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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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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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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 Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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

Barrett Esophagus-II: Clinical Manifestations and Management

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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 Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

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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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Related Experiment Video

Updated: Mar 25, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

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Large Epiphrenic Diverticula: A Rare Case Presentation.

Ajay H Bhandarwar1, Pravin N Tungenwar1, Yogesh M Sawakare1

  • 1Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals , Byculla, Mumbai, India.

Clinics and Practice
|February 27, 2016
PubMed
Summary
This summary is machine-generated.

A large epiphrenic diverticulum was surgically removed. A subsequent esophageal leak rapidly healed within two weeks using a covered esophageal stent, a faster recovery than traditional methods.

Keywords:
Epiphrenic diverticulumachalasialeakstent

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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Area of Science:

  • Gastroenterology
  • Thoracic Surgery
  • Medical Devices

Background:

  • Epiphrenic diverticula are rare outpouchings of the esophagus.
  • Symptomatic large diverticula often require surgical intervention.
  • Esophageal leaks are a known complication of esophageal surgery.

Observation:

  • A 70-year-old female presented with worsening heartburn and halitosis due to a large (10x10 cm) right-sided epiphrenic diverticulum and hypertensive lower esophageal sphincter.
  • Video-assisted thoracoscopic surgery (VATS) for diverticulectomy was performed.
  • A significant esophageal leak occurred on postoperative day 5.

Findings:

  • The esophageal leak was successfully managed with a covered esophageal stent placement.
  • The patient tolerated oral feeds by day 3, and the leak healed completely within 2 weeks.
  • This represents one of the largest epiphrenic diverticula reported and a rapid recovery from a post-surgical leak using stenting.

Implications:

  • Covered esophageal stent placement offers a potentially faster and effective treatment for post-surgical esophageal leaks.
  • This case highlights the successful management of a large epiphrenic diverticulum and its associated complications.
  • Further research into stent-based management of esophageal leaks may be warranted.