Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
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...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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 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 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.

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Racial and ethnic disparities in receipt of guideline-concordant treatment for early-stage non-small cell lung cancer.

Cancer causes & control : CCC·2026
Same author

Prophylaxis with diltiazem decreases arrhythmia rate when compared to beta-blocker following lobectomy.

Journal of thoracic disease·2026
Same author

Supercharged Pedicled Jejunal Interposition for Esophageal Reconstruction: A Systematic Review and Meta-analysis of Adult and Pediatric Patients.

Journal of reconstructive microsurgery·2026
Same author

Mentorship, Sponsorship, and Beyond-Additional Considerations for Women in Cardiothoracic Surgery.

The Annals of thoracic surgery·2026
Same author

Patient's Participation in Lung Cancer Surgical Treatment: The Role of Patient-Reported Outcomes and Advocacy.

Surgical oncology clinics of North America·2025
Same author

Evaluation of a Perioperative Hypothermia Prevention Protocol in Thoracic Surgery with Comparison to Historical Control.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2025

Related Experiment Video

Updated: Jun 9, 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

Modifications to Ivor Lewis esophagectomy.

Elizabeth A David1, M Blair Marshall

  • 1Department of General Surgery, Georgetown University Hospital, Washington, DC 20008, USA.

Interactive Cardiovascular and Thoracic Surgery
|September 1, 2010
PubMed
Summary

This study presents modifications to the Ivor Lewis esophagectomy, a surgical procedure for esophageal cancer. These surgical innovations reduce operative time by eliminating patient repositioning and enabling a stapled anastomosis.

Area of Science:

  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Esophagectomy approaches vary based on disease factors, patient conditions, and surgeon preference.
  • Standard esophagectomy techniques can involve patient repositioning, increasing operative time.
  • Initial abdominal exploration in some methods may lead to patients being deemed unresectable during thoracotomy.

Purpose of the Study:

  • To describe modifications to the standard Ivor Lewis esophagectomy.
  • To present time-saving innovations that eliminate the need for patient repositioning.
  • To facilitate a stapled end-to-end anastomosis during esophagectomy.

Main Methods:

  • Modification of the standard Ivor Lewis esophagectomy procedure.
  • Implementation of techniques to avoid patient repositioning between abdominal and thoracic stages.

Related Experiment Videos

Last Updated: Jun 9, 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

  • Utilization of stapling devices for end-to-end anastomosis.

    • Main Results:

    • Elimination of the need for patient repositioning during the surgical procedure.
    • Reduction in overall operative time.
    • Facilitation of a secure stapled end-to-end anastomosis.

    Conclusions:

    • The described modifications offer a more efficient approach to esophagectomy.
    • These surgical innovations can potentially decrease operative time and improve patient outcomes.
    • The technique facilitates a reliable stapled anastomosis, simplifying the procedure.