Cureus
July 2023
Pathology, Orlando Veterans Affairs Medical Center, Orlando, USA.
Granular cell tumors (GCTs) are rare, typically benign, solitary neoplasms that can arise throughout the body, with reports of cases in the tongue, esophagus, colon, skin, vulva, and skeletal muscle, among others. Although GCTs are usually asymptomatic, esophageal GCTs can grow large enough to cause dysphagia. When developing the differential diagnosis for dysphagia, a broad consideration includes routine etiologies such as esophageal strictures, eosinophilic esophagitis, carcinoma, webs and rings, achalasia, and motility disorders, but GCTs may not readily come to mind.
View Article and Find Full Text PDFMo Med
August 2021
MSMA member since 1982, is a Gastroenterologist in Washington, Missouri.
The author dilated 3,112 patients with esophageal strictures over 36 years. Most strictures were peptic, esophageal rings, cervical webs or eosinophilic. Strictures were assessed for presence of hiatal hernia, hernia size, stricture diameter, and type and size of dilator used.
View Article and Find Full Text PDFArq Gastroenterol
May 2019
Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Gastroenterology and Endoscopy Division, Guayaquil, Ecuador.
Background: Bougies dilation is considered an effective technique for the treatment of simple benign esophageal strictures. The "rule of three" has been advocated to prevent reported adverse events such as bleeding and perforation. However, adherence to this rule has increased the cost and duration of treatment.
View Article and Find Full Text PDFThe global incidence and prevalence of eosinophilic gastrointestinal diseases is rising. Clinically, acute eosinophilic esophagitis cannot be distinguished from other causes of esophagitis. Endoscopic findings like rings, webs or furrows have a lower sensitivity than previously assumed.
View Article and Find Full Text PDFVisc Med
April 2018
Department of Gastroenterology, Hepatology, Infectiology, Neurogastroenterology, Hematology, Oncology, and Palliative Medicine, HELIOS-Clinic Krefeld, Krefeld, Germany.
Swallowing disorders (dysphagia) comprise a common cause of medical consultation and are defined as a subjective sensation of difficulty or abnormality of swallowing. In the initial step, a clear differentiation of dysphagia from odynophagia and globus sensation for further diagnostic procedures is mandatory. The careful questioning of patients symptoms and complaints is often helpful for the differentiation of oropharyngeal and esophageal dysphagia.
View Article and Find Full Text PDFWorld J Gastroenterol
February 2017
Carol Rouphael, Department of General Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, United States.
Lymphocytic esophagitis (LE) is a clinicopathologic entity first described by Rubio et al in 2006. It is defined as peripapillary intraepithelial lymphocytosis with spongiosis and few or no granulocytes on esophageal biopsy. This definition is not widely accepted and the number of lymphocytes needed to make the diagnosis varied in different studies.
View Article and Find Full Text PDFAnn N Y Acad Sci
September 2016
Unified Patient Project, Medical University of Vienna, Vienna, Austria.
Case Rep Gastrointest Med
November 2015
Gastroenterology Department, Hospital Infanta Cristina, Avenida 9 de Junio, No. 2, 28981 Parla, Madrid, Spain.
Cicatricial pemphigoid (CP) is a rare blistering autoimmune disease. Esophageal involvement occurs in widespread disease and rarely appears as the only affected organ. We report a 67-year-old Caucasian female with esophageal dysphagia and weight loss.
View Article and Find Full Text PDFDtsch Med Wochenschr
July 2015
Innere Medizin/Klinik II, Helios Klinikum Krefeld.
Non cardiac chest pain (NCCP) are recurrent angina pectoris like pain without evidence of coronary heart diesease in conventional diagnostic evaluation. The prevalence of NCCP is up to 70% and may be detected in this order at all levels of the medical health care system (general practitioner, emergency department, chest pain unit, coronary care). Reduction of quality of life in NCCP is comparable, partially even higher compared to cardiac chest pain.
