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Results for “ESOPHAGOSCOPY”

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At least 55 records · Page 3Linked to original sources

PubMed2001

[Is the rigid hypopharyngo-esophagoscopy for suspected foreign body impaction still up to date?].

BACKGROUND: The increasing use of flexible esophagoscopes leads to controversies regarding the current status of rigid hypopharyngo-esophagoscopy in case of suspected foreign body impaction. METHODS: In a retrospective investigation we analyzed 309 open tube hypopharyngo-esophagoscopies performed for suspected foreign body impaction. RESULTS: In 108 patients (35.0 %) a foreign body was detected endoscopically. 69 Patients (22.3 %) had other pathologic findings within the upper digestive tract. 72 % of the foreign bodies and 83 % of the pathologic findings were localized within the hypopharynx or the cervical esophagus. CONCLUSIONS: The superior diagnostic and therapeutic properties of the classical rigid endoscopy in this area underlines its still actual status in patients with suspected foreign body impaction.

Adolescent↗

PubMed2005

A novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy to dilate a completely obstructed distal esophageal stricture in a child following fundoplication.

We report a successful dilation of a completely obstructed distal esophageal stricture in a 4-year-old boy with combined immune deficiency syndrome, at 2 and half years after fundoplication and gastrostomy tube insertion. Barium studies and esophagoscopy had revealed complete obstruction of the lower esophagus. Transgastrostomy gastroscopy demonstrated a pinhole lumen through the fundoplication wrap; a guide wire was passed into the esophagus; and the stricture was dilated with Savary dilators. We presumed that the stricture was secondary to chronic esophagitis. The stricture was identified and successfully dilated using a novel technique of concurrent esophagoscopy and transgastrostomy gastroscopy.

Child, Preschool↗

PubMed1994

Transgastric esophagoscopy with antegrade dilation.

An 80-year-old man in whom successful dilation of an obstructed esophagus via retrograde esophagoscopy was carried out is reported here. His nutrition had been previously sustained by a feeding gastrostomy tube inserted under radiologic guidance. This gastrostomy stoma was dilated to allow passage of a pediatric gastroscope into the stomach and esophagus. A guide wire was then negotiated past the esophageal stricture, under endoscopic vision and fluoroscopic guidance, into the oropharynx. Savary dilators were then passed over the guide wire perorally to dilate the stenosis. The patient was able to swallow liquids soon after the procedure. The use of Savary dilators over a guide wire introduced by retrograde esophagoscopy has not been previously described.

Aged↗

PubMed1990

[Esophageal caustic injury in childhood. A critical elucidation with indication for esophagoscopy].

From 1983 through 1988, esophagoscopies were performed in 41 children because of suspected caustic esophageal injury. Of these 41 children, 11 had endoscopically significant esophageal burns and were treated with steroids and antibiotics. Of these 11 patients, two had no chemical burns of the facial skin, mouth, or pharyngeal mucosa. The authors therefore believe that esophagoscopy must not be omitted in cases of suspected caustic ingestion.

Anti-Bacterial Agents↗

PubMed2002

The role of transnasal esophagoscopy in head and neck oncology.

OBJECTIVES/HYPOTHESIS: To review the current role of transnasal esophagoscopy (TNE) in all aspects of head and neck cancer patient treatment. STUDY DESIGN: A retrospective database and chart review. METHODS: A retrospective review of head and neck cancer patients undergoing TNE for a variety of diagnostic and therapeutic indications. RESULTS: In a series of 17 patients with presumed head and neck malignancies, TNE provided 100% accuracy in biopsy results and staging of the tumor when compared with standard panendoscopy. The utility of TNE in other areas of head and neck cancer management, such as stricture dilation and secondary tracheoesophageal puncture, is demonstrated. This preliminary report strongly suggests that TNE may play a vital role in the management of head and neck oncology patients. CONCLUSIONS: Transnasal esophagoscopy gives the surgeon the ability to perform a remarkable variety of procedures in the outpatient setting without sedation. It may obviate the need for routine panendoscopy in head and neck cancer patients.

Esophagoscopy↗

PubMed1993

Bronchoscopy and esophagoscopy in children.

This review summarizes some of the most recent developments and areas of investigation in pediatric bronchoscopy and esophagoscopy. Applications of newer technology have allowed for improved diagnosis and therapy for many pediatric diseases. These applications include the use of bronchoscopy for the diagnosis of pulmonary diseases, assessment and therapy of airway obstruction, and management of the difficult intubation. Studies during the past year on esophagoscopy may change our approach to the diagnosis and management of esophageal varices and esophagitis, and evaluation after caustic ingestion.

Bronchoscopy↗

PubMedDate not supplied

Office-based unsedated ultrathin esophagoscopy in a primary care setting.

