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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)...
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure entails...
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...
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Esophagus01:24

Esophagus

The esophagus, a muscular conduit linking the pharynx and stomach, measures roughly 10 inches (25.4 cm) and sits behind the trachea. It remains collapsed when not swallowing. The esophagus follows a predominantly straight path through the thoracic mediastinum and enters the abdominal cavity through a diaphragmatic opening known as the esophageal hiatus.
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...

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Related Experiment Video

Updated: Jun 5, 2026

Robotic Enucleation of Esophageal Leiomyoma
04:19

Robotic Enucleation of Esophageal Leiomyoma

Published on: February 20, 2026

Giant esophageal lipoma.

Antonello Cuttitta1, Vito Annese, Antonio Tancredi

  • 1Unit of General Surgery 2nd and Thoracic Surgery, IRCCS Casa Sollievo della Sofferenza Hospital, Viale Cappuccini 1, 71013 San Giovanni Rotondo, FG, Italy.

Updates in Surgery
|January 27, 2011
PubMed
Summary

A rare giant esophageal pedunculated lipoma was diagnosed in a 67-year-old male presenting with dysphagia. Surgical resection was successful, highlighting the diagnostic challenges and potential malignancy risk of this esophageal tumor.

Related Experiment Videos

Last Updated: Jun 5, 2026

Robotic Enucleation of Esophageal Leiomyoma
04:19

Robotic Enucleation of Esophageal Leiomyoma

Published on: February 20, 2026

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • Esophageal lipomas are rare benign tumors, often asymptomatic.
  • Giant pedunculated lipomas can cause significant symptoms like dysphagia.

Observation:

  • A 67-year-old male presented with acute onset of dysphagia.
  • Initial endoscopic and radiologic evaluations were inconclusive.
  • Endo-ultrasonography suspected a lipoma, confirmed by histopathology.

Findings:

  • A giant pedunculated esophageal lipoma was diagnosed.
  • Surgical treatment involved esophagotomy with submucosal resection via cervical incision.
  • Literature review confirmed the rarity and diagnostic difficulty.

Implications:

  • Accurate preoperative diagnosis of esophageal lipomas can be challenging.
  • Early detection and surgical management are crucial.
  • There is a documented risk of malignant transformation to squamous cell carcinoma.