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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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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.
Sigmoidoscopy
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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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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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 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.
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Esophagus01:24

Esophagus

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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.
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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Related Experiment Video

Updated: Feb 22, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Fast track program for esophagectomy patients.

Qin Jianjun1, Li Yin1, Xing Wenqun1

  • 1Department of Thoracosurgery, Henan Tumor Hospital, Zhengzhou University, Zhengzhou, China.

Thoracic Cancer
|September 19, 2017
PubMed
Summary
This summary is machine-generated.

A fast track (FT) program for esophagectomy patients significantly reduces hospital stays to 7 days. This approach is safe and feasible for esophageal cancer resections, maintaining patient quality.

Keywords:
Esophageal carcinomaesophagectomyfast track surgery

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Critical Care Medicine

Background:

  • Fast track (FT) programs are underutilized in esophagectomy care.
  • Streamlining postoperative care can reduce hospital stays and maintain patient satisfaction.

Purpose of the Study:

  • To evaluate the feasibility and safety of a 7-day fast track (FT) program for esophagectomy patients.
  • To assess the impact of FT care on hospital stay duration and patient outcomes.

Main Methods:

  • An FT algorithm was applied to 80 patients undergoing elective esophageal resection for carcinoma.
  • Key elements included avoiding intensive care, early ambulation, and initiating oral nutrition on postoperative day 1.
  • The goal was discharge on postoperative day 7.

Main Results:

  • 97.5% of patients successfully completed the FT program with planned discharge on postoperative day 7.
  • No patients experienced readmission within 30 days or anastomotic leakage.
  • The average time to first flatus was 51.7 hours.

Conclusions:

  • The majority of patients with esophageal carcinoma can tolerate fast track surgery.
  • Initiating oral nutrition on postoperative day 1 is safe.
  • Fast track surgery is a feasible option for elective esophageal cancer resections without compromising quality.