Autonomic neuropathies are normally subclinical in diabetic children and adolescents, but in poorly controlled patients may be extremely symptomatic [1]. Gastrointestinal (GI) autonomic dysfunction may include esophageal dysmotility, gastroparesis, dysfunction of intestinal neurons, and decreased/absence of gastrocolic reflex [1, 2]. We report a case of a diabetic boy who had a severe GI dysaut...

Gastrointestinal fistulas may be successfully managed endoscopically [1]. Novel endoscopic techniques for full thickness tissue approximation may serve as adjuvants for assisting fistula closure [2,3]; an example is a flexible endoscopic suturing system [4]. We describe a case of a chronic esophageal fistula, treated previously with endoscopic clipping and esophageal stenting, which was success...

Placement of long, protruding self-expandable metal stents (SEMSs) into the gastrointestinal lumen may cause related symptoms. A few reports have described the usefulness of argon plasma coagulation (APC) for trimming or fenestrating a SEMS [1–4]. We report a trimming technique for a covered SEMS in the esophagus using APC in a retrograde fashion, followed by its complete removal. A 67-year-old...

BACKGROUND The named primary esophageal motility disorders (PEMDs) are achalasia, diffuse esophageal spasm (DES), nutcracker esophagus (NE), and hypertensive lower esophageal sphincter (HTN-LES). Although the diagnosis and treatment of achalasia are well defined, such is not the case with the other disorders. HYPOTHESIS (1) Symptoms do not reliably distinguish PEMDs from gastroesophageal refl...

OBJECTIVE We sought to assess the long-term outcome of Heller myotomy and anterior fundoplication in patients with achalasic sigmoid esophagus. METHODS Fourteen patients with achalasia and sigmoid esophagus (median age, 42.5 years) operated on by the same surgeon through a laparotomy (n = 8) or laparoscopic approach (n = 6) between 1985 and 2000 were evaluated. According to a 4-grade classifi...

Acute suppurative thyroiditis is a rare disease because the thyroid gland is remarkably resistant to infection. We present a 2-year-old girl with refractory acute suppurative thyroiditis due to a pyriform sinus fistula (PSF). She complained of fever and painful anterior neck swelling. Her condition did not completely improved by multiple parenteral antibiotics along with incision and drainage. ...

BACKGROUND Chronic tracheal obstruction has been associated with learning deficits; hence, early surgical intervention has been suggested. AIM To evaluate the relationship between learning performance and vascular ring caused by an isolated aberrant right subclavian artery. METHODS Participants included 1,685 undergraduate students (ie, students of medical informatics and medical/public hea...

Radiol Bras. 2016 Nov/Dez;49(6):V–VI This issue of Radiologia Brasileira features an interesting study on the radiological findings observed in patients with megaesophagus secondary to Chagas disease (CD), as identified on chest X-rays and esophagograms. The first point to be emphasized about that study is that, although it was conducted recently, it employed conventional radiology. Although ma...

Esophageal duplication (ED) is rarely diagnosed in adults and is usually asymptomatic. Especially, ED that is connected to the esophagus through a tubular communication and combined with bronchoesophageal fistula (BEF) is extremely rare and has never been reported in the English literature. This condition is very difficult to diagnose. Although some combinations of several modalities, such as u...

OBJECTIVE The aim of our study was to describe and compare the radiologic findings of esophageal leiomyomas. MATERIALS AND METHODS The chest radiographic (n = 12), esophagographic (n = 12), CT (n = 12), and MR (n = 1) findings of surgically proven esophageal leiomyomas in 12 consecutive patients [ten men and two women aged 34 - 47 (mean, 39) years] were retrospectively reviewed. RESULTS The...