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Related Concept Videos

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:
117
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....
147
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

136
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...
136
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

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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...
223
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

247
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...
247
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

133
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...
133

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Post-Esophagectomy Hiatal Hernia: A Case Series.

Vishu Jain1, Subhash C Soni1, Peeyush Varshney1

  • 1Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, IND.

Cureus
|February 3, 2023
PubMed
Summary

Post-esophagectomy hiatal hernia is a rare complication with varied presentations. Prompt detection and early surgical intervention are crucial for managing emergency cases, ensuring better patient outcomes.

Keywords:
hiatal herniasmie: minimally invasive esophagectomyparaesophageal hiatal herniapost esophagectomy herniasurgical emergencies

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Post-esophagectomy hiatal hernia is an uncommon complication following esophageal surgery.
  • Presentations range from asymptomatic findings to acute surgical emergencies like strangulation.

Observation:

  • Three cases of post-esophagectomy hiatal hernia are presented.
  • Patients had undergone surgery for esophageal squamous cell carcinoma (SCC) or leiomyomatosis.
  • Surgical approaches included minimally invasive McKeown's esophagectomy and robotic transthoracic Ivor-Lewis esophagectomy.

Findings:

  • Two cases presented as surgical emergencies, while one was asymptomatic and detected incidentally.
  • All patients showed symptomatic improvement post-management.
  • Management varied from conservative approaches for asymptomatic cases to emergency surgery.

Implications:

  • This rare complication necessitates a high index of suspicion for varied clinical presentations.
  • Timely diagnosis and appropriate management, especially surgical intervention in emergencies, are vital for favorable outcomes.
  • Optimal post-operative care and rehabilitation are essential for patients undergoing surgery for this complication.