Cases reported "Esophageal Fistula"

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21/30. Esophageal manifestations of Crohn's disease.

    Two patients with concurrent esophagitis and ileocolitis due to Crohn's disease are presented. The initial feature of esophageal involvement was dysphagia caused by severe inflammation of the distal esophagus with mucosal ulcerations and polypoid folds. Long-term observation of both cases revealed a gradually progressive course leading to development of rigid esophageal structure, intramural sinus tract, and esophagobronchial or esophagogastric fistulas. The clinical and radiographic manifestations of Crohn's esophagitis in these 2 patients and in 18 previously reported cases are reviewed.
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ranking = 1
keywords = esophagitis
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22/30. Pericardial complications of peptic ulceration.

    Intrathoracic perforated peptic ulceration is uncommon. Two patients are reported with pericardial fistulization secondary to peptic ulceration. These occurred following colonic bypass surgery as a consequence of peptic esophagitis and hiatus hernia.
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ranking = 0.5
keywords = esophagitis
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23/30. Multiple esophagogastric fistulas resulting from reflux esophagitis.

    A case of multiple esophagogastric fistulas is reported along with the endoscopic and radiological findings. The literature is reviewed. There is only one other case report of multiple, isolated esophagogastric fistulas described by Mullen, et al (1975). In that individual the etiologic factor was previous esophageal surgery for stricture. In the patient reported here, the long history of reflux symptoms and endoscopic and biopsy findings strongly suggest a causal relationship. Fistula formation may be an additional complication of prolonged gastroesophageal reflux.
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ranking = 2.0082634004964
keywords = esophagitis, reflux
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24/30. Herpetic bronchitis with a broncho-oesophageal fistula.

    Tracheobronchitis and oesophagitis due to herpes simplex virus (HSV) are rare. Tracheo-oesophageal fistula due to HSV oesophagitis has been described in the immunocompromised host. A case is reported of a broncho-oesophageal fistula which developed secondary to herpetic bronchitis in an apparently immunocompetent patient.
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ranking = 1
keywords = esophagitis
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25/30. Barrett's oesophagus and perforation of gastric tube ulceration into the pericardium: a late complication after reconstruction of oesophageal atresia.

    15 years after replacement of atretic segment with a gastric tube, perforation of an intrathoracic gastric tube ulcer into the pericardium, oesophago-pericardial fistula and severe mediastinitis developed in a 17-year-old male after reconstruction of oesophageal atresia using a retrosternal Heimlich-tube with a cervical oesophagogastric anastomosis. For six years he suffered from reflux oesophagitis and had Barrett's metaplasia in the cervical oesophagus. The patient had previously had one unsuccessful attempt to correct the oesophageal atresia at the age of two years using transverse colon. The two stage treatment included subtotal oesophagectomy, pericardiotomy, cervical oesophagostomy, gastrostomy, mediastinal and pericardial irrigation with antibiotics. After healing of the mediastinitis, the continuity of the alimentary tract was restored by using an isoperistaltic subcutaneous ileocolic segment. After a follow-up of five years the patient is well, without any oesophageal symptoms.
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ranking = 0.50137723341607
keywords = esophagitis, reflux
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26/30. Complications of repeated operations to control esophageal reflux (esophagogastrocutaneous and esophagogastropericardial fistulas).

    Iatrogenic injury to the distal esophagus and gastric cardia with subsequent fistula formation may occur at times following repeated direct operative attempts to control reflux esophagitis. At re-operation when this problem occurs, the indirect operative procedure of Roux-en-Y diversion is a safe, effective and preferable method to control persistent reflux esophagitis.
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ranking = 1.0082634004964
keywords = esophagitis, reflux
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27/30. Double-lumen esophagus: formation of a new lumen or septation of the existing one?

    Presented here are two cases in which two esophageal lumens were identified at endoscopy. One patient had a history of antireflux surgery and both patients had received esophageal dilations. Both patients have done poorly with standard esophageal dilation and are not considered likely to gain from surgery. The mechanism of formation of the second lumen is not certain in Case 1, but in Case 2 a self-contained perforation appears to be the likely mechanism. There is no clear definition of "double-lumen esophagus" in the literature. The term is used at times interchangeably with esophagogastric fistula. We propose that the phrase "double-lumen esophagus" is a morphologic description and should be used only when the two lumens are of nearly equal diameter. The term "fistula" should be used whenever that is the likely mechanism. Hence, Case 1 of our report is the true double-lumen esophagus, while Case 2 is an esophagogastric fistula. Since patients do poorly with standard dilation, newer endoscopic modalities may have a role in the management of these rare but difficult cases.
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ranking = 0.0013772334160684
keywords = reflux
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28/30. Esophagopericardial fistula: an unusual cause of sudden unexpected death.

    Esophagopericardial fistula is a rare entity, usually associated with benign esophageal disorders. Clinically they present as an acute illness associated with characteristic clinical findings and have an extremely high mortality rate. A case of a chronic esophagopericardial fistula is presented in an individual who remained asymptomatic and presented as a sudden unexpected death secondary to cardiac tamponade from refluxed gastric contents.
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ranking = 0.0013772334160684
keywords = reflux
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29/30. Palliative treatment of obstructing esophagogastric malignancy by endoscopic positioning of a plastic prosthesis.

    Two hundred patients with obstructing esophagogastric malignancy were treated with positioning of a plastic prosthesis. With the aid of a small caliber fiberendoscope and a pusher tube, the prosthesis was positioned under continuous visual control, using only local anesthesia. Seventy-seven patients had esophageal carcinoma, 25 had pulmonary carcinoma obstructing the esophagus, and 98 had gastric carcinoma. Of the latter, 21 had extensive stomach involvement and 8 had local tumor recurrence after esophagojejunostomy. A bronchoesophageal fistula was present in 17 patients. Complications were bleeding (3), perforation (16) with only one death, and obstruction either due to food impaction (13), tumor overgrowth (17), or reflux esophagitis (5); the latter two conditions were corrected by changing the tube in all cases. Tube migration occurred frequently, but could be prevented by adapting the shape of the prosthesis. The procedure was performed as ultimate palliation in patients unfit for surgical insertion and had a low mortality rate of 2%. In general, there was marked improvement in the quality of life.
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ranking = 0.50137723341607
keywords = esophagitis, reflux
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30/30. Tracheoesophageal and aortoesophageal fistulae complicating corrosive esophagitis.

    A 51-year-old man suffered third-degree caustic burns of the esophagus and proximal two-thirds of the stomach. A tracheoesophageal fistula developed, and surgery was performed to exclude the esophagus from gastrointestinal reflux and to divert the oral secretions. An uneventful postoperative course was interrupted on the 27th day after the burn by massive hemoptysis and sudden death. autopsy revealed an aortoesophageal fistula in addition to a tracheoesophageal fistula.
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ranking = 2.0013772334161
keywords = esophagitis, reflux
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