View Article and Find Full Text PDFZ Gastroenterol
February 2015
Gastro-Liga e. V., Deutsche Gesellschaft zur Bekämpfung der Krankheiten von Magen, Darm und Leber sowie von Störungen des Stoffwechsels und der Ernährung (Gastro-Liga) e. V., Gießen.
Non cardiac chest pain (NCCP) are recurrent angina pectoris like pain without evidence of coronary heart disease in conventional diagnostic evaluation. The prevalence of NCCP is up to 70 % and may be detected in this order at all levels of the medical health care system (general practitioner, emergency department, chest pain unit, coronary care). Reduction of quality of life in NCCP is comparable, partially even higher compared to cardiac chest pain.
View Article and Find Full Text PDFWorld J Gastroenterol
December 2012
Department of Gastroenterology, German Diagnostic Clinic, D-65191 Wiesbaden, Germany.
Aim: To investigate endoscopic findings in patients with Schatzki rings (SRs) with a focus on evidence for eosinophilic esophagitis (EoE).
Methods: We consecutively approached all adult patients scheduled for elective outpatient upper endoscopy for a variety of indications at the German Diagnostic Clinic, Wiesbaden, Germany between July 2007 and July 2010. All patients with endoscopically diagnosed SRs, defined as thin, symmetrical, mucosal structures located at the esophagogastric junction, were prospectively registered.
World J Gastroenterol
June 2011
Department of Gastroenterology, German Clinic for Diagnostics Wiesbaden, 65191 Wiesbaden, Germany.
Frontline Gastroenterol
April 2011
Gastroenterol Hepatol (N Y)
November 2010
Associate Director, Esophageal Program Assistant Professor of Medicine Gastroenterology Section Department of Medicine Temple University School of Medicine Philadelphia, Pennsylvania.
World J Gastrointest Endosc
February 2010
Rakesh Kochhar, Kuchhangi Suresh Poornachandra, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Esophageal strictures are a problem frequently encountered by gastroenterologists. Dilation has been the customary treatment for benign esophageal strictures, and dilation techniques have advanced over the years. Depending on their characteristics and the response to treatment, esophageal strictures can be classified into two types: 1, simple (Schatzki rings, webs, peptic injury, and following sclerotherapy) - these are easily amenable to dilation, with a low recurrence rate after initial treatment; and 2, complex (caused by caustic ingestion, radiation injury, anastomotic strictures, and photodynamic therapy) - these are difficult to dilate and are associated with higher recurrence rates.
View Article and Find Full Text PDFEur Radiol
May 2002
Department of Radiology, University of Vienna, 1090 Vienna, Austria.
Am J Gastroenterol
January 2000
Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Objective: Congenital esophageal stenosis is thought to be a rare disease confined to infancy and childhood with only a few case reports in adults described.
Methods: We report five patients between the ages of 19 and 46 yr who presented with this disorder over a 2-yr period.
Results: Patients had been labeled with reflux strictures, webs, or as idiopathic in the past.
Radiographics
October 1999
Servicio de Radiodiagnóstico, Hospital Infantil La Paz, Madrid, Spain.
A wide spectrum of congenital anomalies may affect the upper gastrointestinal tract, including anomalies of the esophagus (e.g., atresia, fistulas, webs, duplications, vascular rings), stomach (e.
View Article and Find Full Text PDFJ Clin Gastroenterol
December 1998
Division of Gastroenterology, University of Washington, Seattle 98195, USA.
Rings, webs, and diverticula are among the most common anatomic anomalies of the esophagus. Although these structural lesions are often asymptomatic, patients can develop significant problems with dysphagia, regurgitation, and aspiration. This article discusses the epidemiology, pathogenesis, diagnosis, and therapy of esophageal rings, webs, and diverticula with emphasis on the clinical, diagnostic, and therapeutic strategies involved in caring for patients with these conditions.
View Article and Find Full Text PDFCurrent methods to evaluate patients with esophageal disease include barium swallow with fluoroscopy, which is useful in demonstrating structural defects. Disordered motility is better evaluated with a cine-esophagram. Recent application of radioisotopes has been useful in evaluation of esophageal reflux and the post-treatment of achalasia.
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