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Esophageal Rupture

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161. Management of foreign bodies in the airway and oesophagus. (Abstract)

or rupture. Bronchus is the preferred location in 80-90% of AW's cases. Esophageal FBs are twice more common than bronchial FBs, although most of these migrate to the stomach and do not require endoscopic removal. Diagnosis of FB proceeds following the traditional steps, with a particular stress on history and radiological findings as goal standards for the FB retrieval. The treatment of choice for AW's and esophageal FBs is endoscopic removal. Endoscopy should be carried out whenever the trained (...) Management of foreign bodies in the airway and oesophagus. Ingestion and/or aspiration of foreign bodies (FB) are avoidable incidents. Children between 1 and 3 years are common victims for many reasons: exploration of the environment through the mouth, lack of molars which decreases their ability to properly chew food, lack of cognitive capacity to distinguish between edible and inedible objects, and tendency to distraction and to perform other activities, like playing, whilst eating. Most FBs

2012 International Journal of Pediatric Otorhinolaryngology

162. 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 (...) in children for the exploration of the small bowel. But the role of the VCE for examination of the other parts of digestive tract still needs to be evaluated. For the esophagus, the VCE could allow the diagnosis without the need of general sedation. Recent studies have shown a good sensitivity and tolerance of this technique for the initial diagnosis of esophageal varices (EV) in adult patients presenting with portal hypertension, but it has not yet been validated for this indication. The investigators

2012 Clinical Trials

163. Spontaneous intramural oesophageal perforation Full Text available with Trip Pro

Spontaneous intramural oesophageal perforation 5452282 1970 10 07 2018 11 13 0040-6376 25 3 1970 May Thorax Thorax Spontaneous intramural oesophageal perforation. 294-300 Borrie J J Sheat J J eng Journal Article England Thorax 0417353 0040-6376 IM Aged Drainage Esophageal Perforation diagnosis diagnostic imaging etiology surgery Female Humans Male Middle Aged Pleural Effusion complications Radiography Rupture, Spontaneous 1970 5 1 1970 5 1 0 1 1970 5 1 0 0 ppublish 5452282 PMC472699 Bull Med

1970 Thorax

164. Morbidity and mortality of oesophageal perforation Full Text available with Trip Pro

Morbidity and mortality of oesophageal perforation 5039450 1972 08 28 2018 11 13 0040-6376 27 3 1972 May Thorax Thorax Morbidity and mortality of oesophageal perforation. 353-8 Keighley M R MR Girdwood R W RW Wooler G H GH Ionescu M I MI eng Journal Article England Thorax 0417353 0040-6376 IM Aged Esophageal Neoplasms diagnosis surgery Esophageal Perforation diagnosis diagnostic imaging epidemiology etiology mortality surgery Esophagoscopy adverse effects Female Humans Male Middle Aged (...) Postoperative Complications Radiography Rupture, Spontaneous 1972 5 1 1972 5 1 0 1 1972 5 1 0 0 ppublish 5039450 PMC472594 Am J Surg. 1963 Apr;105:505-10 13987510 Ann Surg. 1965 May;161:701-9 14289993 Lancet. 1952 Jan 5;1(6697):4-8 14889736 Am J Surg. 1962 Aug;104:257-66 14471108 J Thorac Surg. 1955 Aug;30(2):164-80 13243463 J Thorac Cardiovasc Surg. 1970 Jan;59(1):67-83 5409955 JAMA. 1964 Jun 1;188:826-8 14132543 J Thorac Cardiovasc Surg. 1961 Jan;41:75-104 13728061 Br J Radiol. 1962 Apr;35:255-60 14455333

1972 Thorax

165. Esophageal perforations and fistulas: review of 36 cases with operative closure of four chronic fistulas. Full Text available with Trip Pro

