Esophagus

Complete esophageal stenosis secondary to peptic stricture in the cervical esophagus: Case report

March 1, 2006     Giovana R. Thomas, MD; Tiffany Raynor, MD
article
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

Esophageal candidiasis

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

Eosinophilic esophagitis

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

Treatment of globus by upper esophageal sphincter injection with botulinum A toxin

February 1, 2005     Stacey L. Halum, MD; Susan G. Butler, PhD, CCC-SLP; Jamie A. Koufman, MD; Gregory N. Postma, MD

Normal pharyngeal and upper esophageal sphincter manometry

December 1, 2004     Gregory N. Postma, MD; Susan G. Butler, PhD, CCC-SLP; Peter C. Belafsky, MD, PhD; Stacey L. Halum, MD

Tracheoesophageal fistula

September 30, 2004     Susan G. Butler, PhD, CCC-SLP; Gregory N. Postma, MD

Office evaluation of swallowing

June 30, 2004     Milan R. Amin, MD; Gregory N. Postma, MD

Office-based procedures for the voice

June 30, 2004     C. Blake Simpson, MD; Milan R. Amin, MD

July 2004 Supplement

June 30, 2004    

Office procedures for the esophagus

June 30, 2004     Gregory N. Postma, MD; Milan R. Amin, MD; C. Blake Simpson, MD; Peter C. Belafsky, MD, PhD
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