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Esophageal Rupture

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121. Rupture of Cervical Esophagus From Blunt Trauma With Concomitant Fracture Dislocation of C4-C5 Vertebrae (Full text)

Rupture of Cervical Esophagus From Blunt Trauma With Concomitant Fracture Dislocation of C4-C5 Vertebrae A patient is presented who had sustained a high posterior cervical esophageal laceration (secondary to an automobile accident) with concomitant fracture of the C(4) - C(5) spine. It was treated by Gulbrandson conversional method. To the author's knowledge, this represents the first recorded rupture of the cervical esophagus associated with high cord lesions as a result of blunt trauma

1979 Journal of the National Medical Association PubMed abstract

122. Esophageal Varices

varices , Bleeding oesophageal varices (disorder) , Esophageal varices ruptured , Oesophageal varices ruptured , Esophageal varices with bleeding , Oesophageal varices with bleeding , Bleeding oesophageal varices , Esophageal varices with hemorrhage , Oesophageal varices with haemorrhage , BOV - Bleeding esophageal varices , BOV - Bleeding oesophageal varices , Bleeding esophageal varices (disorder) , esophagus; hemorrhage, varix , esophagus; varix, hemorrhage , hemorrhage; esophagus, varix , varices (...) Esophageal Varices Esophageal Varices 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 Varices Esophageal Varices Aka

2015 FP Notebook

123. Esophageal Capsule Endoscopy in Children

hypertension (PHT) is the main complication in patients presenting with cirrhosis. It can be the direct cause of bleeding by rupture of the esophageal or gastric varices and can also contribute to the development of ascites, hepatic encephalopathy and pleuropulmonary complications. In the paediatric population presenting with the PHT, one of every two children develops varices and thus has a significant risk of bleeding. Safe and easy to use, the video capsule endoscopy (VCE) is now routinely used (...) Esophageal Capsule Endoscopy in Children Esophageal Capsule Endoscopy in Children - 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. Esophageal Capsule Endoscopy in Children (PREVOCAP) The safety

2012 Clinical Trials

124. Esophageal Perforation Diagnosis and Treatment (Full text)

Esophageal Perforation Diagnosis and Treatment 14289993 1996 12 01 2018 12 01 0003-4932 161 1965 May Annals of surgery Ann. Surg. ESOPHAGEAL PERFORATION: DIAGNOSIS AND TREATMENT. 701-9 FOSTER J H JH JOLLY P C PC SAWYERS J L JL DANIEL R A RA eng Journal Article United States Ann Surg 0372354 0003-4932 OM Diagnosis Esophageal Perforation Esophagoscopy Foreign Bodies History Humans Iatrogenic Disease Radiography Rupture, Spontaneous Statistics as Topic Surgical Procedures, Operative Wounds (...) , Gunshot DIAGNOSIS ESOPHAGEAL PERFORATION ESOPHAGOSCOPY FOREIGN BODIES HISTORY IATROGENIC DISEASE RADIOGRAPHY RUPTURE, SPONTANEOUS STATISTICS SURGERY, OPERATIVE WOUNDS, GUNSHOT 1965 5 1 1965 5 1 0 1 1965 5 1 0 0 ppublish 14289993 PMC1409054 Am J Surg. 1963 Apr;105:505-10 13987510 Surg Gynecol Obstet. 1952 Mar;94(3):337-46 14901273 Ann Otol Rhinol Laryngol. 1963 Dec;72:995-1004 14088740 Am J Surg. 1962 Aug;104:257-66 14471108 J Thorac Surg. 1955 Aug;30(2):164-80 13243463 J Thorac Cardiovasc Surg. 1963

1965 Annals of Surgery PubMed abstract

125. Esophageal perforations and fistulas: review of 36 cases with operative closure of four chronic fistulas. (Full text)

