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Related Concept Videos

Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

77
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...
77
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

128
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.
During an EGD, the endoscope can be used to:
128
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

17
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
17
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

112
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...
112
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

69
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:
69
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

164
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...
164

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Updated: Jul 12, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Esophageal Stenting: How I Do It.

Rui Silva1

  • 1Gastroenterology Department, Portuguese Oncology Institute of Porto, Porto, Portugal.

GE Portuguese Journal of Gastroenterology
|November 1, 2023
PubMed
Summary
This summary is machine-generated.

Esophageal stent placement effectively treats strictures but lacks an ideal stent. This review details stent evolution, characteristics, and adverse event management for improved outcomes.

Keywords:
Adverse eventsEndoscopyEsophageal neoplasmsSelf-expandable metal stents

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Area of Science:

  • Gastroenterology
  • Medical Devices
  • Surgical Technology

Background:

  • Endoscopic esophageal stent placement is a key treatment for malignant and benign strictures, leaks, and perforations.
  • Despite advancements, current esophageal stents have limitations, including migration, tissue ingrowth, and pressure necrosis.
  • An ideal esophageal stent balancing efficacy and safety remains elusive.

Purpose of the Study:

  • To provide an overview of the evolution of esophageal stents.
  • To discuss the characteristics of currently available esophageal stents.
  • To guide understanding and prevention of adverse events associated with esophageal stent placement.

Main Methods:

  • Review of the historical development of esophageal stents.
  • Analysis of stent characteristics: material, construction, delivery systems, radial/axial forces, covering, and size.
  • Examination of insertion techniques and management strategies for adverse events.

Main Results:

  • Esophageal stents have evolved significantly, with diverse designs and materials available.
  • Stent characteristics (e.g., radial force, covering) influence efficacy and adverse event rates.
  • Understanding these characteristics is crucial for optimizing placement and minimizing complications.

Conclusions:

  • Continued evolution of esophageal stents aims to improve efficacy and reduce adverse events.
  • Careful consideration of stent properties and placement techniques is vital for successful outcomes.
  • Adherence to best practices in placement and management of complications enhances patient care.