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Esophagus

Management decisions for Zenker diverticulum in the elderly

September 18, 2017  |  Karen Kost, MD, FRCSC; Kourosh Parham, MD

Zenker diverticulum is primarily a geriatric condition, usually requiring surgical management.

June is National Dysphagia Awareness Month

June 20, 2017  |  Amanda Hu, MD, FRCSC

The Agency for Healthcare Research and Quality has estimated that 60,000 people in the United States die annually from complications associated with swallowing disorders.

In-office vs. operating room procedures for recurrent respiratory papillomatosis

April 30, 2017  |  Anya J. Miller, MD; Glendon M. Gardner, MD

Abstract

We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man...

Intramural esophageal hematoma mimicking a hypopharyngeal tumor

January 25, 2017  |  Chao-Jung Lin, MD; Bor-Hwang Kang, MD, PhD; Yueng-Hsiang Chu, MD, PhD; Chih-Hung Wang, MD, PhD

The common presentation of intramural esophageal hematoma is acute onset of retrosternal pain, typically accompanied by dysphagia, odynophagia, or hematemesis.

Schwannoma of the cervical esophagus: Report of 2 cases and a review of the literature

September 21, 2015  |  Yu-Long Wang, MD; Jian-Guang Sun, MD; Jian Wang, MD; Wen-Jun Wei, MD; Yong-Xue Zhu, MD; Yu Wang, MD; Guo-Hua Sun, MD; Kuan Xu, MD; Hui Li, MD; Ling Zhang, MD; Qing-Hai Ji, MD

Abstract

Schwannomas of the cervical esophagus are extremely rare, as fewer than a dozen reports have been published in the literature. Therefore, their clinical characteristics and management have not been definitively elucidated. We report 2 cases of cervical esophageal schwannoma (...

Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: A report of 2 cases

March 2, 2015  |  Dan Lu, MD; Yu Zhao, MD, PhD

Abstract

Foreign-body ingestion is a common cause of esophageal perforation, which can lead to a fatal posterior mediastinal abscess. Routine treatments include the drainage of pus through the esophageal perforation, thoracotomy, and videothoracoscopic drainage. We present 2 cases of...

Adult presentation of laryngeal cleft: Utility of the modified barium swallow study in diagnosis and management

December 19, 2014  |  Genevieve Houdet-Cote, MHSc; Simon R. McVaugh-Smock, MHSc

We present a case of laryngeal cleft in a 41-year-old man to illustrate the co-occurrence of laryngeal cleft and tracheoesophageal fistula. We advocate the use of the modified barium swallow study in the diagnosis of laryngeal cleft. We also review the advantages and limitations of the various...

Superior omohyoid muscle flap repair of cervical esophageal perforation induced by spinal hardware

December 19, 2014  |  Christopher Chase Surek, DO; Douglas A. Girod, MD, FACS

Cervical esophageal perforation is a rare and life-threatening condition. Its prompt diagnosis and treatment require a high index of suspicion. Cervical spine hardware is an uncommon cause of posterior esophageal perforation. Management has included a variety of musculofascial flaps for surgical...

Congenital airway anomaly of double aortic arch in a 2-day-old infant

October 18, 2014  |  Seo Moon, MD; Jessica Mayor, MD; Ramzi Younis, MD

Double aortic vascular ring is a complete vascular ring that is formed when the distal portion of the right dorsal aorta fails to regress and the ascending aorta bifurcates to surround and compress both trachea and esophagus and rejoins to form the descending aorta.

Lung herniation: An unusual cause of dysphagia

December 20, 2013  |  Karen Mason, MBBS, MRCS, FRCR; Richard D. Riordan, MBBS, BSC, MRCP, FRCR

Abstract

Lung herniation is a rare condition that can be classified on the basis of location and etiology. We report an unusual case of right apical lung herniation presenting with dysphagia. Computed tomography of the neck demonstrated an air-containing structure in the root of the...

Autoimmune swallowing disorders

December 20, 2013  |  Mursalin M. Anis, MD, PhD; Ahmed M.S. Soliman, MD

Esophageal perforation in a patient with diverticulum following anterior discectomy and fusion

October 24, 2013  |  Aasif A. Kazi, PharmD; Nancy L. Solowski, MD; Gregory N. Postma, MD; Paul M. Weinberger, MD

 Most perforations are thought to result from esophageal retraction, direct injury during manipulation, hardware failure, or movement of cervical vertebral bodies during hyperextension.

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