PURPOSE: Gastroesophageal reflux disease is common and with time may be complicated by Barrett's esophagus and esophageal adenocarcinoma. Upper gastrointestinal endoscopy, including esophagoscopy, is the procedure of choice to diagnose Barrett's esophagus and other esophageal disease. The use of unsedated ultrathin esophagoscopy (UUE) has been reported by gastroenterologists in specialized endoscopy units and otolaryngologists in outpatient otolaryngology offices, but UUE has not been previously described in a primary care setting. This study examines the feasibility of office-based UUE in primary care. METHODS: This study is a retrospective chart review in a university-based family medicine clinic in the southeastern United States. Charts were reviewed of 56 adult outpatients who were referred for further evaluation of reflux symptoms that persisted after at least 4 weeks of therapy with histamine(2) receptor agonists or proton pump inhibitors and who elected to undergo UUE in the primary care setting. Patient demographics, procedure indications and findings, changes in clinical management, and procedure times were recorded. RESULTS: One hundred percent of patients asked to participate in UUE were willing to undergo the procedure (mean age 48.3 +/- 1.6 y, 57.1% women); 95% of the patients tolerated UUE. Barrett's esophagus was diagnosed in 5.7% (n = 3) of the patients. Mean procedure time was 5.5 +/- 1.7 min. No complications were reported in this series. CONCLUSIONS: Initial data suggest that UUE is feasible in primary care, with the majority of patients tolerating the procedure. UUE may be an efficient method of examining the distal esophagus.

Endoscopes↗

PubMed2005

[Clinical value of esophageal mucosal iodine stain during esophagoscopy for patients without swallowing symptoms].

OBJECTIVE: To investigate the clinical value of esophageal mucosal iodine stain during esophagoscopy for patients with early esophageal carcinoma or precancerous lesions without swallowing symptoms, through analyzing the correlation between endoscopic findings and pathological results of biopsy on the suspicious spots. METHODS: For 366 patients examined by iodine stain during esophagoscopy, the position, size, shape and boundary of all visible unstained lesions were recorded and multiple biopsies were taken on the unstained spots. RESULTS: Before iodine stain, 462 lesions had been discovered in 366 patients. However, 478 abnormal lesions stained in 341 patients were detected after iodine stain, the remaining 25 gave no abnormal findings. More than 1/3 of patients were found to have more than 2 abnormally stained lesions. 28.4% of them (104 cases) had moderate or severe dysplasia or early esophageal cancer. The sensitivity of iodine stain in this series was 89.8%. CONCLUSION: Iodine stain is very useful in detecting occult early esophageal carcinoma and precancerous lesions. The degree of coloration and the margin of suspicious spots are closely correlated with the pathological results.

Adult↗

PubMed1978

[Emergency esophagoscopy in chemical burns in children].

Esophagoscopy performed within the first hours after the burn trauma helps to find out the localisation and extension of the burn. An abundant washing of the esophagus carried out within the first day after trauma, administration of novocain, early feeding and, in case of a general resorptive effect of a poison, a timely correction of homeostasis disturbances permit to manage without bougieurage of the esophagus. Later on a control esophagoscopy favours the following-up of the healing of the burn and the correction of the treatment process, if needed. The described method has been used in the treatment of 225 patients. Late results have been studied in 57 cases of severe and moderate esophageal burns. No scarry strictures have been found.

Adolescent↗

PubMed1981

Esophageal tumors--the role of esophagoscopy.

In Yugoslavia, esophageal cancer is the fourth most frequent malignant disease of the gastrointestinal tract, after stomach cancer, rectum, and colon cancer. Incidence of esophageal cancer in Croatia in 1975 was 6.0 per 100,000 population for males, and considerably less for females with 1.4 per 100,000 population. There is not a statistically significant difference in the incidence of esophageal cancer in the different regions within Croatia. During the period from March 1973 to April 1980 at the Central Institute for Tumors and Allied Diseases in Zagreb, esophagoscopy was performed on 179 patients with esophageal tumors. Test results of 170 patients was 60.4 years (male 60.0, female 62.4). The authors present the analyses of histopathologic types of tumors. In 79.4% of patients (135/170) squamous cell carcinoma was found. In 69 patients histologic findings were compared with cytology. In six patients, only the cytological examinations were positive. Furthermore, the localizations of tumors in the esophagus were analyzed, and in 53.6% of patients (91/170) tumor was localized in the middle third of the esophagus. In almost all cases the disease was advanced and inoperable. Smoking and alcoholism were analyzed as potential etiological factors. The authors consider that esophagoscopy could be a valuable method in the early detection of esophageal carcinoma in the high risk group of the population (men over 50 years of age who are heavy alcoholics and smokers).

