scholarly journals Minimally invasive approach to esophageal lipoma

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Daniele Bernardi ◽  
Davide Ferrari ◽  
Stefano Siboni ◽  
Matteo Porta ◽  
Barbara Bruni ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Gastrointestinal Endoscopy ◽  
Clinical Presentation ◽  
Upper Gastrointestinal Endoscopy ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Life Saving ◽  
Recurrent Vomiting ◽  
Life Threatening ◽  
Upper Gastrointestinal

Abstract Esophageal lipoma is a rare neoplasm with heterogeneous and sometimes life-threatening clinical presentation. We report the case of two patients, a 77-year-old man and a 69-year-old woman presenting with heartburn and dysphagia, and with recurrent vomiting and asphyxia, respectively. Upper gastrointestinal endoscopy and computed tomography were highly suggestive of the diagnosis of esophageal lipoma and identified an intramural and an intraluminal pedunculated mass originating, respectively, from the distal and the cervical esophagus. The first patient was treated by laparoscopic transhiatal enucleation and the second by transoral endoscopic resection under general anesthesia. Both had an uneventful postoperative course and were discharged home on postoperative day 2. Minimally invasive excision of esophageal lipoma is feasible and effective. It may be life-saving in patients with pedunculated tumors who suffer from intermittent regurgitation of a bulky polypoid mass in the mouth causing asphyxia.

scholarly journals Does minimally invasive also stand for minimal patient risk? Lessons from an upper gastrointestinal endoscopy

2014 ◽  
Vol 2014 (mar31 1) ◽  
pp. bcr2014204048-bcr2014204048
Author(s):  
L. M. Vilardouro Paiva ◽  
A. Faustino ◽  
R. Providencia ◽  
M. C. Cachulo
Keyword(s):  
Minimally Invasive ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Endoscopy ◽  
Patient Risk ◽  
Upper Gastrointestinal

Phenobarbital-Responsive Ptyalism, Dysphagia, and Apparent Esophageal Spasm in a German Shepherd Puppy

2004 ◽  
Vol 40 (3) ◽  
pp. 230-237 ◽  
Author(s):  
Kristi J. Gibbon ◽  
Lauren A. Trepanier ◽  
Fern A. Delaney
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Clinical Presentation ◽  
Upper Gastrointestinal Endoscopy ◽  
German Shepherd ◽  
Esophageal Function ◽  
German Shepherd Dog ◽  
Esophageal Spasm ◽  
Salivary Gland Enlargement ◽  
Upper Gastrointestinal ◽  
Gland Enlargement

A 10-week-old, male German shepherd dog was presented with a primary complaint of episodic ptyalism, dysphagia, vomiting, and mandibular salivary gland enlargement. An esophagram with fluoroscopy showed normal pharyngeal and esophageal function; however, upper gastrointestinal endoscopy and cervical ultrasonography revealed a focal circumferential thickening of the midcervical esophageal muscular wall, consistent with esophageal spasm. The puppy responded dramatically and completely to phenobarbital treatment. An unusual syndrome of phenobarbital-responsive hypersialosis was consistent with this dog’s clinical presentation and the finding of apparent esophageal spasm. The pathogenesis of this syndrome is unclear, but it may represent a form of limbic epilepsy or peripheral autonomic dysfunction.

scholarly journals Aspiration in the Context of Upper Gastrointestinal Endoscopy

2007 ◽  
Vol 21 (4) ◽  
pp. 223-225 ◽  
Author(s):  
A Thomson ◽  
J Tye-Din ◽  
S Tonga ◽  
J Scott ◽  
C Mclaren ◽  
...  
Keyword(s):  
Pilot Study ◽  
Gastrointestinal Endoscopy ◽  
Pulmonary Aspiration ◽  
Upper Gastrointestinal Endoscopy ◽  
Life Threatening ◽  
The Mean ◽  
Clinically Significant ◽  
Upper Gastrointestinal ◽  
Nuclear Scanning ◽  
Present Pilot Study

BACKGROUND: Pulmonary aspiration is a life-threatening complication of upper gastrointestinal endoscopy, the incidence of which has not been determined. Endoscopy-related aspiration has not been studied in procedures in which patients swallow a radiolabelled potential aspirate immediately before endoscopy and undergo nuclear scanning postprocedure.METHODS: A pilot study was conducted in which 200 MBq of non-absorbable technetium-99m phytate in 10 mL of water was administered orally to 50 patients who were about to undergo endoscopy. Gamma camera images were obtained to ensure that there had been no aspiration before endoscopy. After endoscopy, a repeat scan was performed. Fluid aspirated through the endoscope was also collected and analyzed for radioactivity using a hand-held radiation monitor.RESULTS: No evidence of pulmonary aspiration was found in any of the patients studied. The mean estimated percentage of the initially administered radioactivity aspirated through the endoscope was 2.66% (range 0% to 10.3%).CONCLUSION: The present pilot study confirms earlier observations that clinically significant aspiration in the context of upper gastrointestinal endoscopy is uncommon. The incidence of aspiration may, however, be different in acutely bleeding patients undergoing endoscopy. For logistic reasons, this group could not be studied.

Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report

Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Wilms Tumor ◽  
Small Child ◽  
Tumor Treatment ◽  
Minimally Invasive Approach ◽  
Invasive Approach

A Minimally Invasive Approach for Treatment of Cholesterol Granuloma of the Petrous Apex

2019 ◽  
Author(s):  
Brandon Lucke-Wold ◽  
Maya Fleseriu ◽  
Haley Calcagno ◽  
Timothy Smith ◽  
Joshua Levy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Minimally Invasive Approach ◽  
Invasive Approach
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