scholarly journals Successful endoscopic mucosal incision and enucleation of an implanted press‐through package sheet in the esophageal wall

2021 ◽  
Author(s):  
Tomoaki Suga ◽  
Takaya Oguchi ◽  
Kiyotomi Maruyama
Keyword(s):  
Esophageal Wall ◽  
Mucosal Incision

scholarly journals Colorectal endoscopic submucosal dissection using the pocket-creation method with single clip traction: a feasibility study

2021 ◽  
Vol 09 (05) ◽  
pp. E653-E658
Author(s):  
Tatsuma Nomura ◽  
Yoshikazu Hayashi ◽  
Takaaki Morikawa ◽  
Masahiro Okada ◽  
Hisashi Fukuda ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Major Axis ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Success Rates ◽  
En Bloc ◽  
Submucosal Dissection ◽  
Mucosal Incision ◽  
Axis Length ◽  
Colorectal Endoscopic Submucosal Dissection

Abstract Background and study aims The pocket-creation method (PCM) facilitates dissection of the central part of a tumor. We previously developed the PCM with clip traction (PCM-CT) to facilitate opening the mucosal pocket, which otherwise could become cumbersome. In the present study, we aimed to examine the feasibility of PCM-CT for colorectal endoscopic submucosal dissection (ESD). Patients and methods PCM-CT was performed on 30 patients with early colorectal tumors from October 2019 to April 2020. PCM-CT allows efficient opening of the mucosal pocket by using the PCM to dissect the center of the lesion and then apply traction with a single clip after making a circumferential mucosal incision. Results The median specimen major axis length, ESD time, ESD speed, and en bloc resection rate were 48 mm, 84 minutes, 20 mm2/min, and 100 % (30/30), respectively. The success rates for the traction clip and median single-clip-traction time were 100 % (30/30) and 1.5 minutes, respectively. Conclusions Colorectal ESD using PCM-CT is a simple and promising method.

Anoderm-preserving, completely closed hemorrhoidectomy with no mucosal incision

1997 ◽  
Vol 40 (Sup 1) ◽  
pp. S99-S101 ◽  
Author(s):  
Yutaka Ui
Keyword(s):  
Mucosal Incision ◽  
Closed Hemorrhoidectomy

PS01.105: PANCREATITIS IN THE ESOPHAGEAL ECTOPIC PANCREAS: A RARE CONDITION WITH DIFFERENT PRESENTATIONS! TREATMENTS AND REVIEW OF THE LITERATURE

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 79-79
Author(s):  
Sergio Szachnowicz ◽  
Rubens Sallum ◽  
Hilton Libanori ◽  
Edno Bianchi ◽  
Andre Duarte ◽  
...  
Keyword(s):  
Chest Pain ◽  
Ct Scan ◽  
Acute Inflammation ◽  
Conflicts Of Interest ◽  
Gastroesophageal Junction ◽  
Elevated Serum ◽  
Pancreatic Tissue ◽  
Ectopic Pancreas ◽  
Esophageal Wall ◽  
Review Of The Literature

Abstract Background Ectopic pancreas is an extremely rare genetic malformation in the esophagus. It is defined by pancreatic tissue outside the pancreas and usually presents as a subepithelial lesion in the esophagus. To date, there are fewer than 15 patients reported in the literature. Methods We present 2 cases of pancreatitis in the esophageal ectopic pancreas with different presentation, treatment and development, as well as a review of the literature. Results 1. A 48-year-old woman admitted to the ER with acute dysphagia and chest pain. There were elevation of amylasemia and lipasemia, as well as presence of a tumor in the Gastroesophageal junction with hypersignal at the CT scan, suggesting acute inflammation. An echoendoscopy with biopsy, diagnosed ectopic pancreas in the distal esophagus. The patient was then submitted to laparoscopic resection of subepithelial tumor of the cardia, recovered by a fundoplication. The specimen confirmed pancreatic tissue with acute inflammation. 2. A 33-year-old woman with a history of episodic chest pain confused with GERD, nausea and vomiting pain episodes accompanied by elevated serum amylase and lipase levels. She was submitted to an ERCP without alterations to investigate the clinical complains. After some crisis she was hospitalized with a septic condition, where a CT scan revealed a cystic lesion in the lower mediastinum in the esophageal wall. Endoscopy was performed, showing a drainage orifice with purulent secretion in the cardia. She was treated with antibiotics and fasting. She had two more crises and was referred to our specialized service. Thoracoscopic subtotal esophagectomy with cervical anastomosis was performed for treatment of a suspected esophageal duplication cyst with recurrent infections. The specimen showed the presence of organized pancreatic tissue characterizing ectopic pancreas complicated with chronic pancreatitis. Conclusion The ectopic esophageal pancreas can be present as a differential of these lesions. The second case, was first admitted at a secondary care unit and the diagnosis was delayed, probably leading to a worse development and necessity of a esophagectomy. In the literature, there is only one description of 1 case of recurrent pancreatitis. We have shown that complications can range from dysphagia to abscess, requiring more invasive treatment. Disclosure All authors have declared no conflicts of interest.

