background: surgery is one of the important palliative methods for patients with esophageal cancer. in addition to concerns related to clinical decision making, various moral challenges are encountered in palliative surgery. some of them are related to patients and their illness, others to surgeons, their attitudes, skills and knowledge base. methods: pertinent moral challenges are addressed an...

a 12 year old child with liodgkin's disease and having received 12 courses of chemotherapy, was referred to thin center with esophageal obstruction. after having performed the necessary investigations, a decision was made to undertake surgery. after surgery, the patient recovered completely and presently enjoys a heallhv life.

The successful completion of esophageal reconstruction after esophagectomy is a great challenge in esophageal surgery. The gastric reconstruction is widely employed in benign and malignant esophageal disease. Compared to other digestive organs, stomach has a good blood supply and gastric procedure requires a single reconstructive anastomosis. The gastric tube is a durable graft, retaining its s...

Introduction Two decades ago, cancer of the esophagus in the East and in the West was a squamous cell cancer of the intrathoracic esophagus, situated predominantly in the middle third. Today, in the East, this remains largely unchanged. In the West, however, the disease has become a Barrett’s adenocarcinoma of the distal esophagus, as a consequence of gastroesophageal reflux and dysplasia occur...

The high incidence of dysphagia in patients with symptomatic gastroesophageal reflux (GER) but no evidence of peptic stricture suggests esophageal motor dysfunction. Conventional methods for detecting dysfunction (radiologic and manometric examinations) often fail to detect abnormality in these patients. Radionuclide transit (RT), a new method for detecting esophageal motor dysfunction, was use...

The present study investigated the treatment and survival outcomes of patients with synchronous primary esophageal squamous cell carcinoma and gastric adenocarcinoma. The medical records of 10,783 patients with primary esophageal squamous cancer treated at our institution between 1995 and 2012 were retrospectively reviewed. Overall survival (OS) rates were calculated using the Kaplan-Meier meth...

Benign esophageal strictures leading to complete esophageal occlusion are well known. In the pre-endoscopic era, such cases required surgery, but over the last decade, various novel endoscopic techniques have been developed to prevent morbidity and mortality. A 37-year-old man presented after 1 year of dysphagia and weight loss, and was found to have complete esophageal obstruction, not allowin...

INTRODUCTION Early diagnosis and appropriate treatment is required in esophageal cancer due to its invasive nature. The aim of this study was to evaluate early post-esophagectomy complications in patients with esophageal cancer who received neoadjuvant chemoradiotherapy (NACR). MATERIALS AND METHODS This randomized clinical trial was carried out between 2009 and 2011. Patients with lower-thir...

After surgical correction of esophageal atresia with or without tracheoesophageal fistula, esophageal body motility dysfunction has been reported in nearly all patients. Using high-resolution esophageal manometry before surgical repair in 2 children with isolated tracheoesophageal fistula, we sought to determine whether dysmotility was present before any surgical insult to test the hypothesis t...