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Esophagus

Practical applications of in-office fiberoptic transnasal esophagoscopy in the initial evaluation of patients with squamous cell cancer of the head and neck

September 19, 2013  |  Robert W. Dolan, MD; Timothy D. Anderson, MD

Abstract

We conducted a study to analyze the effectiveness of transnasal esophagoscopy (TNE) as an alternative to operative endoscopy (OE) for the evaluation of primary head and neck cancers and for the surveillance of synchronous esophageal cancers. Our study population was made up of...

Transnasal esophagoscopy and the diagnosis of a mediastinal foregut duplication cyst

August 22, 2013  |  Amarbir S. Gill, BS and Jennifer L. Long, MD, PhD

Foregut duplication cysts are true mucus-filled cysts lined with a thin epithelial layer, arising from either bronchogenic, esophageal, or neuroenteric precursor tissue.

Systemic sclerosis and reflux

April 18, 2013  |  John J. Petronovich, BS; Jonathan M. Bock, MD

MII-pH testing with impedance-based symptom association may improve diagnostic accuracy in patients with systemic sclerosis and reflux.

The missing tracheoesophageal puncture prosthesis: Evaluation and management

February 25, 2013  |  Shelby C. Leuin, MD; Daniel G. Deschler, MD

Abstract

Placement of a tracheoesophageal puncture prosthesis in the post-laryngectomy patient has significantly improved voice rehabilitation in this population. Rarely, the prosthesis may become dislodged, necessitating medical evaluation. We present the case of a 61-year-old man who...

Esophageal graft-versus-host disease

February 25, 2013  |  Jeanne L. Hatcher, MD; S. Carter Wright, MD; Catherine Rees Lintzenich, MD, FACS

Graft-versus-host disease occurs after allogeneic hematopoietic-cell transplantation, with the chronic form usually occurring within the first 3 years.

Massive Zenker diverticulum

August 10, 2012  |  Jonathan M. Bock, MD; John J. Petronovich, BS; Joel H. Blumin, MD

Zenker diverticula rarely extend deep into the chest and induce severe dysphagia and aspiration pneumonia. In fact, only rare cases have been reported in the literature that exhibit such significant extension into the mediastinum.

Killian-Jamieson diverticulum

May 1, 2012  |  Ashli K. O'Rourke, MD; Paul M. Weinberger, MD; Gregory N. Postma, MD

Killian-Jamieson diverticulum is generally smaller than Zenker diverticulum and is associated with less dysphagia, regurgitation, and gastroesophageal reflux.

Dilated esophagus and tracheal compression secondary to a slipped Nissen fundoplication: A case report

January 25, 2012  |  Roy Rajan, MD and Jerome W. Thompson, MD

Abstract

We describe the case of a 20-month-old girl with a gastrostomy tube who presented with stridor, daily emesis, stertor, and mild neck retractions. Endoscopic and radiologic investigations revealed a dilated esophagus, an associated tracheal compression, and a paraesophageal...

Esophageal spasm

November 22, 2011  |  Ashli K. O'Rourke, MD, Paul M. Weinberger, MD, and Gregory N. Postma, MD

Giant esophageal inlet patch

August 16, 2011  |  Michele P. Morrison, DO and Gregory N. Postma, MD

Ballpoint pen ingestion in a 2-year-old child

July 14, 2011  |  Anaïs Rameau, MD, CM, MSc, Sumeet M. Anand, MD, and Lily H.P. Nguyen, MD, CM, MSc, FRCS(C)

Abstract

A 2-year-old girl ingested a ballpoint pen, which was found on chest x-ray to have lodged in the lower esophagus and stomach. The pen, which measured nearly 15 cm in length, was removed via rigid esophagoscopy without complication. To the best of our knowledge, this is the...

Bilateral tonsillar and esophageal Kaposi sarcoma in an HIV-negative patient

July 14, 2011  |  Irem Hicran Ozbudak, MD, Kenan Guney, MD, Derya Mutlu, MD, Tekinalp Gelen, MD, and Gulay Ozbilim, MD

Abstract

Tonsillar involvement in Kaposi sarcoma is extremely rare, as only a few such cases have been reported; all but 1 of these previously reported cases occurred in patients with human immunodeficiency virus (HIV) infection. We describe what to the best of our knowledge is the...

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