MyMedR

Esophageal stricture as a late complication of Stevens-Johnson syndrome

Tan YM, Goh KL

Gastrointest Endosc, 1999 Oct;50(4):566-8.

PMID: 10502184

Matched MeSH terms: Esophageal Stenosis/complications*; Esophageal Stenosis/diagnosis; Esophageal Stenosis/therapy

Fulltext Corrosive oesophageal stricture in Malaysian adults

Krishnan MMS, Tan KC

Med J Malaysia, 1983 Dec;38(4):325-6.

PMID: 6599992

M. M. Sudhakar Krishnan, MS, FRCS (Edin & Glasg).
Department of Surgery, University Hospital, Kuala Lumpur, Malaysia

Matched MeSH terms: Esophageal Stenosis/chemically induced*; Esophageal Stenosis/surgery

Oesophageal replacement with colon in corrosive stricture

Wai NC

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

PMID: 4243844

Matched MeSH terms: Esophageal Stenosis/chemically induced; Esophageal Stenosis/surgery*

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: Esophageal Stenosis/complications; Esophageal Stenosis/radiography*

Congenital esophageal stenosis: report of three cases, literature review, and a proposed classification

Ramesh JC, Ramanujam TM, Jayaram G

Pediatr Surg Int, 2001 Mar;17(2-3):188-92.

PMID: 11315285

The aim of this paper is to report three cases of congenital esophageal stenosis (CES) of different anatomical varieties: (1) stenosis due to tracheobronchial remnants (TBR) involving the lower third of the esophagus; (2) fibromuscular stenosis (FMS) of the middle third; and (3) a membranous diaphragm (MD) involving the lower third. The first two patients were treated by segmental resection of the esophagus and end-to-end anastomosis with dramatic relief of symptoms. The third responded to dilatation. CES is a rare lesion, and about 500 cases are reported in the literature. CES due to TBR and fibromuscular hypertrophy is considered a segmental stenosis, as it involves a length of the esophageal wall, whereas the MD consists of mucosal folds and does not involve its muscular layer. The clinical presentation is varied, and a high index of suspicion is essential to arrive at an early diagnosis. Management depends on the type and severity of the stenosis. Stenosis due to TBR requires segmental resection. FMS may respond to dilatation, but severe degrees of stenosis require segmental excision. MDs usually respond to dilatation or may require endoscopic excision. Segmental stenosis can occur as an isolated lesion or in association with esophageal atresia or stenosis due to a MD. Based on this observation, a classification of CES is proposed.

Matched MeSH terms: Esophageal Stenosis/congenital*; Esophageal Stenosis/pathology; Esophageal Stenosis/surgery

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: Esophageal Stenosis/pathology

Caustic strictures of the oesophagus

Skene-Smith H

Br J Radiol, 1975 Aug;48(572):646-8.

PMID: 810200

Twenty-two cases of corrosive oesophageal strictures were reviewed and divided into annular, short segment and long segment lesions. The lower third of the oeseophagus was involved in all the long segment strictures, but with sparing of the extreme distal portion in most. Irregularity of the stricture walls with an appearance similar to reported cases of intramural diverticulosis is a common finding but smooth strictures can also occur.

Matched MeSH terms: Esophageal Stenosis/etiology; Esophageal Stenosis/radiography*

Infantile Hypertrophic Pyloric Stenosis in Postoperative Esophageal Atresia with Tracheoesophageal Fistula

R A A H, Y U C, R N, I R

J Neonatal Surg, 2015 07 01;4(3):32.

PMID: 26290814

Development of infantile hypertrophic pyloric stenosis during postoperative period in EA with TEF is rare. Postoperative vomiting or feeding intolerance in EA is more common which is due to esophageal stricture, gastroesophageal reflux and esophageal dysmotility. A typical case of IHPS also presents with non-bilious projectile vomiting at around 3-4 weeks of life. The diagnosis of infantile hypertrophic pyloric stenosis in this subset is usually delayed because of its rarity. We report a case of IHPS in postoperative EA and emphasize on high index of suspicion to avoid any delay in diagnosis with its metabolic consequences.

Matched MeSH terms: Esophageal Stenosis

Fulltext Post-oesophagectomy analgesic regimes: a 15-year review of 90 cases at University Hospital, Kuala Lumpur

Delilkan AE, Sannasi RV

Med J Malaysia, 1985 Mar;40(1):15-9.

PMID: 3913850

The relief of pain is of crucial importance in the management of patients undergoing a total three-stage oesophagectomy. Respiratory problems as a result of inadequate or overzealous analgesic regimes can ruin all pre-operative and per-operative efforts. 90 patients who underwent a total oesophagectomy over a 15-year period (1967-1982) at University Hospital Kuala Lumpur, were reviewed (36 for benign stricture and 54 for carcinoma of the oesophagus). Four post-operative analgesic regimes were used: immediate extubation and parenteral analgesics; 24-48 hour IPPV and timed dose/continuous infusion of parenteral narcotics; 24-48 hour IPPV plus extradural catheter analgesia; intra-operative direct intercostal nerve blocks, extubation and parenteral analgesics. Morbidities and mortalities are analysed.

Matched MeSH terms: Esophageal Stenosis/surgery*

Fulltext Prevention of Esophageal Strictures After Endoscopic Submucosal Dissection: A Promising Therapy Using Carboxymethyl Cellulose Sheets

Lua GW, Tang J, Liu F, Li ZS

Dig Dis Sci, 2016 06;61(6):1763-9.

