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Related Concept Videos

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

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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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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Esophageal Varices-I: Introduction01:24

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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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Esophageal Varices-II: Clinical Features and Management01:28

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
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Related Experiment Video

Updated: Sep 1, 2025

Multimodality Diagnosis of Mesenteric Ischemia
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Small intestinal bleeding and stricture caused by Meckel's diverticulum.

Shinya Nakatani1, Kazuya Inoki1, Tomoe Tashiro1

  • 1Division of Gastroenterology Department of Medicine Showa University School of Medicine Tokyo Japan.

Clinical Case Reports
|August 18, 2022
PubMed
Summary

Meckel

Keywords:
Meckel's diverticulumcapsule endoscopyenteroscopyintestinal stricturelower gastrointestinal bleeding

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Lower gastrointestinal bleeding is a common clinical presentation.
  • Meckel's diverticulum is a congenital anomaly of the small intestine.

Observation:

  • A 44-year-old male presented with lower gastrointestinal bleeding.
  • Balloon-assisted enteroscopy identified an ileal diverticulum and stricture.

Findings:

  • The patient was diagnosed with Meckel's diverticulum after segmental small bowel resection.
  • The resected specimen confirmed the presence of Meckel's diverticulum causing the stricture.

Implications:

  • Meckel's diverticulum can lead to significant gastrointestinal complications, including strictures.
  • Clinicians should consider Meckel's diverticulum in the differential diagnosis of small bowel strictures presenting with bleeding.