Dilatation Endoscopy adverse effects Esophageal Fistula congenital diagnostic imaging surgery Esophageal Perforation diagnostic imaging etiology surgery Esophagus injuries Female Foreign Bodies complications Humans Infant, Newborn Male Middle Aged Radiography Rupture, Spontaneous Tracheoesophageal Fistula congenital surgery 1973 6 1 2001 3 28 10 1 1973 6 1 0 0 ppublish 4708648 PMC1355970 Ann Surg. 1965 May;161:701-9 14289993 Mod Treat. 1970 Nov;7(6):1284-300 5511977 Ann Surg. 1970 Dec;172(6):1034-8 (...) Esophageal perforations and fistulas: review of 36 cases with operative closure of four chronic fistulas. 4708648 1973 08 06 2018 11 13 0003-4932 177 6 1973 Jun Annals of surgery Ann. Surg. Esophageal perforations and fistulas: review of 36 cases with operative closure of four chronic fistulas. 788-97 Hardy J D JD Tompkins W C WC Jr Ching E C EC Chavez C M CM eng Journal Article United States Ann Surg 0372354 0003-4932 AIM IM Bronchial Fistula diagnostic imaging surgery Chronic Disease

1973 Annals of Surgery PubMed abstract

126. Esophageal Web

Esophageal Web Esophageal Web - 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 / / / / OTHER TOPICS IN THIS CHAPTER Test your knowledge Helicobacter pylori Infection People (...) online March 5 in the Annals... 3D Model GI Tract Video Overview of Celiac Disease 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: Topic Resources An esophageal web is a thin mucosal membrane that grows across the lumen and may cause dysphagia. (See also .) Esophageal Web Image provided by David M. Martin, MD. Rarely, webs develop in patients with untreated

2013 Merck Manual (19th Edition)

127. Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult (Full text)

such as esophageal stenosis, respiratory system compression, rupture, infarction, or malignancy. Complete surgical resection is the standard treatment even in patients with asymptomatic cysts. Traditional approach for resection is via thoracotomy. But, the thoracoscopic approach makes more indicate for mediastinal diseases, because of minimally invasive for patients. We describe a case with esophageal duplication cyst, which contained the ectopic pancreatic tissue in the solid portion, resected under (...) Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult Esophageal duplication cyst is a rare congenital anomaly. They can be associated with other congenital anomalies, such as spinal abnormalities, and tracheoesophageal fistulas. In adults, almost of the patients with esophageal duplication cyst is asymptomatic and accidentally diagnosed by chest X-ray or computed tomography. However, cysts may become symptomatic owing to complications

2011 Journal of cardiothoracic surgery PubMed abstract

128. Acute esophageal necrosis

Acute esophageal necrosis Acute esophageal necrosis - Wikipedia Acute esophageal necrosis From Wikipedia, the free encyclopedia Acute esophageal necrosis Other names Gurvits syndrome, black esophagus, acute necrotizing esophagitis, esophageal infarction Areas represented in image (distals) are most common locations for acute esophageal necrosis to occur. AEN defines itself predominantly in the first of three distals of the esophagus. Acute esophageal necrosis ( AEN ) is a rare disorder. AEN (...) as a one symptom disorder, but instead present by multiple symptoms. The symptoms vary from the severity of the disorder. The most classic sign of AEN is the dark pigmentation of esophageal mucosa in an upper endoscopy, usually viewed as an ulcer or as an infectious disease. Necrosis can be found mostly between the three distals of the esophagus, but stops abruptly at the . The basic and most common symptoms reported are and . then is reported, and is very commonly represented in elderly patients

2012 Wikipedia

129. Upadacitinib (Rinvoq) - rheumatoid arthritis

risks of serious infections and potential HBV reactivation. 8.5.2. Adverse Events of Special Interest: Opportunistic Infections: Excluding Tuberculosis Controlled Period Analysis of the “PBO-controlled UPA 15 mg” analysis set showed a similar proportion of opportunistic infections in PBO- and UPA 15 mg-treated subjects (Table 100). All opportunistic infections in the UPA 15 mg group were nonserious mucosal candidiasis including four cases of oral candidiasis and one case of esophageal candidiasis (...) (N=1042) n (%) UPA 15 mg QD (N=1035) n (%) Any Opportunistic Infection 3 (0.3) 5 (0.5) Esophageal candidiasis 0 1 ( 6 AAM 8 1204 1106 6 1058 10Hi 12 Jt.llONTMS SIHCi FIRiT DOH to2 , .. Adapted from Applicant's I SS Figure 2.4 5.12.5.1 .----------­ 18 2• 17 17 Consistent with increased frequency of herpes zoster events associated with UPA treatment during the controlled period, the long-term exposure through the study cutoff for Study M13- 545 demonstrated higher EAERs of herpes zoster

