More than one hundred years ago, Sir William Osler noted that 'oesophagismus is met with in hysterical patients and hypochondriacs ... the idiopathic form is found in females of a marked neurotic habit'.2 Since then the role of psychological factors in many oesophageal disorders has been well documented. These include the nutcracker oesophagus which causes chest pain and upper oesophageal sphin...

Esophageal motor abnormalities are currently categorized into separate entities based on standard manometry. The clinical significance of these categories is controversial. We evaluated whether ambulatory 24-h esophageal motility monitoring improves the assessment of patients thought to have a primary esophageal motor disorder. Standard and ambulatory 24-h esophageal motility records of 30 heal...

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...

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...

The os trigonum is present in 7.7% (Basmajian 1975) of .............. the population and may be unilateral or bilateral. It is a developmental anomaly, an accessory bone behind the l talus and above the calcaneum. Generally it is of no significance. It may however cause trouble, in jumping, ballet and fast bowling where impulsive plantar flexion while weight-bearing is involved. It then behaves...

Various anatomic anomalies have been considered the causes of nutcracker syndrome (NCS). Posterior NCS refers to the condition, in which vascular narrowing was secondary to the compression of the retroaortic left renal vein while it is crossing between the aorta and the vertebral column. Here, we report an unusual case of posterior NCS associated with a complicated malformation of the interrupt...

Endovascular stent placement for decompression of an entrapped left renal vein (LRV) between the aorta and superior mesenteric artery is an alternative to surgical decompression for treating the nutcracker syndrome. However, an interventional approach may be challenging because of the unfavorable configuration of the LRV, leading to insufficient stent anchoring. We provide a case of a life-thre...

BACKGROUND AND AIM The familial aggregation of Barrett's esophagus, adenocarcinoma of the esophagus, and adenocarcinoma of the gastroesophageal junction, jointly termed familial Barrett's esophagus, may represent a complex genetic trait. The aim of this study was to determine the proportion of patients with these diseases who have familial Barrett's esophagus. METHODS Information on gastroeso...