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

166. Oesophageal trauma: incidence, diagnosis, and management. Full Text available with Trip Pro

Oesophageal trauma: incidence, diagnosis, and management. The clinical manifestations, diagnosis, and surgical treatment of 110 cases of oesophageal trauma, admitted under the care of one surgical team between 1949 and 1973, are reviewed. The importance of early diagnosis and an aggressive surgical approach in the management of a potentially lethal situation are stressed. In our opinion, spontaneous rupture of the oesophagus, instrumental perforation, open and closed traumatic lesions (...) , and postoperative anastomotic leaks are, as far as diagnosis and management are concerned, different aspects of the same desperate surgical problem. Oesophageal trauma is accompanied by a high morbidity and mortality rate if diagnosis and treatment are delayed. Perforations of the cervical oesophagus may be treated conservatively. Intrathoracic perforations demand an aggressive surgical appraoch; only exteriorisation followed by reconstruction at a later date offers a reasonable chance to save the life

1977 Thorax

167. Post-pneumonectomy oesophageal fistula Full Text available with Trip Pro

Post-pneumonectomy oesophageal fistula 4119141 1973 03 13 2018 11 13 0040-6376 27 6 1972 Nov Thorax Thorax Post-pneumonectomy oesophageal fistula. 674-7 Evans J P JP eng Journal Article England Thorax 0417353 0040-6376 IM Abscess complications Aged Bronchial Fistula etiology Bronchial Neoplasms surgery Enteral Nutrition Esophageal Fistula diagnosis diagnostic imaging etiology surgery Fistula etiology Gastrostomy Humans Male Middle Aged Palliative Care Pleural Diseases etiology Pneumonectomy (...) adverse effects Radiography Rupture, Spontaneous 1972 11 1 1972 11 1 0 1 1972 11 1 0 0 ppublish 4119141 PMC469965 Acta Chir Scand. 1964 Dec;128:771-7 14253882 J Thorac Cardiovasc Surg. 1960 Aug;40:179-93 13836659 Am Surg. 1959 Apr;25(4):248-51 13637342 Ann Thorac Surg. 1969 Feb;7(2):139-44 4974076 J Thorac Surg. 1953 Apr;25(4):371-9 13035878 J Thorac Surg. 1958 Jul;36(1):53-7 13564524 Am Rev Tuberc. 1959 May;79(5):597-605 13650135 Lyon Chir. 1961 Jul;57:481-8 13724941 J Thorac Cardiovasc Surg. 1970

1972 Thorax

168. Esophageal Perforation Diagnosis and Treatment Full Text available with Trip Pro

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

169. Oesophageal varices in cirrhotic patients: from variceal screening to primary prophylaxis of the first oesophageal variceal bleeding. (Abstract)

Oesophageal varices in cirrhotic patients: from variceal screening to primary prophylaxis of the first oesophageal variceal bleeding. Bleeding from oesophageal varices is still a lethal complication in cirrhotic patients with portal hypertension. Approximately 5-10% of patients with cirrhosis will develop oesophageal varices per year, and about 25-30% of cirrhotic patients with oesophageal varices and without previous variceal haemorrhage will bleed from ruptured varices. To date, data (...) on preventing the formation/growth of oesophageal varices (preprimary prophylaxis) are conflicting, with insufficient evidence to use β-blockers. There is evidence for the need for primary prophylaxis, and both β-blockers and endoscopic variceal ligation have shown the same efficacy in preventing first bleeding, but which one to prefer is still controversial. The present article reviews the established and potential therapeutic strategies for preventing the development and rupture of oesophageal varices.©

2011 Liver International

170. Esophageal Web

severe ; they develop even more rarely in patients without anemia. Webs usually occur in the upper esophagus, causing for solids. They are best diagnosed by barium swallow. Webs resolve with treatment of the anemia but can be easily ruptured during esophagoscopy. Last full review/revision April 2018 by Kristle Lee Lynch, MD NOTE: This is the Professional Version. CONSUMERS: © 2018 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA) Was This Page Helpful? 0, html (...) 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

2013 Merck Manual (19th Edition)

171. Thoracoscopic resection of thoracic esophageal duplication cyst containing ectopic pancreatic tissue in adult Full Text available with Trip Pro

