Document Detail


Complete esophageal stenosis secondary to peptic stricture in the cervical esophagus: case report.
MedLine Citation:
PMID:  16615603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Complete esophageal stenosis secondary to peptic stricture in the upper esophagus is rare. It is, however a serious medical problem that may require otolaryngologic intervention because of life-threatening dysphagia and weight loss. We report the case of an elderly patient who presented with an upper esophageal stricture, without the typical symptoms of gastroesophageal reflux disease, that progressed to complete esophageal obstruction despite use of proton pump inhibitors and esophageal dilatation. Definitive management of this difficult problem required esophagectomy and gastric pull-up. We discuss the pathophysiology, clinical presentation, differential diagnosis, and multidisciplinary management of peptic esophageal strictures. This case illustrates the difficulty in managing high peptic strictures.
Authors:
Giovana R Thomas; Tiffany Raynor
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  85     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-17     Completed Date:  2007-05-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  187-9     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Miami Hospitals and Clinics, Miami, Fla 33136, USA. gthomas@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Biopsy
Deglutition Disorders / etiology
Diagnosis, Differential
Duodenoscopy
Esophageal Stenosis / diagnosis,  etiology*,  surgery
Esophagectomy
Esophagoscopy
Esophagus / radiography
Gastroesophageal Reflux / complications*
Humans
Male
Tomography, X-Ray Computed
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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