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Chapter 9

Disorders of the Esophagus

Chapter 9

Disorders of the Esophagus

Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
Gastroesophageal reflux disease, or GERD, is a chronic condition in which stomach contents, including acidic gastric juices or bile, frequently flow back …
Gastroesophageal Reflux Disease II: Clinical Features and Management
GERD manifests with the following symptoms: Heartburn, or pyrosis, is an intermittent burning sensation that occurs from the sternum to the throat due to …
Esophageal Perforation-I: Introduction
Esophageal perforation occurs when the esophageal wall is compromised, allowing food, fluids, and digestive juices to escape into the chest cavity or …
Esophageal Perforation-II: Clinical Manifestations and Management
The clinical manifestations of esophageal perforations depend on the injury's location and severity. Patients with cervical esophageal perforations …
Barrett Esophagus-I: Introduction
Barrett's esophagus is characterized by severe damage to the mucosal lining due to persistent exposure to stomach acid or other digestive fluids. The …
Barrett Esophagus-II: Clinical Manifestations and Management
Barrett's esophagus is asymptomatic, but patients may experience symptoms associated with GERD, like heartburn and regurgitation. Other symptoms …
Esophageal Strictures-I: Introduction
Esophageal strictures refer to the abnormal narrowing or tightening of the esophageal lumen, ranging from a mild constriction to a complete obstruction. …
Esophageal Strictures-II: Clinical Features and Management
Esophageal stricture symptoms include difficulty swallowing, starting with solids and progressing to liquids. Additional symptoms include chest pain, …
Esophageal Varices-I: Introduction
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or …
Esophageal Varices-II: Clinical Features and Management
Esophageal varices lead to gastrointestinal bleeding, manifesting with symptoms like hematemesis, hematochezia, and melena. Additional signs include …
Diagnosis of Neoplasia in Barrett’s Esophagus using Vital-dye Enhanced Fluorescence Imaging
The ability to differentiate benign metaplasia in Barrett’s Esophagus (BE) from neoplasia in vivo remains difficult as both tissue types can be flat …
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
We describe a novel esophagogastric anastomotic technique (“side-to-side: staple line-on-staple line”, STS) for intrathoracic anastomoses …
Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
In addition to typical reflux symptoms, many patients with gastroesophageal reflux disease (GERD) present with extraesophageal symptoms such as cough, …