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

172. Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices

: October 8, 2012 Sponsor: Ferring Pharmaceuticals Information provided by (Responsible Party): Ferring Pharmaceuticals Study Details Study Description Go to Brief Summary: Terlipressin is an effective and safe treatment for bleeding caused by rupture of oesophageal varices, which are life-threatening complications of liver cirrhosis. Oesophageal varices are abnormal dilatation of veins occurring in the lower oesophagus, which can develop in patients with cirrhosis. Bleeding caused by rupture (...) Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices Follow-up of Glypressin (Terlipressin) Clinical Efficacy in the Treatment of Bleeding Oesophageal Varices - 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

2011 Clinical Trials

173. Assessment of haemoptysis

that the bronchial or systemic circulation is responsible for most cases of haemoptysis. Rabkin JE, Astafjev VI, Gothman LN, et al. Transcatheter embolization in the management of pulmonary hemorrhage. Radiology. 1987 May;163(2):361-5. http://www.ncbi.nlm.nih.gov/pubmed/3562815?tool=bestpractice.com However, the pulmonary circulation has also been implicated, as is the case in catheter-induced pulmonary artery rupture, vasculitis, pulmonary artery aneurysms due to collagen vascular disease, or hereditary (...) Pneumonia Primary lung cancer Lung metastasis Anticoagulants, thrombolytic agents Toxic inhalation Bronchiectasis Pulmonary thromboembolism Mitral valve stenosis Left ventricular failure Coagulopathy Thrombocytopenia Disseminated intravascular coagulation Aspergilloma Endobronchial carcinoid Aspiration of foreign body Aspiration of gastric contents Broncholithiasis Tracheo-oesophageal fistula Bronchial telangiectasia Airway trauma Dieulafoy's disease Thoracic endometriosis Pulmonary artery aneurysm Fat

2019 BMJ Best Practice

174. 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

175. Barrett's esophagus

, Wallander MA, Johansson S, Fiocca R, Casanova S, et al. (October 2008). "Gastro-oesophageal reflux symptoms, oesophagitis and Barrett's oesophagus in the general population: the Loiano-Monghidoro study". Gut . 57 (10): 1354–9. : . . Ronkainen J, Aro P, Storskrubb T, Johansson SE, Lind T, Bolling-Sternevald E, et al. (December 2005). "Prevalence of Barrett's esophagus in the general population: an endoscopic study". Gastroenterology . 129 (6): 1825–31. : . . Kim JY, Kim YS, Jung MK, Park JJ, Kang DH, Kim (...) JS, et al. (April 2005). "Prevalence of Barrett's esophagus in Korea". Journal of Gastroenterology and Hepatology . 20 (4): 633–6. : . . Barrett NR (October 1950). "Chronic peptic ulcer of the oesophagus and 'oesophagitis ' ". The British Journal of Surgery . 38 (150): 175–82. : . . DeMeester SR, DeMeester TR (March 2000). . Annals of Surgery . 231 (3): 303–21. : . . . ^ Allison PR, Johnstone AS (June 1953). . Thorax . 8 (2): 87–101. : . . . Naef AP, Savary M, Ozzello L (November 1975). "Columnar

2012 Wikipedia

176. Nutcracker esophagus

sequence but at an excessive amplitude or duration. Nutcracker esophagus is one of several disorders of the esophagus, including and . It causes difficulty swallowing, or , to both solid and liquid foods, and can cause significant ; it may also be asymptomatic. Nutcracker esophagus can affect people of any age, but is more common in the sixth and seventh decades of life. The diagnosis is made by an (esophageal manometry), which evaluates the pressure of the esophagus at various points along its length (...) , or of the esophagus. Patients with motility disorders present with two key symptoms: either with (typically reported as non-cardiac chest pain as it is esophageal in origin), which is usually found in disorders of spasm, or with (difficulty with swallowing). Nutcracker esophagus can present with either of these, but chest pain is the more common presentation. The chest pain is very severe and intense, and mimics cardiac chest pain. It may spread into the arm and back. The symptoms of nutcracker esophagus

