www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 2321 els, visceral pain usually is dull, poorly localized, and felt in the midline. Pain from foregut structures (e.g., lower esophagus, stomach) generally is felt in the epigastrium. Midgut structures (e.g., small intestine) cause periumbilical pain, and hindgut structures (e.g., large intestine) cause lower abdominal pain. Parietal pain arises from n...

Background/Aims The aim of this study was to investigate the associations between obesity and erosive esophagitis (EE) or Barrett's esophagus (BE) in a Chinese population. Methods Data from subjects were retrospectively collected from 2006 to 2009. Individuals with BE were identified and age- and sex-matched at a 1:2 ratio with normal esophagocardial junction and EE patients. The subjects wer...

â  â  background esophageal squamous cell carcinoma (escc) is usually detected in advanced stages resulting in a very poor prognosis. early diagnoâ­sis needs identification of clinically relevant precancerous lesions which could become the target of screening and early treatment. our aim was to check whether esophagitis could serve as a relevant histological precursor of escc in northern iran. ...

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multiple esophageal diverticula is a rare entity that may be seen in the course of esophageal motor disorders. herein, i reported a 45 year-old man presented with intermittent chest pain and dysphagia since 20 years ago that exaggerated during the last six months. barium swallow and upper gi endoscopy revealed multiple diverticula along the esophagus and his esophageal manometry showed high amp...

Case description- A 2 years old common mynah (Acridotheres tristis) of unknown sex, weighing 180 g, with history of lack of appetite and depression was referred to the veterinary hospital of Lorestan University. Clinical findings- Clinical signs included: anorexia, depression and diarrhea. Lateral radiograph show...

introduction: the diagnosis of foreign bodies in the upper aerodigestive tract is usually straightforward but sometimes it can be delayed or the location of esophageal and upper airway foreign bodies can be mistakenly interchanged.  case report: we present two interesting cases that caused diagnostic challenges which could have led to serious complications if a greater delay in diagnosis had oc...

Background. Eosinophilic esophagitis (Ee) is a chronic immune-mediated disease of the esophagus, which characterized by symptoms esophageal dysfunction and marked eosinophilic infiltration mucous membrane (MM) organ. Currently, interest in problem global medical scientific community steadily growing. has no pathognomonic symptoms, causes great difficulty for diagnosis. Clinical case description...

Columnar epithelium in the distal part of the esophagus is generally related to Barrett's esophagus. Barrett's esophagus is a well-known premalignant lesion for adenocarcinoma of the esophagus. Therefore, its diagnosis and surveillance are important. Columnar epithelium in the esophagus other than Barrett's esophagus can be gastric heterotopia, which generally takes place in the upper part of t...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Spontaneous esophageal perforation or Boerhaave's syndrome is characterized by rupture of the esophagus due to rapid and spontaneous rise in intraluminal pressure. Only 14% patients present with Meckler's triad, which includes severe vomiting, chest pain subcutaneous emphysema. Approximately 90% perforations occur at...