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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

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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...
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Esophageal Strictures-I: Introduction01:30

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

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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...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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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:
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Esophageal stents: when and how.

Toufic Kachaamy1, Rahul Pannala

  • 1Cancer Treatment Centers of America, Goodyear, AZ, USA - Pannala.Rahul@mayo.edu.

Minerva Gastroenterologica E Dietologica
|January 30, 2016
PubMed
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Esophageal stents, particularly self-expanding metal stents, effectively manage dysphagia, leaks, and perforations. While generally safe, potential adverse events like migration and reflux require careful management and ongoing research into newer stent designs.

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Area of Science:

  • Gastroenterology and Endoscopy
  • Biomedical Engineering

Background:

  • Esophageal stents are crucial for managing dysphagia, leaks, and perforations.
  • Self-expanding metal stents are the primary treatment for esophageal cancer-related dysphagia due to their efficacy and safety.

Purpose of the Study:

  • To review the characteristics, applications, and outcomes of esophageal stents.
  • To discuss current challenges and future directions in esophageal stenting.

Main Methods:

  • Review of current literature on esophageal stent characteristics and clinical applications.
  • Analysis of safety and efficacy profiles of various stent types.
  • Discussion of management strategies for stent-related adverse events.

Main Results:

  • Self-expanding metal stents offer rapid symptom relief for malignant dysphagia with a favorable safety profile.
  • Stents are effective for malignant and benign fistulae, but long-term resolution rates for benign strictures are low.
  • Adverse events occur in <5%, with procedure-related mortality <2%; migration and reflux are common concerns.

Conclusions:

  • Esophageal stenting is a vital therapeutic option, with self-expanding metal stents being the mainstay for malignant dysphagia.
  • Careful patient selection, stent deployment, and management of adverse events are critical for successful outcomes.
  • Ongoing research into novel stent designs aims to further improve efficacy and reduce complications.