Adult↗

PubMed1998

[Use of intraoperative fiber-esophagoscopy in surgical treatment of rare esophageal diseases].

UNLABELLED: The aim of our study is to discuss our observations concerning surgical treatment of rare diseases of the oesophagus. 10 patients were operated on, 6 cases with benign tumours (including leiomyoma, Abrikossoff tumour, polyp of oesophageal mucose), 2 with intramural bronchogenic cysts of the oesophagus, 1 with benign stricture after inflammation and 1 with stricture of oesophagogastric anastomosis after Akiyama operation. In 6 cases tumour was resected without opening of the oesophageal lumen (enucleation), in 4 patients with tumours located on one of the walls, the wedge resection, transversely to the long oesophageal axis was performed. In cases with tumour located in mucose (Abrikossoff tumour, polyp, post-inflammatory scar), intraoperative fiber-esophagoscopy was conducted simultaneously to enable the exact localisation of tumour and evaluation of radical resection. There were no postoperative complications and dysphagia showed regression. The remote results (from 1 year to 6 years) have been found to be satisfactory. CONCLUSIONS: 1. The procedure of choice in the treatment of the intramural cysts and benign tumour of the oesophagus is enucleation and wedge resection with suture in layers in the tumour located in mucose. 2. Intraoperative fiber-esophagoscopy enables the exact lesion localisation and evaluation of radical resection.

Bronchogenic Cyst↗

PubMed1999

Internal carotid artery dissection following rigid esophagoscopy.

A case of internal carotid artery dissection that developed after rigid esophagoscopy is described. The diagnosis was suggested by the clinical presentation and confirmed by the findings of radiological examinations. Internal carotid artery dissection is a rare condition of controversial etiology. Most frequently, the cause is unknown and the condition is termed idiopathic. A few cases have occurred after forceful cervical extensions and manipulations. The pathogenesis in our case is uncertain: while the rigid esophagoscopy is the most probable cause, the intubation and spontaneous carotid artery dissection cannot be ruled out.

Adult↗

PubMed1998

De-epithelialization for esophageal cyst by video-assisted thoracoscopic surgery monitored by esophagoscopy.

In a 26-year-old male a congenital esophageal cyst was de-epithelialized using electro-cauterization via video-assisted thoracoscopic surgery (VATS) together with esophagoscopy. As the cyst adhered firmly to the esophageal muscle layer and mucosa, partial excision of the cyst and burning up of the cystic mucosa by electro-cauterization was performed to prevent esophageal mucosal perforation and postoperative esophageal dysmotility. Intraoperative video esophagoscopic monitoring enabled esophageal mucosal perforation to be avoided. Postoperative barium esophagography revealed good esophageal motility, and the patient showed no symptoms of esophageal dysmotility. We conclude that de-epithelialization for congenital esophageal cysts using VATS together with esophagoscopy is a minimally damaging and reasonable curative procedure without postoperative complications.

Adult↗

PubMed2006

Primary care physician attitudes toward endoscopic screening for GERD symptoms and unsedated esophagoscopy.

BACKGROUND: Current guidelines recommend consideration of screening patients with chronic GERD for Barrett's esophagus (BE). Unsedated esophagoscopy (UE) is a less costly alternative to standard EGD for identifying BE. The aim of this study was to determine the indications for EGD referral, the barriers to screening, and the interest in performing UE. METHODS: A one-page survey was mailed to a random sample of 500 family practitioners and 500 internists. This sample was obtained from the American Academy of Family Physicians and American Society of Internal Medicine (500 from each organization). RESULTS: The overall response rate was 54%. The majority (78%) refer more than 50% of their GERD patients for EGD; however, 34% also refer more than 10% of their patients for barium studies. Primary care physicians cited alarm symptoms, refractory symptoms, and chronicity and severity of symptoms as the major indications for referral for EGD. Gender, age, obesity, and tobacco use were cited less frequently. Cost of endoscopy, poor patient acceptance, and lack of evidence were the most common reasons cited for not referring for EGD. A majority of respondents (62%) indicated that the availability of UE would increase referral for the procedure, and 52% would be willing to perform UE in their office. CONCLUSIONS: Severe, refractory, and chronic symptoms are the primary reasons for endoscopic referral from primary care physicians who manage patients with GERD. Other risk factors for BE, such as gender and age, do not appear to be important determinants for endoscopic referral. Further evaluation of UE as a mechanism to increase screening for BE in primary care patients is merited.

Attitude of Health Personnel↗

PubMed1998

Definitive localization of isolated tracheoesophageal fistula using bronchoscopy and esophagoscopy for guide wire placement.

