epiphrenic esophageal diverticula (eed) are rare. the estimated incidence is about 1:500,000/year. eed usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. most of the symptoms are unspecific, but dysphagia is most common. chest radiograph, barium esophagogram, endoscopy and manometry  are diagnostic tools. the ...

PURPOSE Endoluminal application of mitomycin C shows promise as a nonsurgical approach to treating recalcitrant stricture but requires precise delivery to prevent mitomycin-mediated injury to adjacent normal mucosa. We describe a novel technique that uses a microporous polytetrafluoroethylene catheter balloon to endoluminally deliver mitomycin C to the target tissue while minimizing nontarget d...

Dysphagia following laparoscopic fundoplication for medically refractory gastroesophageal reflux disease (GERD) is common. In patients without an anatomic defect, it has been hypothesized that the ant wrap may be too tight. Therefore, pneumatic dilation help relieve obstruction. While retrospective data support this hypothesis, prospective are lacking. We summarize @GIJournal discussion held on...

The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1%-5%, with a mortality rate of 1%-20%. Perforations need to be recognized early, and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia...

PATIENT Female, 82 FINAL DIAGNOSIS: Achalasia Symptoms: Nocturnal regurgtation • weight loss MEDICATION - Clinical Procedure: Esophageal stenting Specialty: Gastroenterology • Hepatology Objective: Unusual or unexpected effect of treatment. BACKGROUND Pneumatic dilatation is one of the most effective methods for treating achalasia. Esophageal perforation is the most serious complication aft...