A dissection of a manometric trace of the upper esophageal sphincter and the crico-esophageal coordination Although manometry is the most accurate method for diagnosing esophageal motility disorders, several patient suffering of high dysphagia remain undiagnosed. Most Authors concentrate their efforts in studying the coordination between the pharynx and the upper esophageal sphincter (UES), whi...

Background: Cervical esophageal hemangioma is a rare benign tumor. Symptoms may include hematemesis, dyspnea, cough, dysphagia, and chest pain. Objectives: To describe a case of a large esophageal hemangioma in order to raise awareness of the condition and highlight the use of a cooperative endoscopic treatment approach by a gastroenterologist and otolaryngologist with excellent results. The li...

A 42-year-old male presented with 2 months history of progressive dysphagia predominantly to solids. Computed tomography of the chest showed a large subcarinal lymph node (Fig. 1). His PPD skin test was positive (32 mm x 30 mm). He underwent gastroduodenoscopy where a submucosal bulge with normal overlying mucosa causing luminal narrowing was noted in mid-esophagus. Endoscopic ultrasound (EUS) ...

Considerable evidence suggests that cardiospasm, or achalasia of the esophagus, is a disease of the intrinsic innervation of that organ (1-6). If so, a neurotoxic agent might produce a similar picture in experimental animals. This possibility is enhanced by the report of Koelle and Gilman (7) who, while studying the effects of prolonged administration to dogs of the anticholinesterase agent di-...

High-resolution manometry (HRM) is the primary method used to evaluate esophageal motor function. Displayed and interpreted by esophageal pressure topography (EPT), HRM/ EPT provides a detailed assessment of esophageal function that is useful in the evaluation of patients with nonobstructive dysphagia and before foregut surgery. Esophageal motility diagnoses are determined systematically by app...

Esophageal intramural pseudodiverticulosis (EIPD) is a rare disease of unknown etiology that displays multiple pseudodiverticula radiologically, leading to benign esophageal stricture. Dysphagia, which sometimes slowly progresses, is the main symptom in the majority of cases. We here report a 59-year-old male EIPD patient who suffered from severe dysphagia. Radiography and endoscopy of this pat...

Following bariatric surgery, a proportion of patients have been observed to experience reflux, dysphagia, and/or odynophagia. The etiology of this constellation of symptoms has not been systematically studied to date. This case describes a 36-year-old female with severe esophageal dysmotility following LSG. Many treatments had been used over a course of 3 years, and while calcium channel blocke...

IgG4-related disease is a recently recognized autoimmune systemic disorder that has been described in various organs. The disease is characterized histologically by a dense lymphoplasmocytic infiltrate of IgG4-positive cells, storiform fibrosis and can be associated with tumefactive lesions. IgG4-related disease involving the upper gastrointestinal tract is rare and only two previous case repor...

BACKGROUND AND STUDY AIMS Complete esophageal obstruction (CEO) is a rare occurrence characterized by progressive esophageal stricture, which eventually causes lumen obliteration. With recent advances in flexible endoscopy, various innovative techniques exist for restoring luminal continuity. The primary aim of this study was to assess the efficacy and safety of patients undergoing combined ant...

A 76-year-old woman, presenting with a 4-year history of progressive dysphagia, was submitted to endoscopic examination. The upper endoscopy revealed a proximal esophageal stricture and inflammatory mucosa associated with multiples small orifices in the esophageal wall, some of them fulfilled with white spots suggestive of fungal infection. This was a typical endoscopic finding of esophageal in...