Case Description- Two female domestic short-hair cats Clinical Findings- The cats with clinical signs of regurgitation, dysphagia and respiratory distress were presented. Symptomatic sliding hiatal hernia was diagnosed by radiography in these cats. Treatment and Outcome- The hernias were corrected surgically by only left-sided fundic gastropexy in one, and by reduction of hiatal opening and g...

Peroral endoscopic myotomy (POEM) is a safe and effective procedure for patients with achalasia [1]. Mucosal perforation is an inadvertent complication that is difficult or impossible to treat with standard clips [2]. Over-the-scope clips, endoluminal suturing devices, and fully covered stents have been used successfully [3,4]. Cyanoacrylate is used as a sealant because of its rapid solidificat...

We report on a 63-year-old man with a history of coronary artery bypass in 1995 who presented with massive hematemesis and hemodynamic instability. A computed tomography (CT) scan revealed a thoracic aortic pseudoaneurysm causing a mass effect on the esophagus (●" Fig.1) and rupture of the aorta immediately after the origin of the left subclavian artery, with the suspicion of an aortoesophageal...

A 61-yr-old woman (weight, 121 kg) presented to the operating room for closure of an abdominal wound. Her history was notable for morbid obesity and restrictive lung disease, necessitating numerous therapeutic bronchoscopies for correction of atelectasis. The patient did not have symptoms of recurrent aspiration. She was not specifically questioned about coughing associated with food intake. Ap...

Purpose: Clinical presentation and surgical results of the esophageal diverticula were analyzed. Methods: Ten patients who underwent esophageal diverticulectomy with myotomy from May 1999 to May 2008 were reviewed retrospectively. Results: Three pharyngoesophageal, one midesophageal and six epiphrenic diverticula were observed and transcervical, right transthoracic and left transthoracic surgic...

Most infants with pathologic GER will respond to medical treatment when the condition is recognized. For this reason a more aggressive approach should be instituted in the evaluation of patients with symptoms in order to prevent the serious complications of severe peptic esophagitis with ulceration and bleeding, stricture, failure to thrive, and life-threatening pulmonary complications, which i...

CONTEXT Laryngopharyngeal reflux (LPR) is a major cause of laryngeal inflammation and presents with a constellation of symptoms different from classic gastroesophageal reflux disease. OBJECTIVE To provide a practical approach to evaluating and managing cases of LPR. EVIDENCE ACQUISITION The PubMed database and the Ovid Database of Systematic Reviews were systematically searched for laryngop...

chest X-ray film (Fig. 1). Clinical examination was normal. Computed tomographic angiography of the chest (Figs. 2, 3) showed a balanced type of double aortic arch, both of which arose from the ascending aorta anterior to the tracheae. Each arch gave origin to the common carotid and subclavian artery, and joined right posterior ward to form the descending aorta. The patient had neither respirat...

Epiphrenic esophageal diverticula (EED) are rare. The estimated incidence is about 1:500,000/year. EED usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. Most of the symptoms are unspecific, but dysphagia is most common. Chest radiograph, barium esophagogram, endoscopy and manometry are diagnostic tools. The t...

BACKGROUND Recurrence and reflux are 2 most important remote complications of lap-paraesophageal hernia (PEH) repair. However, the extent of recurrence remains unknown. We sought to determine the true incidence of recurrence after lap-PEH repair. METHODS A meta-analysis was carried out. PubMed, EMBASE, Cochrane Library, hand search, and personal communication were used to access and appraise ...