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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

88
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:
88
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

122
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....
122
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

231
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
231
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

103
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...
103
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

138
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...
138

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Related Experiment Video

Updated: Jul 17, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Atypical fundal perforation: a case report.

Sadaf Davoudi1, Marjolein De Decker2, Paul Willemsen2

  • 1Faculty of Medicine, KU Leuven University, Leuven 3000, Belgium.

Journal of Surgical Case Reports
|August 30, 2023
PubMed
Summary

This case study highlights an unusual gastric perforation in the fundus, a rare complication following endoscopic sleeve gastroplasty (ESG) and recent abdominal surgery. It emphasizes potential risk factors associated with significant weight loss and surgical history.

Keywords:
endoscopic sleeve gastroplastyfundal perforationgastric perforationobesityperforated fundal ulcer

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Area of Science:

  • Gastroenterology
  • Bariatric Surgery
  • Surgical Complications

Background:

  • Gastric perforations commonly occur in the distal stomach, often due to peptic ulcer disease.
  • Endoscopic sleeve gastroplasty (ESG) is a minimally invasive bariatric procedure with a generally favorable safety profile.
  • Major adverse events after ESG, though infrequent, can include gastrointestinal bleeding and leaks.

Observation:

  • A 31-year-old patient presented with severe abdominal pain and nausea.
  • Laparoscopy revealed a large gastric perforation located atypically in the fundus.
  • The patient had undergone abdominoplasty with revisional surgery and significant weight loss post-ESG.

Findings:

  • The gastric fundal perforation represents an atypical presentation compared to typical distal locations.
  • Potential contributing factors include surgical stress, revisional surgery, substantial weight loss, and prior ESG.
  • This case underscores the possibility of rare complications even after seemingly safe procedures.

Implications:

  • Highlights the importance of considering atypical presentations of gastric perforation in patients with a history of bariatric surgery and recent abdominal procedures.
  • Suggests that a combination of factors may increase the risk of gastric perforation in specific patient profiles.
  • Contributes to the understanding of rare but serious adverse events associated with endoscopic sleeve gastroplasty and significant weight loss.