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Related Concept Videos

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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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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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-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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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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Barrett Esophagus-I: Introduction01:21

Barrett Esophagus-I: Introduction

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Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Oroesophageal Fish Bone Foreign Body.

Heung Up Kim1

  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.

Clinical Endoscopy
|July 28, 2016
PubMed
Summary
This summary is machine-generated.

Fish bone foreign body (FFB) in the esophagus is common, especially in Asia. Emergent treatment within 6 hours is crucial to prevent severe complications like perforation and aortoesophageal fistula.

Keywords:
Bone and bonesEsophagusForeign bodiesPharynxSeafood

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Area of Science:

  • Gastroenterology
  • Otolaryngology
  • Thoracic Surgery

Background:

  • Fish bone foreign body (FFB) is the most common food-associated foreign body in adults, particularly in Asia.
  • The esophagus, especially the cricopharyngeus muscle, is the most frequent site for esophageal foreign body impaction.
  • Esophageal foreign body disease affects men more frequently than women.

Purpose of the Study:

  • To review the epidemiology, diagnosis, and management of fish bone foreign bodies in the esophagus.
  • To highlight the urgency of treatment for esophageal FFB disease and associated risks.
  • To emphasize the importance of prompt surgical consultation for potential complications.

Main Methods:

  • Literature review of fish bone foreign body (FFB) cases.
  • Analysis of diagnostic modalities including laryngoscopy and computed tomography (CT).
  • Evaluation of risk factors for poor prognosis and complications.

Main Results:

  • FFB is more prevalent than other food-related foreign bodies, with the esophagus as the common lodging site.
  • Computed tomography (CT) is recommended over simple radiography for suspected complications.
  • Risk factors for poor prognosis include delayed treatment, bone type, and FB length (>3 cm).
  • Bleeding and perforation are more common in FFB cases, necessitating emergent treatment within 6 hours.

Conclusions:

  • Esophageal FFB disease requires emergent management, ideally within 2-6 hours, due to high complication rates.
  • Penetration can lead to life-threatening aortoesophageal fistulas, underscoring the need for prompt thoracic surgery consultation.
  • Early diagnosis and intervention are critical for favorable outcomes in esophageal FFB cases.