Carcinoma of the esophagus is the fifth commonest tumor in Pakistan 1 . The presentation is generally late with dysphagia even for liquids. Surgical results in these advanced cases are not very encouraging; therefore esophageal stents have been used to maintain the patency of the esophagus. These stents not only maintain the nutrition but also facilitate drainage of saliva and other secretions,...

hEADINgS Thoracic surgery. Esophagectomy. Trauma. AbSTRACT – Background: Esophageal trauma is considered one of the most severe lesions of the digestive tract. There is still much controversy in choosing the best treatment for cases of esophageal perforation since that decision involves many variables. The readiness of medical care, the patient’s clinical status, the local conditions of the per...

Endoscopy revealed the presence of foreign bodies in the stomach, which was filled with a large volume of food (Figure 1). These foreign bodies were considered to cause intermittent gastric outlet obstruction. We tried to retrieve one of them with a polypectomy snare, but found it difficult because it had become a hard mass. Thus, we forcefully pulled it out of her mouth, causing a deep lacerat...

Esophageal perforation is a rare condition that is commonly missed. Male gender and alcohol use are predisposing risk factors. Most of the cases are iatrogenic or traumatic; nonetheless, spontaneous cases are not uncommon. It typically occurs after vomiting or straining as the increased intra-abdominal pressure transmits into the esophagus and results in the tear. One of the main complications ...

Although anterior surgical approaches to the cervical spine have become popular and safe in recent years, they also have some complications. We present a case of loss of an anterior cervical plate screw by the natural tracts. The patient was a 47- year-old woman who was operated on for cervical spondylotic myelopathy at another institution. Surgical interference included two levels of anterior ...

BACKGROUND Although steroid injection prevents stricture after esophageal endoscopic submucosal dissection (ESD), some patients require repeated sessions of endoscopic balloon dilation (EBD). We investigated the risk for refractory stricture despite the administration of steroid injections to prevent stricture in patients undergoing esophageal ESD. Refractory stricture was defined as the requir...