2019 FDA - Drug Approval Package

130. Budesonide (Jorveza) - to treat adults with eosinophilic oesophagitis

, corticosteroids acting locally (A07EA06) Therapeutic indication(s): Jorveza is indicated for the treatment of eosinophilic esophagitis (EoE) in adults (older than 18 years of age). Pharmaceutical form(s): Orodispersible tablet Strength(s): 1 mg Route(s) of administration: Oral use Packaging: blister (Alu/Alu) Package size(s): 20 tablets, 30 tablets, 60 tablets, 90 tablets and 100 tablets Assessment report EMA/774645/2017 Page 3/83 Table of contents 1. Background information on the procedure 7 1.1. Submission (...) indication. More information on the COMP’s review can be found in the Orphan maintenance assessment report published under the ‘Assessment history’ tab on the Agency’s website: ema.europa.eu/Find medicine/Human medicines/European public assessment reports. The applicant applied for the following indication: Jorveza is indicated for the treatment of eosinophilic esophagitis (EoE) in adults (older than 18 years of age). The legal basis for this application refers to: Article 8.3 of Directive 2001/83/EC

2018 European Medicines Agency - EPARs

132. Radiologic Management of Gastric Varices

. Cardiovasc Intervent Radiol. 2009;32(6):1209-1216. 41. Barange K, Peron JM, Imani K, et al. Transjugular intrahepatic portosystemic shunt in the treatment of refractory bleeding from ruptured gastric varices. Hepatology. 1999;30(5):1139-1143. 42. Chau TN, Patch D, Chan YW, Nagral A, Dick R, Burroughs AK. "Salvage" transjugular intrahepatic portosystemic shunts: gastric fundal compared with esophageal variceal bleeding. Gastroenterology. 1998;114(5):981-987. 43. Choi YH, Yoon CJ, Park JH, Chung JW, Kwon (...) not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate ACR Appropriateness Criteria ® 2 Radiologic Management of Gastric Varices Clinical Condition: Radiologic Management of Gastric Varices Variant 5: Cirrhotic patient with esophageal and gastric variceal bleeding (gastric varices considered high risk for endoscopic management/failed endoscopic management) with a MELD score of 13 and a history of hepatic wedge pressure of 22 mmHg. Three-phase contrast-enhanced CT demonstrates a small gastrorenal

2019 American College of Radiology

133. Immune Modulating Therapies in Pregnancy and Lactation

treatment during pregnancy may increase the risk of hypertension, preeclampsia, weight gain, hyperglycemia, immunosuppression, gastrointestinal ulceration, prelabor rupture of membranes (also referred to as premature rupture of membranes), and intrauterine growth restriction, but if these risks exist the magnitude is not known ( ). Early data suggested that first trimester exposure to glucocorticoids may be associated with an increased risk of fetal oral clefts ( ), but more recent data have failed (...) in an increase in circulating T regulatory cells and a restored capacity to inhibit cytokine production ( ). With the exception of certolizumab, all TNF-α inhibitors are transferred across the placenta. Placental transfer of certolizumab does not occur because it lacks an Fc portion required for active transport. Initial reports of an association between TNF-α inhibitors and fetal VACTERL (Vertebral anomalies, Anal atresia, Cardiac defects, Tracheoesophageal fistula, Esophageal atresia, Renal anomalies

2019 American College of Obstetricians and Gynecologists

134. CRACKCast E199 – Adult Resuscitation

Tension pneumothorax Pulmonary embolus Abdomen Distended and dull Ruptured abdominal aortic aneurysm or ruptured ectopic pregnancy Distended, tympanitic Esophageal intubation Gastric insufflation Rectal Blood, melena GI Bleed Extremities Asymmetrical pulses Aortic dissection Arteriovenous shunt or fistula Hyperkalemia (think Renal Failure Pt) Skin Needle tracks Intravenous drug abuse Burns Smoke inhalation Electrocution [2] Discuss the process of deterioration to cardiac arrest with respiratory (...) Tension pneumothorax Cardiac tamponade Pulmonary embolus Tracheal deviation Tension pneumothorax Chest Median sternotomy scar Underlying cardiac disease Lungs Unilateral breath sounds Tension pneumothorax Right mainstem intubation Aspiration Distant or no breath sounds or no chest expansion Esophageal intubation Airway obstruction Severe bronchospasm Wheezing Aspiration Bronchospasm Pulmonary edema Rales Aspiration Pulmonary edema Pneumonia Heart Diminished heart tones Hypovolemia Cardiac tamponade

