scholarly journals Achalasia - two types in the same patient: Case report

2013 ◽  
Vol 141 (11-12) ◽  
pp. 807-809
Author(s):  
Igor Jovanovic ◽  
Dragana Jovanovic ◽  
Milenko Ugljesic ◽  
Nikola Milinic ◽  
Mirjana Cvetkovic ◽  
...  

Introduction. A paper presented a case of esophageal achalasia with both type 2 and type 3 achalasia found in the same patient. Case Outline. High resolution impedance manometry of esophagus was performed. Liquid swallows induced panesophageal pressurization (achalasia type 2), whereas viscous swallows led to compartmentalized pressurization - distal two thirds of esophagus (achalasia type 3). No complete bolus transit was recorded. Patient refused any procedure. Conclusion. The aim of this paper was to show the necessity of performing manometry using both liquid and viscous swallows in GI departments where this approach has not been routinely used in order to establish proper diagnosis since therapy approach is different between type 2 and type 3 achalasia.

2020 ◽  
Author(s):  
Kai-Frederik Lenz ◽  
Felix Gross ◽  
Andreas Klügel ◽  
Rachel Barrett ◽  
Philipp Held ◽  
...  

<p>A new high-resolution seismic dataset is used to investigate the distribution and influence of different phases of magmatic activity in the southeast of El Hierro, Canary Islands. The Canary Archipelago off NW-Africa has largely been formed over the past 20 Myr, but older volcanic edifices exist. One of those older edifices is Henry Seamount, an extinct 126 Ma volcano located 40 km southeast of El Hierro, the youngest (1.1 Ma) and westernmost of the Canary Islands. Hence, the area southeast of El Hierro is influenced by both older and younger magmatic activity. We also found evidence for comparatively young volcanic activity at Henry Seamount, probably contemporaneous to El Hierro. Therefore, a complex magmatic system is assumed to have resulted in the different phases of magmatic activity.</p><p>A detailed high-resolution 2D seismic reflection dataset was collected in an area between El Hierro and Henry Seamount during RV Meteor expedition M146 in 2018 to image the expressions of this magmatic system in the upper sub-surface. Several acoustic blanking zones were discovered and identified as the most prominent features in this seismic dataset. We classify these blanking zones into three different types. Type 1 blanking zones are related to volcanic edifices, which crop out at the seafloor and cut through all imaged sedimentary units. Type 2 blanking zones are characterised by upward bending of adjacent reflectors and are most likely caused by hydrothermal doming resulting from saucer-shaped sill intrusions. Type 3 blanking zones cut clearly through adjacent reflectors, and are probably related to fluids or gases that were mobilized by the sill intrusions. The type 1 and 2 blanking zones cluster in the central part of the working area, whereas the blanking zones of type 3 are located on the outskirts. This specific distribution and the occurrence of the varying blanking zone types are combined to make a conceptual model of this complex magmatic system. Our model takes sill intrusions, hydrothermal doming, as well as volcanic out-crops and mobilized fluids into account. Therefore, this study provides new insights into the magmatic evolution of the youngest Canary Island, which can help to achieve a better understanding of the whole system.</p>


2018 ◽  
Vol 20 (2) ◽  
pp. 151
Author(s):  
Nafisa Jahan ◽  
Ferdous Sharmin ◽  
Nusrat Jahan ◽  
Nadiruzzaman ◽  
SM Mesbah Uddin Ahmad

<p>Ectopic thyroid is an uncommon entity. Its occurrence in children is rare. Most of the patients present with mid neck swelling that may be confused with other midline pathology. Sometimes it may be the only functioning thyroid tissue present in the body as reported in this case. Proper diagnosis is required for the management of the patient. Radionuclide scan and high resolution ultrasonography plays an important role in diagnosis and further management of the patient with ectopic thyroid gland.</p><p>Bangladesh J. Nuclear Med. 20(2): 151-154, July 2017</p>


Author(s):  
Andrew Alalade ◽  
Christopher Millward ◽  
Piyali Pal ◽  
Catherine Gilkes

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.


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