30 results match your criteria: "Esophageal Webs and Rings"

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.

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Esophageal Dilation for Strictures: A 36-Year Prospective Experience in Private Practice Setting.

Mo 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.

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TREATING SIMPLE BENIGN ESOPHAGEAL STRICTURES WITH SAVARY-GILLIARD DILATORS: IS THE RULE OF THREE STILL NECESSARY?

Arq 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.

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The 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.

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Non-Cardiac Chest Pain.

Visc Med

April 2018

Department of Gastroenterology, Hepatology, Infectiology, Neurogastroenterology, Hematology, Oncology, and Palliative Medicine, HELIOS-Clinic Krefeld, Krefeld, Germany.

Article Synopsis
  • * A multidisciplinary approach is essential for managing chest pain, particularly since non-cardiac causes like gastroesophageal reflux disease (GERD) account for 50-60% of cases, along with various esophageal motility disorders and other esophageal conditions.
  • * The review emphasizes the need for regular interdisciplinary team meetings and improved management strategies in chest pain units to effectively address the complexities of NCCP.
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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.

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Lymphocytic esophagitis: Still an enigma a decade later.

World 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.

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Article Synopsis
  • * The evaluation targets the entire upper gastrointestinal tract, focusing on both esophageal function and structural issues like tumors and strictures.
  • * Techniques like mono- and double-contrast esophagrams help assess lower esophageal sphincter function, complementing other diagnostic methods such as endoscopy and manometry.
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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.

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[Differential diagnosis "non-cardiac chest pain"].

Dtsch 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.

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[Chest pain - not always the heart! Clinical impact of gastrointestinal diseases in non-cardiac chest pain].

Z 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.

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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.

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Article Synopsis
  • The study aimed to explore the connection between Schatzki rings, a type of esophageal condition, and other esophageal disorders to better understand their cause.
  • Over a 20-year period, researchers tracked 167 patients with symptomatic Schatzki rings, finding that most experienced difficulties swallowing solid food for years prior, often without any prior diagnosis of the ring itself.
  • The findings revealed that Schatzki rings often occur alongside various esophageal issues, suggesting a complex, multifactorial cause, and emphasizing that these rings can be easily missed despite clear symptoms.
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Article Synopsis
  • - A small case series identified six patients with upper oesophageal webs linked to heterotopic gastric mucosa (HGM) at a dysphagia clinic, suggesting a rare but noteworthy association.
  • - Oesophageal dilatation showed significant symptomatic improvement in patients, indicating a potential treatment approach for this condition.
  • - The study highlights that webs or rings may align with areas of HGM and can occur at various junctions in the esophagus, but the overall rarity of such cases limits broader conclusions.
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Intralesional steroid injection therapy in the management of resistant gastrointestinal strictures.

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.

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Article Synopsis
  • The study aimed to evaluate how effective videofluoroscopy is in identifying structural issues in the pharynx and esophagus among patients with swallowing problems (dysphagia).
  • A total of 3,193 patients (both men and women) were analyzed, revealing 1,040 structural abnormalities across various categories, including pharyngeal and esophageal lesions.
  • The findings suggested that videofluoroscopy is valuable not only for detecting these abnormalities but also for understanding the functional disorders associated with different swallowing symptoms.
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Congenital esophageal stenosis in adults.

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.

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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.

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Esophageal rings, webs, and diverticula.

J 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.

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Article Synopsis
  • Diagnosis involves gathering medical history, conducting clinical exams, and using imaging and electrophysiological tests to determine the cause.
  • Causes of dysphagia can include structural issues, neurogenic problems, or motility disorders, with symptoms manifesting through various signs like pain, regurgitation, or difficulty swallowing.
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Current 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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