PURPOSE: To aid in identification of isolated tracheoesophageal fistulas (TEF), many surgeons have recommended the bronchoscopic placement of a ureteric or Fogarty catheter. This method can fail because of intraoperative dislodgment of the catheter. The authors present a new technique that enables us to definitively isolate and treat all H-type fistulas. METHODS: Six cases of isolated TEF are presented consisting of 4 H-type fistulas, a proximal pouch fistula, and a recurrent TEF. Three of the patients had undergone a total of four prior failed operations at outside institutions using attempted bronchoscopic catheter placement. On all six patients, bronchoscopy was first performed where the fistula tract was noted in the trachea and a guide wire was passed through the fistula. After orotracheal intubation, the authors performed rigid esophagoscopy; the guide wire was identified and brought out through the mouth. This created a wire loop through the fistula. With the use of x-ray we were then able to visualize the level of the fistula and determine whether a cervical or thoracic approach should be used. Identification of the fistula intraoperatively was then facilitated by traction on the loop by the anesthesiologist. RESULTS: Five of the six TEFs were repaired with neck exploration; one required right thoracotomy. In all patients, the fistula was identified and divided. There were no recurrences or other complications. CONCLUSION: This new technique is a simple and definitive method in identification and treatment of isolated TEF.

Bronchoscopes↗

PubMed2001

Esophagoscopy.

Esophageal pathology is one of the areas that had the major benefits from the advent of endoscopy. Esophagoscopy is a highly reliable diagnostic method for evaluating esophageal disorders that affect the mucosa or alter the lumen of the organ, such as foreign bodies, esophagitis, reflux disease, strictures, ulcers, fistula, and neoplasia. With endoscopy, the treatment of esophageal disorders has greatly improved as well, with the retrieval of foreign bodies and the dilation of esophageal strictures under direct visualization the main therapeutic indications.

Animals↗

PubMed2002

Patient tolerance and acceptance of unsedated ultrathin esophagoscopy.

BACKGROUND: Unsedated endoscopy has not gained wide acceptance in the United States. Factors that may predict tolerance and acceptance of unsedated endoscopy are ill defined. METHODS: Outpatients referred for standard EGD were recruited to undergo unsedated ultrathin esophagoscopy (UUE) with a new 3.1-mm battery-powered esophagoscope before sedated EGD. They rated preprocedure and postprocedure anxiety levels with the Profile of Mood States Tension/Anxiety subscale (POMS-SF T/A). They also rated symptoms and overall acceptability and listed procedural preference between EGD and UUE. Patients who refused UUE noted a reason for refusal and also completed the anxiety questionnaire. RESULTS: Fifty-two of 98 patients recruited agreed to participate, and underwent both UUE and EGD. Patients who refused UUE were significantly more anxious (mean anxiety score, 8.2 vs. 4.5, p < 0.005). Participants reported no significant difference between preprocedural (4.6 vs. 5.3) or postprocedural (3.5 vs. 2.6) anxiety for UUE versus standard EGD. After undergoing both procedures, only 46% stated they would prefer UUE to EGD in the future. Patients who chose the peroral approach were more likely to prefer UUE than those who chose the transnasal approach (58% vs. 23%, p = 0.02). CONCLUSIONS: Patient acceptance of unsedated endoscopy even with an ultrathin instrument is limited. Anxiety assessment by the POMS-SF T/A can identify patients willing to undergo UUE. Patients who choose transoral UUE may be more willing to repeat the procedure.

Adult↗

PubMed2001

Office-based esophagoscopy: a preliminary report.

OBJECTIVE: Preliminary study that describes unsedated, transnasal esophagoscopy (TNE) in an office setting. STUDY DESIGN AND SETTING: TNE was prospectively performed on 14 consecutive out-patients with dysphagia whose initial oropharyngeal dysphagia evaluation was insufficient to reveal the cause of their swallowing problem. TNE was carried out without conscious sedation while the patients were sitting in an examining chair. Ease of endoscope insertion, optical quality of images, and examination findings were assessed. Heart rate before and after the procedure and incidence of epistaxis and airway compromise was also determined. Patients were asked to rate the level of discomfort of TNE on a validated 10-point scale (1 representing none/well tolerated and 10 severe/poorly tolerated). RESULTS: All patients completed TNE with the esophagus readily intubated and esophageal mucosa clearly visualized. Findings included esophageal stricture, patulous upper esophageal sphincter, and Zenker's diverticulum. There were no incidences of epistaxis or airway compromise and no significant changes in heart rate. Overall tolerance of TNE was rated by the patients as 2.0 (SD, 1.2). CONCLUSIONS: TNE is well tolerated and can be safely performed in patients with dysphagia in an office setting. TNE may have a role in the comprehensive evaluation of the dysphagic patient in the office.

Adult↗