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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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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.
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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.
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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.
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Esophageal Strictures-II: Clinical Features and Management01:26

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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.
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Feb 24, 2026

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Enhanced recovery protocols after oesophagectomy.

Laura J Halliday1, Sheraz R Markar1, Sophie L F Doran1

  • 1Department of Cancer and Surgery, Imperial College London, London, UK.

Journal of Thoracic Disease
|August 18, 2017
PubMed
Summary

Enhanced recovery protocols (ERPs) show promise in esophageal cancer surgery for better outcomes and cost savings. Successful implementation requires addressing complex social, organizational, and cultural factors beyond protocol variations.

Keywords:
Perioperative careesophagectomyhealth plan implementationpostoperative complications

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Area of Science:

  • Surgical Oncology
  • Clinical Practice Improvement

Background:

  • Enhanced Recovery Protocols (ERPs) are proven feasible and safe across surgical disciplines.
  • Studies indicate improved post-operative outcomes and economic benefits of ERPs in esophageal cancer surgery.

Purpose of the Study:

  • To analyze the challenges in translating ERP benefits into widespread clinical practice for esophageal cancer surgery.
  • To highlight the importance of implementation strategies considering multifactorial influences.

Main Methods:

  • Review of existing literature on ERPs in surgical specialties, with a focus on esophageal cancer.
  • Analysis of factors contributing to variability in protocol adoption and compliance.

Main Results:

  • Despite demonstrated benefits, ERP adoption in esophageal cancer surgery is inconsistent.
  • Protocol variations, poor compliance, and inadequate implementation strategies hinder widespread success.

Conclusions:

  • Successful ERP implementation in esophageal cancer surgery necessitates addressing complex social, organizational, and cultural factors.
  • Robust implementation strategies are crucial for realizing the full potential of ERPs in clinical practice.