2012 Wikipedia

177. Management of Poisoning

/ pneumomediastinum. 69 • Irritability / hyperactivity. • Fever / diaphoresis. • Fatalities: traumatic diaphragmatic hernia / intracranial haemorrhage / gastric rupture. B Use of ipecac as a ? rst aid measure at home has not been proven to be bene? cial. Grade B, Level 2++ 3.4 Cathartics 3.4.1 Types and action of osmotic cathartics 127 • Saccharide cathartics (e.g. sorbitol). • Saline cathartics (e.g. magnesium citrate, magnesium sulphate, sodium sulphate). Cathartics accelerate the expulsion of poison from

2020 Ministry of Health, Singapore

178. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections

as “closed thrombosed false lumen.” 7 It is characterized by a hyperdense, crescent- shaped hemorrhage within the aortic wall best seen on noncontrast-enhanced computed tomography (CT) im- aging(Figure9). 8 SeveralmechanismsforIMHhavebeen proposed, including spontaneous rupture of the vasa vasorum, which causes bleeding and hematoma forma- tion within the aortic wall (Figure 10). 9 Others have sug- gested microscopic tears in the intima as the potential cause. 8,9 Differentiating aortic dissection (...) from chronicatherosclerotic disease. 9,10 PAUrupture risk is directly related to ulcer depth. However, PAU with IMH (Figure 11, B) has a higher risk of aortic rupture and portends a worse clinical course compared with a similar sizedPAUwithoutIMH. 11,12 Itisimportanttodistinguish between true aortic dissection and IMH in reporting as treatment algorithms and outcomes may differ signif- icantly. The extent of IMH should be reported according to zone, as with aortic dissection, and reporting should

2020 Society of Thoracic Surgeons

179. Disorders of the Hepatic and Mesenteric Circulation Full Text available with Trip Pro

The blood supply to the liver is unique with about 75% of blood inflow coming through the portal vein and the remaining 25% through the hepatic artery. The portal venous system carries capillary blood from the entire gastrointestinal (GI) tract (except for the upper esophagus and distal rectum), pancreas, gallbladder, and spleen to the liver ( ). The portal vein is formed behind the neck of the pancreas by the confluence of the splenic vein and the superior mesenteric vein. The inferior mesenteric vein (...) , esophageal and/or gastric varices, and variceal hemorrhage. Diagnosis Imaging of the liver and its vasculature is needed to confirm the diagnosis of PVT. Doppler ultrasound (US) may demonstrate hyperechoic material within the vessel lumen, dilatation of the portal vein, and diminished portal venous flow ( ). Ultrasound has a sensitivity of 73%–93%, specificity of 99%, positive predictive value of 86%–97%, and negative predictive value of 98%, when compared with angiogram in 1 study and to CT scan

2020 American College of Gastroenterology

180. Dataset for histopathological reporting of gastrointestinal stromal tumours

of GISTs is around 15 per million of population per annum, implying approximately 900 new cases per year in the UK. Most patients are adults with a median age of 50–60 years and the incidence is roughly equal in males and females. They are rare in childhood. 13 While GISTs can occur anywhere in the GI tract, from the oesophagus to the rectum, most arise in the stomach (60–70%) or small intestine (20–30%). A few appear to arise primarily within the omentum, 14 but it is important to be sure (...) Summary 5.1.1 Clinical • Specimen type. • Site of tumour. • Any previous treatment. 5.1.2 Macroscopic • Tumour size, maximum diameter measured in centimetres or millimetres. • Resection margins: distance of tumour to nearest longitudinal and circumferential resection margins. • Evidence of serosal tumour rupture. 5.1.3 Microscopic • Tumour type: spindle/epithelioid/mixed cell type. • Mitotic count per 5 mm 2 – the total area to be counted should amount to 5 mm 2 . With older microscopes, 50 high-power

2020 British Society of Gastroenterology

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