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Related Concept Videos

Esophageal Achalasia01:27

Esophageal Achalasia

Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

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Related Experiment Video

Updated: Jun 24, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Delayed fistulization from esophageal replacement surgery.

Ahmed Abdalwahab1, Mohammed Al Namshan, Abdullah Al Rabeeah

  • 1Section of Pediatric Surgery, King AbdulAziz Medical City, Jeddah, Kingdom of Saudi Arabia. dr4a@yahoo.com

Seminars in Pediatric Surgery
|April 8, 2009
PubMed
Summary
This summary is machine-generated.

Delayed fistulization is a rare complication after esophageal replacement surgery in children. Pediatric surgeons must be aware of this risk, as it can lead to serious conditions like gastro-bronchial fistulas.

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Last Updated: Jun 24, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

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Published on: April 17, 2020

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Esophageal replacement surgery is a complex procedure for pediatric patients with esophageal abnormalities.
  • Delayed complications, such as fistulization, can occur years after the initial surgery.

Observation:

  • Two pediatric cases of delayed fistulization after esophageal replacement are presented.
  • Case 1: A child developed a gastric tube-pericardial fistula 10 years post-surgery.
  • Case 2: A child developed a gastro-bronchial fistula 5 years after a second esophageal resection.

Findings:

  • Fistula formation can manifest years after esophageal reconstruction, involving various organs like the pericardium or bronchi.
  • These fistulas can lead to life-threatening conditions, including tension pneumo-pericardial tamponade and fatal pulmonary hemorrhage.
  • Successful management of fistulas may require complex surgical interventions.

Implications:

  • Pediatric surgeons must maintain high vigilance for delayed fistulization after esophageal replacement.
  • Awareness of this rare complication is crucial for timely diagnosis and management.
  • Further research into risk factors and preventative strategies for delayed fistulization is warranted.