New ultrasonographic screening method for oropharyngeal dysphagia: tissue Doppler imaging

2018 ◽  
Vol 314 (1) ◽  
pp. G32-G38 ◽  
Author(s):  
Noriaki Manabe ◽  
Ken Haruma ◽  
Rui Nakato ◽  
Hiroaki Kusunoki ◽  
Tomoari Kamada ◽  
...  
Keyword(s):  
Tissue Doppler Imaging ◽  
Screening Method ◽  
Oropharyngeal Dysphagia ◽  
Regional Wall Motion ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Esophageal Wall ◽  
Healthy Controls ◽  
Mean Velocity ◽  
High Resolution Manometry

Ultrasound tissue Doppler imaging (US-TDI) has been used to diagnose regional wall motion (WM) abnormalities in coronary artery disease but has not been applied to oropharyngeal diseases. This study aimed first to validate an US-TDI method to assess cervical esophageal (CE) WM and secondly to use the method to evaluate CE WM in patients with oropharyngeal dysphagia (OD). First, we enrolled 22 healthy men (mean age: 59.7 yr) who all underwent both US-TDI and videofluoroscopy (VF) and then esophageal high-resolution manometry (HRM) in the same week. We evaluated the reproducibility of the US-TDI and the relationship between US-TDI and other modalities (VF and HRM). Second, we enrolled 56 mild OD patients (mean age: 58.0 yr) and age- and sex-matched healthy controls. Difference in CE WM between these groups was evaluated by US-TDI. All healthy subjects underwent US-TDI, VF, and HRM successfully, with a sufficiently high reproducibility coefficient for this method, and significant correlation between US-TDI and VF/HRM parameters. US-TDI showed mean time to open CE wall and mean velocity of CE wall opening significantly differed between patients and healthy controls ( P < 0.01). In conclusion, we have developed a US-TDI method for easily assessing CE WM in daily practice and also found significant differences in CE WM between mild OD patients and healthy controls. NEW & NOTEWORTHY A new ultrasonographic screening method using tissue Doppler imaging for oropharyngeal dysphagia was found to be a reliable, reproducible, and well-tolerated method. There is a significant correlation between this new method and conventional methods. This method revealed that patients having mild symptoms of oropharyngeal dysphagia had already significantly delayed cervical esophageal wall opening.

Surgical Treatment of Esophageal Varices Caused by an Arteriovenous Fistula Between an Artery of the Thyroid Gland and the Submucosal Venous Network of the Esophageal Wall

2005 ◽  
Vol 80 (4) ◽  
pp. 1513-1515
Author(s):  
Manabu Okuyama ◽  
Satoru Motoyama ◽  
Reijiro Saito ◽  
Kiyotomi Maruyama ◽  
Hideki Ota ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Thyroid Gland ◽  
Arteriovenous Fistula ◽  
Esophageal Varices ◽  
Esophageal Wall

Sa2053 The Utility of Volumetric Laser Endomicroscopy in the Evaluation of Esophageal Wall Layers in Patients With Esophageal Atresia

2016 ◽  
Vol 83 (5) ◽  
pp. AB299
Author(s):  
Michael A. Manfredi ◽  
Amber M. Hall ◽  
Peter Ngo ◽  
Charles J. Smithers ◽  
Thomas E. Hamilton ◽  
...  
Keyword(s):  
Esophageal Atresia ◽  
Esophageal Wall

Pretreatment Esophageal Wall Thickness Associated with Response to Chemoradiotherapy in Locally Advanced Esophageal Cancer

2019 ◽  
Vol 51 (3) ◽  
pp. 947-951 ◽  
Author(s):  
Kraipop Wongwaiyut ◽  
Sakchai Ruangsin ◽  
Supparerk Laohawiriyakamol ◽  
Siriporn Leelakiatpaiboon ◽  
Duangjai Sangthawan ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Wall Thickness ◽  
Locally Advanced ◽  
Esophageal Wall ◽  
Advanced Esophageal Cancer ◽  
Locally Advanced Esophageal Cancer

scholarly journals Predicting pediatric esophageal wall thickness: An EUS study

2020 ◽  
Vol 9 (4) ◽  
pp. 259
Author(s):  
SimonS Rabinowitz ◽  
Evan Grossman ◽  
Lisa Feng ◽  
Nonyelum Ebigbo ◽  
Bo Lin ◽  
...  
Keyword(s):  
Wall Thickness ◽  
Esophageal Wall

scholarly journals Esophageal injury during pulmonary vein isolation

2015 ◽  
Vol 18 (4) ◽  
pp. 188
Author(s):  
D. V. Losik ◽  
V. V. Shabanov ◽  
R. T. Kamiev ◽  
S. N. Artemenko
Keyword(s):  
Case Report ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Clinical Case ◽  
Rare Complication ◽  
Esophageal Injury ◽  
Esophageal Wall

This clinical case report shows a rare complication following pulmonary vein isolation, with the esophageal wall injured during the procedure and a hematoma developed on the wall.

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