Laceration of the posterior tracheal wall is one of the risks of transhiatal esophagectomy. Various methods of repairing such lacerations have been described; many of these methods involve a thoracotomy, but some do not. We describe a case of a posterior tracheal wall tear that occurred during a laryngopharyngectomy with a gastric pull-up. The tear was repaired with the transposed stomach and d...

Esophageal carcinoma is the sixth leading cause of cancer death in the world [1]. The optimal treatment for resectable esophageal cancer is curative surgery, including transhiatal [2] or transthoracic [3] esophagectomy, accompanied by reconstruction of the digestive conduit. Cases of diaphragmatic herniation (DH) after esophagectomy for esophageal cancer have been previously reported. DH is rec...

A 71 year old man underwent retrosternal gastric tube reconstruction following transhiatal oesophagectomy for squamous cell carcinoma. On the second post-operative day, the patient developed a cardiac arythmia with secondary hypotension followed by hypoxaemia necessitating artificial ventilation. Two weeks after surgery, endoscopy revealed massive necrosis of the proximal segment of the gastric...

The objective behind the correct study was to determine the outcome of various surgical modalities in patients with lower third esophageal cancer in terms of: Operative time. Intra -operative complications. Conversion rates, post operative morbidity, Mortality. Our study included 35 Patients, endoscopy and biopsy proven cases of lower third oesophageal carcinoma. On admission a detailed history...

The potentially serious complications of paraoesophageal hiatus hernias are known but its counterpart the sliding hernia, is thought to be more benign in nature. We describe a 72 year old female admitted with epigastric pain after gorging on her Christmas meal, who proved a diagnostic difficulty for both the medical and surgical registrars and was found to have a perforated incarcerated sliding...

Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract. Therefore, an early detection and an effective therapeutic management are important. In the era of advanced endoscopy, though the primary treatment of an impacted foreign body in the oesophagus is an endoscopic removal, a primary surgical treatment is advised for dentures with sharp hooks. Also, a pr...