MyMedR

'Trachealised oesophagus' feature of late onset atopic march

Saniasiaya J

Postgrad Med J, 2020 12;96(1142):793.

PMID: 32376775 DOI: 10.1136/postgradmedj-2020-137856

Matched MeSH terms: Esophagus*

Diagnosis, assessment, and management of surgical complications following esophagectomy

Grimminger PP, Goense L, Gockel I, Bergeat D, Bertheuil N, Chandramohan SM, et al.

Ann N Y Acad Sci, 2018 12;1434(1):254-273.

PMID: 29984413 DOI: 10.1111/nyas.13920

Despite improvements in operative strategies for esophageal resection, anastomotic leaks, fistula, postoperative pulmonary complications, and chylothorax can occur. Our review seeks to identify potential risk factors, modalities for early diagnosis, and novel interventions that may ameliorate the potential adverse effects of these surgical complications following esophagectomy.

Matched MeSH terms: Esophagus/surgery*

Fulltext Impacted dentures in the oesophagus

Yeoh NTL

Med J Malaysia, 1982 Dec;37(4):344-8.

PMID: 7167087

Two cases oj dentures impacted in the oesophagus are presented. One patient had an intrathoracic perforation oj the oesophagus. The complications arising from. impacted foreign bodies and attempts at its removal are discussed. It is suggested that primary oesophagostomy and extraction of the foreign. body may be the better alternative than repeated attempts at extraction through the oesophagoscope.

Matched MeSH terms: Esophagus/radiography*; Esophagus/surgery

Fulltext Foley catheter removal of blunt oesophageal foreign bodies in children

Kooi GH, Sakijan AS

Med J Malaysia, 1989 Jun;44(2):156-9.

PMID: 2626125

In a two year period between 1985 and 1986, eight children presented with impacted blunt foreign bodies in the oesophagus were successfully treated by removal using a Foley catheter without anaesthesia. There were no complications. All patients were discharged well after one or two days in hospital. The technique is safe, rapid and easy to perform.

Matched MeSH terms: Esophagus*

Removal of blunt oesophageal foreign bodies from children using a Foley catheter

Devadason I

Med J Malaysia, 1976 Jun;30(4):321-2.

PMID: 979738

Matched MeSH terms: Esophagus*

Ethnic differences in the prevalence of endoscopic esophagitis and Barrett's esophagus: the long and short of it all

Rajendra S, Kutty K, Karim N

Dig Dis Sci, 2004 Feb;49(2):237-42.

PMID: 15104363

Recent studies indicate that the prevalence of gastroesophageal reflux disease in Asia is either increasing or better recognized. There is a paucity of reliable data on the prevalence of reflux disease in the various races in general and in Malaysia, in particular. The prevalence of erosive esophagitis and Barrett's esophagus in a multiethnic Malaysian population was studied, as well as the relationship of various factors associated with reflux disease. Chinese, Malay, and Indian patients undergoing gastroscopy in a tertiary referral center were assessed for the presence of esophagitis, hiatus hernia, and Barrett's esophagus. Patient demographics and risk factors associated with gastroesophageal reflux disease were also documented. The prevalence of endoscopically documented esophagitis among 1985 patients was 6.1%, the majority of which were mild, Grade I or II (88%). There was a preponderance of Indians with esophagitis, as well as males (P < 0.05) and those with the presence of a hiatus hernia (P < 0.01). Long-segment Barrett's esophagus was found in 1.6% of patients, and short-segment Barrett's in 4.6%. Indians had the highest prevalence of Barrett's esophagus compared with Chinese (P < 0.05) or Malays (P < 0.01). Hiatus hernia and erosive esophagitis were both positively associated with Barrett's metaplasia (P < 0.01). A significant proportion of Malaysian patients undergoing endoscopy has mild reflux esophagitis and Barrett's esophagus. Indian ethnicity and the presence of a hiatus hernia were significantly associated with endoscopic esophagitis and Barrett's metaplasia. These observed racial differences warrant further study.

