here, we present a case of a 78-year-old man that underwent gastrointestinal endoscopy because of one- monthhistory of dysphagia to liquids and solid foods with accompanying weight loss. on endoscopy, there was distalesophageal stenosis. multiple biopsies were obtained. histologic examination of the samples revealed normaltissue. the stenosis was treated by dilatation and abdomino pelvic comput...

HYPOTHESIS Esophageal intubation with a bougie during laparoscopic Nissen fundoplication (LNF) is commonly used to prevent an excessively tight wrap. However, a bougie may cause intraoperative gastric and esophageal perforations. We hypothesized that LNF is safe and effective when performed without a bougie. DESIGN Retrospective review of 102 consecutive patients who underwent LNF without a b...

DESCRIPTION A 27-year-old woman presented to the medicine outpatient clinic with easy fatiguability and breathlessness on exertion since 2 months. She also complained of sore oral mucosa and was unable to swallow large morsels of food. Physical examination revealed angular cheilitis and pigmentation of the oral mucosa, severe pallor, koilonychias (figure 1), large volume pulse and a haemic murm...

INTRODUCTION Dysphagia is a known sequela after head and neck cancer (HNC) and causes malnutrition, aspiration pneumonia and a reduced quality of life. Due to improved survival rates, the number of patients with sequelae is increasing. Evidence on the ideal HNC-specific rehabilitation of dysphagia is lacking, but several studies indicate that early initiation is crucial. The aim of this study w...

BACKGROUND Dysphagia, or deglutition difficulty, is a common manifestation in patients with a stroke and its management is an important aspect of rehabilitation. Acupuncture, a complementary and alternative therapy, is the subject of growing public interest for treatment of stroke. OBJECTIVE A meta-analysis was performed to study the effect of acupuncture for treatment of dysphagia in patient...

Head and neck squamous cell carcinomas occur frequently with over 500,000 new cases diagnosed worldwide each year [1]. Chemoradiation therapy (CRT) has become an increasingly used treatment modality for head and neck cancer. Studies have shown CRT to be successful in improving locoregional control, disease free survival and overall survival [2, 3]. The significant aim of organ preservation ther...

A 41-year-old man with a history of metastatic medullary thyroid cancer presented with stridor, odynophagia, and dysphagia, worsening abruptly over the past 2 days. He had a moderate degree of dysphagia even at baseline secondary to a radiation-induced esophageal stricture, and previously had multiple esophagogastroduodenoscopies (EGDs) with dilation, most recently a year prior to presentation....

Esophageal cancer is a devastating disease with rapidly increasing incidence in Western countries. Dysphagia is the most common complication, causing severe malnutrition and reduced quality of life. A 69-year-old male with persistent esophageal cancer after radiation therapy was subjected to palliative by-pass surgery using a laparoscopic approach. Due to the advanced stage at diagnosis, pallia...