in this paper, two patients with severe dysphagia and esophageal stricture secondary to epidermolysis bullosa are presented and discussed. they are siblings of an affected family. primary resection and anastomosis had been performed previously in both patients, but dysphagia had recurred. we treated these patients with free jejunal graft to the esophagus with excellent results. both patients ar...

a 69-year-old woman was admitted to hospital 4 times from november 2007 to june 2009. the patient had silicosis complicated by broncholithiasis, esophagobronchial fistula, and relapsed tuberculosis. she had worked as a stone crusher for 3 years and was exposed to a large amount of quartz dust. barium esophagography, gastroesophageal endoscopy, and biopsy suggested esophageal-related chronic inf...

Results A sixty-two year-old female presented in May 2009 with an eighteen-month history of dysphagia due to a chronic benign esophageal structure, presumed secondary to previous radiotherapy treatment for breast cancer. She complained of occasional heartburn, indigestion and cough and described a 60lbs weight loss due to tolerance of a liquid only diet. She had a fifteen-year smoking history. ...

A 67-year-old man was referred for Barrett’s esophagus, Prague classification C8M8, with high grade dysplasia (HGD). A first endoscopic mucosal resection (EMR) using the Duette system (Wilson Cook Medical, USA) allowed removal of half of the circumference of the Barrett’s area. The remaining Barrett’s zone was resected 1month later, without peroperative adverse events (●" Fig.1). However, 4 hou...

gastrointestinal endoscopy are perfora− tion and hemorrhage. Our case report de− scribes a rare complication that occurred during diagnostic endoscopy. A 53−year−old man with diabetes was ad− mitted to our department because of dis− turbed carbohydrate balance. Because he was suffering from epigastric pain and re− current coffee−ground vomiting (he was on continuous antiplatelet agent ther− apy...

The normal mechanism of preventing the reflux of gastric contents into the oesophagus has been studied intensely, but no hypothesis is so easy to prove and understand that it has obtained universal acceptance (Allison, 1956; Barrett, 1954; Botha, Astley, and Carre, 1957; Marchand, 1955). Methods of prevention of reflux which has resulted in oesophageal pathology are therefore variable. Reflux i...

the patient is a 69 years old female presented with chest pain and rapidly progressive dysphagia. then she suffered of hematemesis and aphagia. in evaluation of patient, a intramural hematoma obstructing esophageal lumen was demonstrated which was accompanied with mucosal ulceration and bleeding. it appears that this complication occurred in the context of concomitant use of alendronate with as...

patients with syndrome x coronary disease represent a heterogeneous group of patients. medical treatment with dilators and calcium channel blockers are not very effective. we evaluated the use of transmyocardial laser revascularization (tmlr) in treating 5 patients with this syndrome. between may 2002 to december 2005, 5 patients with cardiac syndrome x (mean age of 49.7 years) underwent tmlr. ...

managed in the primary care setting. Surveys suggest that approximately 20 percent of U.S. adults have symptoms of GERD at least once a week.4 A subgroup of patients with GERD develop severe complications that include erosive esophagitis, stricture formation, Barrett’s esophagus, and adenocarcinoma of the esophagus. Because Barrett’s esophagus is thought to be associated with the development of...

We have studied the effects of two discrete types of surgical stimulation on contractions in the lower oesophagus. Forty-four female patients undergoing either abdominal hysterectomy or varicose vein surgery were anaesthetized using a standard technique. The frequency of spontaneous oesophageal contractions (SLOC) and amplitude of provoked contractions (PLOC) were greater in those patients unde...