Matched MeSH terms: Barrett Esophagus/ethnology; Barrett Esophagus/etiology; Barrett Esophagus/epidemiology*; Barrett Esophagus/pathology; Esophagus/pathology

Fulltext Keratinous inclusion cyst of oesophagus: unusual finding

Wan Abdul Rahman WF, Mutum SS, Fauzi MH

BMJ Case Rep, 2013;2013.

PMID: 23878290 DOI: 10.1136/bcr-2013-010172

Cysts of the oesophagus are unusual findings and they are classified according to the embryological site of origin. It may represent inclusion cysts, retention cysts and developmental cysts. We present a case of keratinous inclusion cyst of the lower oesophagus in a 71-year-old Malay woman who presented with dyspepsia and severe epigastric pain. An oesophago-gastro-duodenoscopy demonstrated a sliding hiatus hernia with whitish ulcer-like lesion at the lower oesophagus. Biopsy from the lesion revealed a keratinous inclusion cyst. The patient was given pantoprazole and put on regular follow-up for monitoring any other development.

Matched MeSH terms: Esophagus/pathology

Fulltext Obstructed paraesophageal hernia in a nonagenerian treated by laparoscopic anterior gastropexy

Lukman MR, Sangar P, Sukumar N

Med J Malaysia, 2007 Mar;62(1):83-4.

PMID: 17682583

Paraesophageal hernias have been historically associated with risk of substantial morbidity and mortality. We report a case of a 92 year old lady with acute gastric outlet obstruction due to a chronic paraesophageal hernia that was successfully treated by minimal invasive surgery. Anterior gastropexy was performed after the stomach was reduced. The hiatal opening was enlarged to reduce the risk of obstruction in the future. She was discharged well on the third day.

Matched MeSH terms: Esophagus/physiopathology*

Three-layer technique to close a persistent tracheo-oesophageal fistula

Lee LM, Razi A

Asian J Surg, 2004 Oct;27(4):336-8.

PMID: 15564191

This report of a patient with a persistent tracheo-oesophageal (TE) fistula after removal of a speech valve describes a modification of the technique described by Rosen et al for closing TE. Under local anaesthesia, an incision was made above the stoma edge from 9 o'clock to 3 o'clock. The trachea was separated from the oesophagus to beyond the fistula, and the fistula tract was excised. The oesophageal opening was closed in layers and a local flap rotated from the adjacent sternocleidomastoid muscle and sutured over the oesophageal closure. The trachea was then closed separately.

Matched MeSH terms: Esophagus/surgery

Changing epidemiology of gastroesophageal reflux disease in the Asian-Pacific region: an overview

Goh KL

J Gastroenterol Hepatol, 2004 Sep;19 Suppl 3:S22-5.

PMID: 15324378

Gastroesophageal reflux disease (GERD) is a common disease in the West, which now appears to be also increasing in prevalence in the Asian Pacific region. The reasons for this changing epidemiology are two-fold: an increased awareness among doctors and patients, and/or a true increase in the prevalence of the disease. Prevalence rates of reflux esophagitis (RE) of up to 16% and prevalence of GERD symptoms of up to 9% have been reported in the Asian population. However, the frequency of strictures and Barrett's esophagus remain very low. Non-erosive reflux disease (NERD) appears to be the most common form of GERD among Asian patients accounting for 50-70% of cases with GERD. Among Asian patients differences can also be discerned among different ethnic groups. For example, in Malaysia where a multiracial society exists, RE is significantly more common among Indians compared to Chinese and Malays whereas NERD is more frequently seen in the Indian and Malays compared to the Chinese. The reasons for these differences are not known but may indicate both genetic factors and environmental factors peculiar to the particular racial group. GERD has also been increasing in the region demonstrating a time-lag phenomenon compared to the West. Differing predisposition to GERD among different ethnic groups would mean that such an increase would be more prominent among certain racial groups.

