BACKGROUND: Esophageal cancer is a highly lethal malignancy. Esophageal resection remains the primary treatment in most centers. A number of approaches to esophageal resection have been described. METHODS: The authors review the current approaches to esophageal resection and adjuvant therapy for esophageal cancer. RESULTS: Transthoracic, transhiatal, and minimally invasive techniques are curren...

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophago-gastro-duodenoscopy, esophageal manometry, 3D computed tomography scan showed right-sided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hyperte...

BACKGROUND There is a need for evidence of the clinical effectiveness of minimally invasive surgery for the treatment of esophageal cancer, but randomized controlled trials in surgery are often difficult to conduct. The ROMIO (Randomized Open or Minimally Invasive Oesophagectomy) study will establish the feasibility of a main trial which will examine the clinical and cost-effectiveness of minim...

Esophagectomy is the appropriate treatment for patients with resectable esophageal cancer. In common with conventional surgeries, controversy exists about what is the best approach and extent of the dissection. For many years, the procedure of choice for the incision has been the Ivor Lewis procedure, later modified. The tumor is resected through a right thoracotomy combined with a laparotomy w...

Surgical exclusion of the thoracic esophagus can result in the accumulation of secretions and dilatation of the esophageal remnant, a clinical picture known as esophageal mucocele. Although it is usually asymptomatic, if it increases in size it can produce a variety of compressive symptoms such as coughing, chest pain and respiratory distress. We present two cases of symptomatic mucocele after ...

Intruduction: Esophageal atresia (EA) is a congenital anomaly treated by surgical reconstruction. Some early postoperative complications may be encountered we assessed complications following EA repair in a large number of neonates with EA / TEF. methods: 243 patients with EA / TEF that were treated operatively in Sarvar Children’s Hospital from 2002 to 2010 were studied. Early post-operat...

Purpose We report a very unique case of an esophageal metastasis from a pancreatic ductal adenocarcinoma (PDAC) primary. Methods After obtaining consent from the patient, all relevant records of the case were obtained and retrospectively reviewed. Results At presentation, the patient was diagnosed with synchronous pancreatic and esophageal cancer. He received six months of neoadjuvant thera...

In the past decade surgery of the esophagus has made tremendous strides, not only in the field of carcinoma but also in the numerous other conditions to which this organ is heir. Diseases of the esophagus fall not only into the realm of the surgeon but into that of the general practitioner, the internist, the pediatrician, the anesthetist, the roentgenologist and the otorhinolaryngolist as well...

background : esophageal cancer is a major clinical problem that has a generally poor prognosis. as a result, there has been interest in combining surgery with neoadjuvant chemotherapy in an attempt to improve clinical outcomes. evidence for clinical benefit from preoperative chemotherapy exists but it is not clear which patients (stage, tumor location, and histology) will benefit the most from ...