Esophagus

Chronic esophageal stricture with Barrett's esophagus

February 1, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD
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Severe distal esophageal stricture

September 30, 2006     Sheldon R. Brown, MD
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Perforating and migrating pharyngoesophageal foreign bodies: A series of 5 patients

August 31, 2006     Khalid Al-Sebeih, MD, FRCSC; Miloslav Valvoda, MD; Amro Sobeih, MD; Mutlaq Al-Sihan, MD
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Abstract
Ingestion of a foreign body is a problem seen in nearly all otolaryngologic practices. One of the least common complications of foreign-body ingestion is penetration and migration, which may lead to serious morbidity or even death. We report the findings of a retrospective review of a series of 5 patients who had presented with a complete foreign-body penetration. All of them had radiologic evidence of a foreign body, but findings on rigid endoscopy were negative. Computed tomography is the radiologic study of choice to identify penetrating foreign bodies. The foreign bodies in all 5 patients were extracted via an external approach.

Double swallow

July 31, 2006     Gregory N. Postma, MD; Lori M. Burkhead, PhD, CCC-SLP; William H. Moretz III, MD
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A french-fried foreign body

May 31, 2006     Peter C. Belafsky, MD, PhD
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Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis

April 1, 2006     Elaine Cheng, MD; Margie Ho, MA; Cindy Ganz, MS; Ashok Shaha, MD; Jay O. Boyle, MD; Bhuvanesh Singh, MD; Richrd J. Wong, MD; Snehal Patel, MD; Jatin Shah, MD; Ryan C. Branski, PhD; Dennis H. Kraus, MD
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Abstract
The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patients achieved excellent voice ratings. This difference was statistically robust (p = 0.03). Although both surgical and prosthesis-related complications occurred more frequently following primary TEP, statistically significant differences were not achieved. Neither pre- nor postoperative radiotherapy had any effect on voice restoration or complication rates. Based on these data, primary TEP may be preferable for several reasons, including a greater likelihood of successful voice restoration, a shorter duration of postoperative aphonia, and the elimination of the need for a second operation and interim tube feedings.

Early detection of gastric cancer with esophageal extension by transnasal esophagoscopy

April 1, 2006     Timothy D. Anderson, MD; Steven F. Nezhad, MD
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Barium esophagogram of a Zenker's diverticulopexy

April 1, 2006     Christopher Y. Chang, MD; Richard L. Scher, MD
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Complete esophageal stenosis secondary to peptic stricture in the cervical esophagus: Case report

March 1, 2006     Giovana R. Thomas, MD; Tiffany Raynor, MD
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Abstract
Complete esophageal stenosis secondary to peptic stricture in the upper esophagus is rare. It is, however, a serious medical problem that may require otolaryngologic intervention because of life-threatening dysphagia and weight loss. We report the case of an elderly patient who presented with an upper esophageal stricture, without the typical symptoms of gastroesophageal reflux disease, that progressed to complete esophageal obstruction despite use of proton pump inhibitors and esophageal dilatation. Definitive management of this difficult problem required esophagectomy and gastric pull-up. We discuss the pathophysiology, clinical presentation, differential diagnosis, and multidisciplinary management of peptic esophageal strictures. This case illustrates the difficulty in managing high peptic strictures.

High-resolution esophageal manometry

February 1, 2006     William H. Moretz III, MD; Gregory N. Postma, MD; Lori M. Burkhead, PhD, CCC-SLP; Aparna Balan, PhD, CCC-SLP
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Esophageal candidiasis

December 1, 2005     Justin S. Golub, BA; Michael M. Johns III, MD
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Eosinophilic esophagitis

September 30, 2005     S. Punjab Gupta, MD; Daniel J. Kirse, MD; Gregory N. Postma, MD; Peter C. Belafsky, MD
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