Matched MeSH terms: Barrett Esophagus/epidemiology

Evaluation of miniature manometric techniques for the measurement of esophageal body pressure waves

Shanmuganathan G, Ritz MA, Holloway RH, Di Matteo AC, Omari TI

J Gastroenterol Hepatol, 2000 Dec;15(12):1362-9.

PMID: 11197044

BACKGROUND AND AIMS: Perfused miniature manometric assemblies with lumina of 0.4-0.5 mm i.d. have been developed. Reduced luminal size offers the advantages of reduced assembly bulk and increased assembly complexity with greater numbers of lumina and lower manometric infusion volumes because of a slower perfusion rate. This study investigated the recording fidelity of miniature manometric assemblies in the measurement of esophageal peristalsis.

METHODS: Four miniature manometric assemblies, each containing manometric lumina of either 0.4 or 0.5 mm i.d., were evaluated at 100 and 180 cm lengths. The fidelity of miniature manometric luminal recordings were evaluated in vivo during esophageal peristalsis by using a simultaneous comparison with the standard lumina and an intraluminal strain gauge.

RESULTS: During esophageal peristalsis, miniature manometric lumina recorded the peak amplitude of pressure waves, with an accuracy at perfusion rates of 0.04 mL/min (0.4 mm, i.d.) and 0.15 mL/min (0.5 mm, i.d.).

CONCLUSION: Miniature manometric assemblies of lengths that are practical for use in humans are suitable for recording esophageal peristalsis.

Matched MeSH terms: Esophagus/physiology*

Fulltext Endoscopic pneumatic balloon dilatation for achalasia of the cardia

Ding PH

Med J Malaysia, 1995 Dec;50(4):339-45.

PMID: 8668054

This study evaluated the efficacy and safety of endoscopic pneumatic balloon dilatation as the initial treatment for achalasia of the cardia. 15 patients with achalasia underwent a total of 19 dilatations using the new polyethylene dilator (Microvasive Rigiflex Balloon Dilator) over the last 6 years. An overall treatment success rate of 93% was achieved. 11 patients (73.3%) have not required a further dilatation and 3 patients (20%) required between 1 and 2 further dilatations. Elective surgery was necessary in 1 patient. The mean follow-up period was 31.5 months. There was no complication or death attributable to the procedure. Endoscopic pneumatic balloon dilation is a safe and effective treatment for achalasia and should be considered as the initial treatment of choice in most patients with achalasia.

Matched MeSH terms: Esophagus/surgery

Fulltext Migrating foreign body--an unusual presentation

Krishnan G

Med J Malaysia, 1994 Jun;49(2):169-71.

PMID: 8090097

A case report of an ingested fish bone migrating to the subcutaneous tissue in the neck is presented. During its course of migration there was no significant morbidity. The usual management is to locate the foreign body and remove it. A review of the literature indicates that this is evidently a rare case.

Matched MeSH terms: Esophagus*

Fulltext Experimental use of a free pericardial patch in the repair of a defect in the esophagus of dogs

Yeoh NTL, Looi LM, Smiley TB

Med J Malaysia, 1984 Jun;39(2):127-30.

PMID: 6513850

This paper discusses the feasibility of using a free pericardial patch in repairing defects of the esophagus. The experimental model used is the dog. A piece of the side wall of the esophagus is first excised. This defect in the esophagus is then covered
with a free patch of pericardium. The animals are then sacrificed at sequential dates and the grafted site submitted for microscopic examination. The results show that a free graft of pericardium when used as a patch can prevent leakage of esophageal contents and allow healing of the defect without gross narrowing of the lumen.

Matched MeSH terms: Esophagus/pathology

Studies of Sarcocystis in Malaysia. II. Comparative ultrastructure of the cyst wall and zoites of Sarcocystis levinei and Sarcocystis fusiformis from the water buffalo, Bubalus bubalis

Kan SP, Dissanaike AS

Z Parasitenkd, 1978 Oct 31;57(2):107-16.

