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Esophageal Strictures-II: Clinical Features and Management

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 Strictures-I: Introduction

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: Introduction

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....

Barrett Esophagus-II: Clinical Manifestations and Management

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...

Esophagus

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...

Upper GI Series: Barium Swallow

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...

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Related Experiment Video

Updated: Apr 6, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Suspected esophageal coin--look again.

Kenneth Frumkin¹, Michael Lanker¹

¹Naval Medical Center, 620 John Paul Jones Circle, Portsmouth, VA, 23708, USA.

The American Journal of Emergency Medicine

|July 25, 2015

Summary

A child swallowed objects, initially thought to be a coin, but closer inspection revealed they mimicked a disk battery. This case highlights critical differences in managing ingested coins versus batteries and the importance of accurate radiograph interpretation.

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Last Updated: Apr 6, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

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Published on: September 11, 2018

Image Acquisition using Portable Sonography for Emergency Airway Management

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Published on: September 28, 2022

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Area of Science:

Pediatric Gastroenterology
Emergency Medicine
Radiology

Background:

Esophageal foreign body ingestion is common in children.
Disk battery ingestion is a surgical emergency due to rapid tissue damage.
Coin ingestion requires different management strategies than battery ingestion.

Observation:

A 4-year-old asymptomatic child presented with suspected esophageal coin ingestion.
Radiographic findings suggested disk battery ingestion, a critical surgical emergency.
Surgical exploration revealed superimposed coins mimicking a disk battery.

Findings:

Radiographic appearance can be deceptive, mimicking serious ingestions.
Distinguishing between coin and disk battery ingestion is crucial for appropriate management.
Superimposed coins can present a rare radiographic mimic of a disk battery.

Implications:

Emphasizes the need for careful radiographic interpretation in suspected foreign body ingestions.
Highlights critical differences in the emergency management of ingested coins versus disk batteries.
Underscores the importance of surgical consultation for suspected disk battery ingestions.