Non-iatrogenic traumatic cervical esophageal perforations are usually hard to manage in the clinical setting, and often require a careful and individualized approach. The low incidence of this particular problem leads to a restricted clinical experience among most centers and justify the lack of a standardized surgical approach. Conservative treatment of esophageal perforation remains a controv...

Transmural perforation of the esophagus following an effortful vomiting is a rare but fatal condition. This situation, known as Boerhaave’s syndrome, is caused by spontaneously occurring perforations. The esophagus is not resistant to reflexes such as nausea and vomiting because it lacks serosal layers. Boerhaave syndrome, in which substantial amounts of spontaneous perforations occur, is gener...

Black esophagus or acute esophageal necrosis is characterized by circumferential black discoloration of the distal mucosa. It a rare condition with multifactorial pathogenesis, and its most common clinical presentation upper gastrointestinal bleeding. usually affects elderly patients multiple comorbidities associated high mortality rate. This case report 90-year-old man comorbidities, including...

OBJECTIVES Data on management of esophageal narrowing related to eosinophilic esophagitis (EoE) in children are scanty. The aim of the present study is to assess the safety and effectiveness of esophageal dilation in pediatric EoE from the largest case series to date. METHODS Children diagnosed with EoE during 2004 to 2015 were reviewed for the presence of esophageal narrowing. Esophageal nar...

Because many patients who have swallowed foreign bodies are asymptomatic, physicians must maintain a high index of suspicion. The majority of ingested foreign bodies pass spontaneously, but serious complications, such as bowel perforation and obstruction, can occur. Foreign bodies lodged in the esophagus should be removed endoscopically, but some small, blunt objects may be pulled out using a F...

BACKGROUND The aim of this study was to assess the effectiveness and complications of rigid endoscopy (RE) and flexible endoscopy (FE) for the extraction of esophageal foreign bodies (FB) in adults. MATERIAL AND METHODS A retrospective analysis was conducted on the medical records of 216 adult patients with esophageal FB impaction treated at Peking University Third Hospital, Beijing, China, b...

Ingestion of a corrosive substance can produce severe injury to the gastrointestinal tract and can even result in death. The degree and extent of damage depends on several factors like the type of substance, the morphologic form of the agent, the quantity, and the intent. In the acute stage, perforation and necrosis may occur. Long-term complications include stricture formation in the esophagus...

neous rupture: successful closure with endoscopic suture device We report a case of successful closure of postoperative esophageal leakage using an endoscopic suture device. A 60-yearold man was initially admitted for spontaneous rupture of the esophagus requiring emergency surgery. Intraoperatively a 3-cm perforation was identified on the right side of the lower esophagus. Themucosal defect wa...