. (Abstract)

Asymptomatic esophageal perforation caused by late screw migration after anterior cervical plating: report of a case and review of relevant literature. This report documents a case of asymptomatic esophageal perforation, secondary to a dislocated and then migrated cervical screw after anterior plating, and reviews the relevant Western literature.To report a rare and potentially dangerous complication and suggest mechanisms of asymptomatic esophageal perforation and healing.Anterior surgical (...) approaches to the cervical spine have become popular and safer during the past decade. Materials and devices for anterior stabilization have improved in quality and safety. Nevertheless, failure of the devices may occur either because of technical mistakes or rupture. Reoperation is not always necessary, as spontaneous recovery is possible.Our patient was operated on for severe cervical spondylotic myelopathy. One year after surgery, one of the screws migrated and was found anteriorly to the spine. Six

2002 Spine

818. Surgery With or Without Radiation Therapy and Chemotherapy in Treating Patients With Esophageal Cancer

and deemed resectable allowed unless tumor is more than 30 mm on CT scan PATIENT CHARACTERISTICS: Age Under 75 Performance status WHO 0-1 Life expectancy Not specified Hematopoietic Granulocyte count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hepatic SGOT/SGPT ratio no greater than 1 Albumin at least 35 g/L Total protein greater than 80% No liver cirrhosis with previous failure No ascites No jaundice No rupture of varicose esophageal veins No presence of varicose esophageal veins Renal (...) Surgery With or Without Radiation Therapy and Chemotherapy in Treating Patients With Esophageal Cancer Surgery With or Without Radiation Therapy and Chemotherapy in Treating Patients With Esophageal Cancer - 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

2002 Clinical Trials

819. Endosonographic Doppler-guided manometry of esophageal varices: experimental validation and clinical feasibility. (Abstract)

Endosonographic Doppler-guided manometry of esophageal varices: experimental validation and clinical feasibility. The risk of variceal bleeding cannot be accurately predicted using endoscopy alone. Although variceal pressure has been demonstrated to be a major determinant for the rupture of esophageal varices, direct determination by needle puncture is unsuitable for routine clinical use. Due to their operator-dependency, current noninvasive endoscopic methods for determination of variceal (...) pressure have not gained wide acceptance. We have developed a new method of measuring variceal pressure, using endoscopic power Doppler imaging to monitor the manometry of esophageal varices. The aims of this study were to test in vitro the accuracy of Doppler-guided manometry and to assess the clinical feasibility of this method.Experimental validation of this technique was performed using an in vitro model of artificial varices of different sizes. A linear-array endosonography (EUS) probe with power

2002 Endoscopy

820. Increasing intra-abdominal pressure increases pressure, volume, and wall tension in esophageal varices. Full Text available with Trip Pro

Increasing intra-abdominal pressure increases pressure, volume, and wall tension in esophageal varices. Many daily activities cause acute elevations of intra-abdominal pressure (IAP). In portal hypertensive cirrhotic patients, increased IAP increases absolute portal pressure and azygos blood flow, suggesting that it may have detrimental consequences at the esophageal varices. The aim of this study was to investigate the effects of increased IAP on variceal pressure, size, and wall tension (...) . Endosonography and a noninvasive endoscopic pressure gauge were used to measure variceal pressure, radius, wall tension, and volume in baseline conditions and after increasing IAP by 10 mm Hg using an inflatable girdle in 14 patients with cirrhosis and esophageal varices. Increasing IAP markedly increased variceal pressure (from 13.3 +/- 4.2 to 17.4 +/- 4.6 mm Hg; P =.0001) and radius (from 2.9 +/- 1.0 to 3.9 +/- 1.1 mm; P =.0001). Consequently, wall tension dramatically increased (from 38.7 +/- 13.6 to 65.9

2002 Hepatology

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