A 58-year-old man with esophageal cancer underwent a transhiatal esophagectomy and presented to the surgical intensive care unit (SICU) with progressively worsening shortness of breath 14 days after his surgery. The patient was found to have a left empyema, possibly from an anastomotic leak, and underwent a left video-assisted thoracotomy (VATS) decortication and empyema drainage, and endoscopi...

We report seven early gastric cancers in five patients, which arose in the reconstructed gastric tube after radical resection for esophageal cancer. Four of them occurred in the middle gastric tube and three in the distal gastric tube. Three of 5 cases were reconstructed via the retromediastinal route and two via the presternal route. They all were diagnosed by follow-up endoscopy from 8 months...

BACKGROUND Complete esophageal stricture is a difficult problem to manage. There is limited literature to support clinical decision-making. To evaluate outcomes and efficacy, we performed a retrospective medical chart review of patients who received combined anterograde retrograde esophageal dilation (CARD) between 2002 and 2009 at our institution. METHODS Fifteen patients were identified who...

To determine the accuracy of the Esophageal Detector Bulb (EDB) in the aeromedical setting, we conducted a prospective, observational study of all intubated patients transported by an aeromedical program over two years. Flight personnel recorded the results of the EDB, clinical examination, pulse oximetry, and capnography (ETCO(2)). Endotracheal tube position was confirmed by prehospital ETCO(2...

Background/objectives: Plummer-Vinson syndrome also known as sideropenic dysphagia is a disease characterized by chronic iron-deficiency anemia, dysphagia and esophageal web. It commonly affects white female in the 4th to 7th decade. Most of the dysphagia and iron deficiency can be treated by iron supplementation and rarely web dilatation is needed. Setting: Department of ENT, Head and Neck Sur...

A preterm newborn required pulmonary surfactant administration and high frequency oscillatory ventilation due to respiratory distress syndrome. VACTERL association was suspected after diagnosis of several congenital anomalies (butterfly vertebra, double left ureteral system, double outlet right ventricle and limbs anomalies). A nasogastric tube was passed and tip position was confirmed in the s...

Esophageal perforation is associated with a significant risk of morbidity and mortality. We report herein a case of lye-induced esophageal perforation managed successfully by employing endoscopic T-tube placement with a successful outcome.

Since Price Thomas in Britain, J. Mathey in France, and P. Gebauer in Hawaii showed (194751) that reconstructive bronchoplastic procedures were surgically possible, the operation of lobectomy with sleeve resection of the bronchus has become a standard procedure for those cases of carcinoma of a lobar bronchus which involves, locally, the bronchus to another lobe. Previously a tumour thus sited ...

Since Price Thomas in Britain, J. Mathey in France, and P. Gebauer in Hawaii showed (194751) that reconstructive bronchoplastic procedures were surgically possible, the operation of lobectomy with sleeve resection of the bronchus has become a standard procedure for those cases of carcinoma of a lobar bronchus which involves, locally, the bronchus to another lobe. Previously a tumour thus sited ...

We present a series of cases of acute esophageal necrosis along with a video demonstration. The video captures a case showing the severity of necrosis of the esophageal mucosa; an orogastric tube easily passed through the esophageal lumen and into the right hemithorax. The series also demonstrates the severity of this illness, with an associated high mortality rate.