CASE REPORT This is the case of a 61-yr-old male who underwent a threestage oesophagectomy and substernal gastric interposition as surgical treatment for a tumour 3, node 0, metastasis 0 poorly differentiated squamous cell carcinoma of the middle oesophagus. Unusual posterior mediastinal anatomy (the thoracic aorta and thoracic duct were very deep, and the distance between the trachea and anter...

tionale for our recently proposed technique [1]. When many different procedures are described for the treatment of the same disease, it is clear that the ideal technique has not been identified yet. In our opinion, the method devised by Actis Dato et al. [2] has a valid theoretical basis and has, in their hands, proved to be safe and effective. Furthermore, the authors have such a considerable ...

Background: To determine the thyroid function tests and urinary iodine levels in women belonging to goiter endemic area. Study type and settings: Descriptive study conducted in women of goiter endemic area in Saggian Lahore. Subjects and Methods: Saggian Lahore is a goiter endemic area. A total of 293 women between the ages of 18-45 years residing in the area were clinically screened for goiter...

Objective: To evaluate the impact of salt iodization on the prevalence of goiter among school children in the city of Shiraz. Design: In 1989, prior to initiation of universal salt iodization in Iran, 2419 male and female students, 6-18 years were randomly selected and evaluated for the presence of goiter, which was graded according to WHO goiter classification. A similar study was carried out ...

OBJECTIVE This cross-sectional study was conducted in Ahwaz, Iran to find out the prevalence of goiter among schoolchildren ages 11-16 years. SUBJECTS AND METHODS Multistage sampling methodology was followed for selecting the study population. A total of 1,950 children (1,050 males, 900 females) were clinically assessed for thyroid gland enlargement. Data were collected on age, sex, weight, h...

transmural ulceration and perforation ofthe oesophagus we have seen. The clinical and histological evidence suggests that the leak occurred during the second week after sclerotherapy, by which time most patients will have been discharged from hospital. Minor side-effects ofsclerotherapy are seen regularly but usually disappear within 48 hours. These include retrosternal discomfort, dysphagia an...

HYPOTHESIS Multinodular goiter (MG) with compression symptoms has a clinical profile different from that of goiter without these symptoms. The surgical treatment of MG with compression symptoms has a high rate of sternotomy and morbidity. DESIGN Retrospective study conducted between 1970 and 1999. SETTING Tertiary referral center. PATIENTS One hundred fifty-seven patients with MG with com...