2019 CandiEM

137. Oesophageal varices

/12085369?tool=bestpractice.com Once cirrhosis has developed, increasing hepatic vein pressure gradient and deteriorating liver function may result in the formation of oesophageal varices, which may grow up to a critical point, when they rupture and cause life-threatening bleeding. The most important predictor of variceal haemorrhage is the size of varices, with the highest risk of first haemorrhage occurring in patients with large varices (15% per year). North Italian Endoscopic Club for the Study (...) and Treatment of Esophageal Varices. Prediction of the first variceal hemorrhage in patients with cirrhosis of the liver and esophageal varices. A prospective multicenter study. N Engl J Med. 1988;319:983-989. http://www.ncbi.nlm.nih.gov/pubmed/3262200?tool=bestpractice.com Other important predictors of haemorrhage are decompensated cirrhosis (Child-Pugh B/C) and the endoscopic finding of red wale marks. Garcia-Tsao G, Sanyal AJ, Grace ND, et al. Prevention and management of gastroesophageal varices

2017 BMJ Best Practice

138. Neonatal stabilisation for retrieval

is not possible contact the Retrieval Service Queensland (RSQ) for advice regarding management prior to the baby’s birth. Early activation of the retrieval team prior to the baby’s birth can be made when indicated. Table 1. Indications for transfer Aspect Comment Antenatal 7,8 · Known congenital anomaly · Multiple birth · Suspected cardiac anomaly · Fetal growth restriction · Preterm labour (as relevant to CSCF) · Placenta praevia · Pre-eclampsia · Prolonged rupture of membranes Neonatal 8,9 · Birth weight: o (...) of respiratory distress. Group B Streptococcus is recognised as the most frequent cause of early onset neonatal sepsis. 50 Refer to Queensland Clinical Guideline Early onset Group B Streptococcal disease (EOGBSD). 51 Table 13. Sepsis Aspect Consideration Risk factors 49,50 · Maternal: o Intrapartum fever o Chorioamnionitis o Prolonged rupture of membranes o Group B Streptococcal colonisation or bacteriuria o Other infections—herpes, hepatitis B, syphilis · Neonatal: o Prematurity—less than 37 weeks gestation

2018 Clinical Practice Guidelines Portal

139. CRACKCast E172 – Pediatric Gastrointestinal Disorders

to suction Labs, cultures, Glucose replacement Vasoactive agents as needed Broad spectrum ABX (See box 171.2) Consult surgery – in consideration of possible GERD GERD occurs as a result of an incompetent lower esophageal sphincter. GER is classified as a disease aka GERD if complications occur. For example, chronic reflux of gastric contents into the esophagus may result in esophagitis, aspiration, and failure to thrive if it is severe. Begins shortly after birth and resolves with time, usually (...) , frequent burpings, formula thickened with cereal, and a semi-upright position after feeding . Pharmacologic regimens are not recommended for infants with uncomplicated reflux (so-called happy spitters). Although lacking supportive evidence, acid suppression can be used, but should be reserved for those with more severe symptoms, such as esophagitis, weight loss, or significant irritability, in whom more conservative lifestyle modifications have failed. [8] What is the preferred diagnostic test

2018 CandiEM

140. CRACKCast E178 – Co-Morbird Medical Emergencies During Pregnancy

. Maternal—variable changes in seizure frequency; alterations in AEM levels; increased seizure frequency secondary to voluntary medication noncompliance; abruption, anemia, hyperemesis gravidarum, preeclampsia, possible need for labor induction and cesarean section, premature rupture of membranes. (AEM = antiepileptic medications) Management of status epilepticus is the same as for the nonpregnant patient. The newer AEM levetiracetam has demonstrated a lower incidence of birth defects and has equal (...) affect labor? Beta agonists are tocolytics and often halt labour. [2] Which types of valvular heart disease cause the most problems during pregnancy? Mitral stenosis > class 1 fcor Advanced aortic stenosis Aortic or mitral lesions associated with pulmonary hypertension or ventricular dysfunction Mechanical prosthetic valves requiring anticoagulation See Table 179.5 in Rosen’s 9 th Edition Ddx of chest pain in pregnancy: Pulmonary embolus, reflux esophagitis, biliary colic, and aortic dissection

2018 CandiEM

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