PMID: 104463

The two species of Sarcocystis--S. levinei and S. fusiformis from the water buffalo, Bubalus bubalis, show some ultrastructural similarities in their cyst wall and zoites. The zoites of both species are of about the same size, banana-shaped and have 22 subpellicular microtubules, numerous micronemes, eight rhoptries, a micropore in the region of the micronemes, an elongated mitochondrion, and a nucleus. S. levinei has 200--300 micronemes and S. fusiformis has about 400. The sarcocysts of both species are trabeculated and their cyst walls have cytophaneres containing annulated fibrils and coarse, electron dense granules. The cytophaneres of S. levinei are sloping, with irregular, wavy outlines, whereas S. fusiformis has the cauliflower-type of cytophaneres. This difference in the appearance of the cytophaneres, together with the difference in size of the sarcocysts and their definitive hosts, further confirms that S. levinei and S. fusiformis are two distinct species in the water buffalo.

Matched MeSH terms: Esophagus/parasitology

Oesophageal replacement with colon in corrosive stricture

Wai NC

Med J Malaya, 1969 Sep;24(1):49-57.

PMID: 4243844

Matched MeSH terms: Esophagus/injuries*

Fulltext Radiological diagnosis of accidental oesophageal intubation

Chan YK

Singapore Med J, 1994 Jun;35(3):327-8.

PMID: 7997918

Oesophageal intubation is rapidly fatal if not recognised. We report a patient who not only survived an oesophageal intubation but who had chest X-rays taken which showed an oesophageal intubation which was initially recognised by the attending physician.

Matched MeSH terms: Esophagus/radiography*

Fulltext Oesophageal food bolus impaction

Elango S, Palaniappan SP, Lingam VS, George L

Singapore Med J, 1990 Dec;31(6):624-6.

PMID: 2281364

Impaction of food usually occurs in patients having obstructive lesions of the oesophagus. The food bolus impaction normally occurs in patients older than 60 years of age. Though food bolus impaction in the oesophagus is not uncommon, food bolus in the oesophagus causing complete obstruction resulting in total dysphagia is rare. This is a case report of a woman who had complete obstruction of the oesophagus following impaction by a piece of meat. The various treatment modalities available for such a condition are discussed.

Matched MeSH terms: Esophagus/radiography*

Fulltext Removal of foreign-bodies under general anaesthesia. A review of rigid endoscopy for foreign-bodies of the hypopharynx and oesophagus

Revadi G, Philip R, Gurdeep S

Med J Malaysia, 2010 Jun;65(2):143-5.

PMID: 23756800 MyJurnal

A total of 36 patients with suspected foreign body (FB) of the oesophagus who underwent rigid endoscopy under general anaesthesia (GA) from January 2005 to March 2007 were reviewed. The majority of the patients were working adults in the 3rd to 5th decade of life. There was no foreign body in 33.3% of the patients. Co-morbidities were present in 33.3%. Morbidity and mortality from the procedure included one aspiration pneumonia, one lateral pharyngeal wall tear and one death (8.3%). X-ray findings were negative or inconclusive in 11(45.8%) patients with a foreign body. The majority of patients, 85.7% required 2 to 3 days of admission of which 52.7% had no foreign bodies. The most common foreign body retrieved was fishbone accounting for 13 of the 24 foreign bodies detected.

Matched MeSH terms: Esophagus

Epiphrenic oesophageal diverticulum managed via laparoscopic transhiatal approach

Soo WT, Ling JSW, Chuah JS, Siow SL

Med J Malaysia, 2019 Jun;74(3):243-245.

PMID: 31256184

Epiphrenic oesophageal diverticulum is a rare disorder affecting the distal oesophagus. Surgical techniques for this condition evolve over time from open transthoracic and trans-abdominal approaches to minimally invasive surgery. We report a case of an 82-year-old male who presented with symptomatic epiphrenic oesophageal diverticulum over the last 1 year. He underwent laparoscopic transhiatal diverticulectomy, myotomy and anterior partial fundoplication and was discharged well. He remains asymptomatic after a follow-up of 6 months.

Matched MeSH terms: Esophagus

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