General esophageal diseases Latest Topics

Congenital Esophageal Stenosis

Wed, 17 Apr 2024 16:49:09 +0000

download PDF chart from next post

7/11/2021

Sun, 07 Nov 2021 13:13:42 +0000

[size=20px]A four-year old undergoes dilation for an esophageal stricture and has a contained perforation. He is initially treated with a nasogastric tube and antibiotics. Fourteen days later a repeat esophagram shows a persistent leak and a small fluid collection adjacent to the esophagus. A decision is made to place a temporary stent. Which of the following statements is true regarding the use of esophageal stents?

A the stent should be removed within one month of placement

B stent migration is unlikely

C tissue overgrowth will occur within a few days

D only one stent may be placed at a time

E surveillance esophagoscopy is unnecessary[/size]

3/10/2021

Sun, 03 Oct 2021 13:47:36 +0000

A three-month old boy has life long symptoms of excessive drooling and regurgitation of undigested food. Both a barium esophagram and esophagoscopy show a short, tight, circular stenosis in the distal esophagus. A balloon dilation was performed and his symptoms did not improve.

[size=20px]For this patient with esophageal stenosis, the next step should be

A soft diet trial for six weeks.

B resection of the stricture.

C fundoplication.

D inhaled steroids.

E repeat esophagoscopy and dilation.[/size]

Esophageal perforation following accidental coin ingestion: thoracoscopic management

Wed, 19 May 2021 07:23:12 +0000

see video link in second post

gastric pull-up in setting of corrosive esophageal stricture Thoracoscopy/Laparoscopy

Wed, 24 Feb 2021 06:44:21 +0000

any one want link of HQ video please contribute with one thread to forums, and I will sent it to you by email

Edit: available without restrictions

esophageal perforation case

Sat, 12 Sep 2020 12:40:24 +0000

[size=20px]A five year old with history of repaired esophageal atresia presents with a foreign body in the esophagus. The object is removed and an esophageal dilatation is performed for a stricture in the proximal third of the esophagus. Thirty-six hours later she presents with chest pain and fever. An esophagram is performed which demonstrates a contained leak into the mediastinum. What is the next best step in managing the esophageal perforation in this patient?

A- intravenous antibiotics and nasogastric drainage

B- left tube thoracostomy

C- gastric transposition

D- repair via a left thoracotomy

E- gastrostomy and cervical esophageal diversion[/size]