To cite: Sharma D, Murki S, Pratap T. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014203982 DESCRIPTION Case A term baby boy born with a birth weight of 2.5 kg, with Apgar scores of 8/8/9 was admitted in our neonatal intensive care unit as a case of tracheoesophageal fistula type C. He was evaluated for any VACTERL (Vertebral defects, imperforate Anus, Cardia...

Achalasia is a rare idiopathic, primary esophageal motility disorder. Pharmacologic, endoscopic and surgical methods are used in its treatment. The efficiency of the treatment is generally based on clinical "subjective" criteria. Manometry, which is the gold standard in diagnostic and in treatment monitoring is not always available, it is costly and it needs expertise. The role of timed barium ...

Background and Aims. We initiated peroral endoscopic myotomy (POEM) utilizing a two-person technique with combination of an advanced endoscopist and a thoracic surgeon with complementary skills. Our aim was to determine the feasibility and outcomes in initial 20 patients. Methods. In this observational study, main outcomes measured were therapeutic success in relieving symptoms (Eckardt score <...

Barium esophagograms of 89 patients out of 110 with manometrically proven achalasia were reviewed. Only four (4.4%) patients showed association of hiatal hernia, indicative of its rare occurrence. Presence of hiatal hernia, is said to have less likelihood of associated achalasia but this association does exist as per our report and that of others.

OBJECTIVE The purpose of this study was to describe the sonographic findings of Zenker diverticula. METHODS This study included 6 patients (age, 26-70 years; average, 55.3 years). Three cases were detected incidentally by thyroid sonograms, and 3 cases were transferred from other hospitals for aspiration of a thyroid nodule. All the sonograms and medical records were reviewed retrospectively....

Tracheoesophageal and bronchoesophageal fistulas are usually diagnosed early in life after an infant presents with difficulty feeding or recurrent pneumonias. These conditions rarely presents in adulthood. We report a case of a 59-year-old woman who presented with cough and recurrent pneumonias. The workup revealed a bronchoesophageal fistula that was diagnosed on CT and confirmed with a barium...

Timed barium esophagogram (TBE) is a simple and objective method for assessing the esophageal emptying. The technique of TBE is similar to usual barium swallow with some modifications, which include taking multiple sequential films at pre-decided time interval after a single swallow of a fixed volume of a specific density barium solution. While many authors have used height and width of the bar...

UNLABELLED Angelman Syndrome is a neurodevelopmental condition with a characteristic phenotype that includes epilepsy and lack of communication. We describe its first reported association with Schatzki's ring that presented as a life-long history of intermittent retching. Because of associated cognitive dysfunction, careful diagnostic consideration is required to detect this underlying conditio...

A case of liposarcoma in a giant pedunculated lipoma of the esophagus in a 49-year-old Korean woman who presented intermittent swallowing difficulty for 3 years is reported. Endoscopy and esophagography revealed that a giant smooth longitudinal tumor mass almost entirely occupied the esophageal lumen. A total esohagectomy was done. The tumor was 20 cm in length and 7 cm in average diameter with...

Castleman disease is a relatively rare disorder of lymphoid tissue that involves the gastrointestinal tract in a variety of clinical and pathologic manifestations. A submucosal location has never been described in the medical literature. We report a case of esophageal Castleman disease involving the submucosal layer in a 62-year-old man, which was confirmed on pathology. Esophagography and CT d...