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Esophageal Strictures-I: Introduction

Esophageal Strictures-I: Introduction

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...

Esophageal Strictures-II: Clinical Features and Management

Esophageal Strictures-II: Clinical Features and Management

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...

Esophageal Perforation-I: Introduction

Esophageal Perforation-I: Introduction

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....

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal Perforation-II: Clinical Manifestations and Management

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:

Gastroesophageal Reflux Disease I: Meaning and Pathophysiology

Gastroesophageal Reflux Disease I: Meaning and Pathophysiology

Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...

Gastroesophageal Reflux Disease II: Clinical Features and Management

Gastroesophageal Reflux Disease II: Clinical Features and Management

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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Related Experiment Video

Updated: Sep 6, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Esophageal Food Impaction.

William L Valentino^1,2, Soheil Sharifi-Amina^1,2

¹Riverside Community Hospital, Department of Radiology, 4445 Magnolia Ave, Riverside, CA, 92501, USA.

Radiology Case Reports

|June 27, 2022

Summary

This summary is machine-generated.

Urgent removal of esophageal foreign bodies is crucial. Fluoroscopy effectively identified a food impaction, leading to endoscopic confirmation of a peptic stricture from Barrett

Keywords:

Esophagram Food impaction Foreign body ingestion

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Last Updated: Sep 6, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

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Published on: September 11, 2018

Area of Science:

Gastroenterology
Radiology

Background:

Esophageal foreign body impaction necessitates prompt intervention.
Clinical presentation dictates the urgency of removal.
Radiographic imaging aids in management decisions.

Observation:

A 66-year-old male presented with persistent epigastric pain, globus sensation, and dysphagia.
Clinical symptoms included inability to tolerate food or liquids and regurgitation.

Findings:

Fluoroscopic evaluation identified a food impaction in the distal esophagus.
Endoscopic examination confirmed the impaction and revealed a peptic stricture associated with Barrett's esophagus.
While computed tomography is prevalent, fluoroscopy remains a valuable diagnostic tool.

Implications:

This case highlights the diagnostic utility of fluoroscopy in esophageal foreign body impaction.
It underscores the importance of considering underlying conditions like peptic strictures in Barrett's esophagus.
Effective management strategies involve prompt diagnosis and intervention.