PMID: 26809870 DOI: 10.1007/s10620-016-4034-4

BACKGROUND: Esophageal stricture is one of the serious adverse events following endoscopic submucosal dissection (ESD). However, optimum preventive techniques are still lacking.

AIMS: Our primary objective was to evaluate the incidence of post-ESD esophageal stricture with the application of carboxymethyl cellulose (CMC) sheets. Secondary objectives were to determine the number of sessions of endoscopic balloon dilatation (EBD) required to resolve post-ESD strictures and the incidence rate of peri-operative adverse events.

METHODS: This was a pilot, single-center, prospective study. Seven patients who had high risks of developing post-ESD esophageal stricture were enrolled into our study. CMC sheets were applied to the mucosal defects immediately after the completion of ESD. Patients were monitored and reviewed after ESD to detect any adverse events.

RESULTS: The incidence rate of post-operative stricture was 57 % (4/7 patients). Among patients who required EBD, the number of sessions performed was 2.8 ± 2.2. No serious post-operative adverse events were reported.

CONCLUSION: The use of CMC sheets appears to be a safe and effective prophylactic treatment for esophageal stricture following extensive ESD.

Matched MeSH terms: Esophageal Stenosis/therapy*

Fulltext Megaoesophagus secondary to oesophagitis and oesophageal stricture associated with doxycycline therapy in a domestic shorthair kitten

Namira, N.E., Khor, K.H., M. Watanabe, Lim, M.Y.

Jurnal Veterinar Malaysia, 2015;27(2):5-7.

MyJurnal

Oesophageal strictures associated with doxycycline therapy in cats are a rare occurrence but several cases have been reported. A 3-month-old kitten was presented to University Veterinary Hospital, Universiti Putra Malaysia (UVH-UPM) with the primary complaint of persistent vomiting. The kitten was prescribed with doxycycline two weeks prior to presentation. Regurgitation was observed during hospitalisation. Radiographs and endoscopy performed revealed findings consistent with a megaesophagus cranial to an oesophageal stricture located at the region of the second thoracic vertebrae.

Matched MeSH terms: Esophageal Stenosis

Surgical experiences in Malaysia

Balasegaram M

S Afr J Surg, 1972 Jun;10(2):79-87.

PMID: 4546544

Matched MeSH terms: Esophageal Stenosis/surgery

The prevalence of Helicobacter pylori in patients with oesophageal stenosis

Ylmaz Ö, Temur A, Almal N, Dülger AC, Sasmaz MI

Trop Biomed, 2018 Dec 01;35(4):1148-1153.

PMID: 33601862

Oesophageal strictures often occur following esophagectomy which is performed for cases of oesophageal cancer. These patients require repeated dilation procedures. The aim of this study is to investigate the effects of dietary regimens, which are changed because of stenosis, caused by Helicobacter pylori (H. pylori). In this retrospective study, 28 patients who had operation for oesophageal cancer and underwent dilation due to development of stricture were studied. 30 female and 30 male patients who were admitted to the Gastroenterology Clinic with complaints of dyspepsia and did not receive treatment for the eradication of H. pylori were randomly selected and included in this study as a control group. Patients' histopathological records on the hemogram, biochemistry, and endoscopic biopsy were analysed. There were 26 H. pylori (+) cases (92.8 %) in the stenosis group consisting of 28 patients, and 37 H. pylori (+) cases (61.6%) in the control group consisting of 60 patients. These results were found to be statistically significant (P=0.003). The albumin level in the stenosis group was reported to be statistically low (P=0.002). The incidence of H. pylori was found to be significantly higher in patients with stenosis. We ascribed this outcome due to changes in dietary regimens. Our findings showed that the dietary regimens of all patients who underwent esophagectomy should be regulated during the postoperative period considering H. pylori. The relationship between H. pylori and stenosis was significant, there is a need for further research with a larger sample size to enrich the findings.

Matched MeSH terms: Esophageal Stenosis

Fulltext Plummer Vinson Syndrome: A Rare Syndrome in Male with Review of the Literature

Karthikeyan P, Aswath N, Kumaresan R

Case Rep Dent, 2017;2017:6205925.

PMID: 28932606 DOI: 10.1155/2017/6205925

INTRODUCTION: Plummer Vinson syndrome also known as Paterson Brown-Kelly syndrome is a syndrome associated with the triad of symptoms comprising microcytic hypochromic anemia, oesophageal strictures, and dysphagia. PVS is commonly found in women of middle age especially in the fourth and fifth decade of life and is rarely reported in males.

CASE REPORT: The authors report a case of 43-year-old male patient who presented with the classic symptoms of Plummer Vinson syndrome.

CONCLUSION: Dentists have to be familiar with symptoms of PVS and a thorough clinical examination of the patient is necessary for early diagnosis and treatment. As PVS is a precancerous condition with high malignant potential, early diagnosis is of utmost importance for better prognosis.

CLINICAL SIGNIFICANCE: Mutual interaction of systemic and oral health has largely been underestimated by many patients in the developing countries and hence this report includes a note on importance of adequate medical history taking and its relevance to the dental health and treatment.

Matched MeSH terms: Esophageal Stenosis

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