Zenker s Diverticulum and CP Dysfunction
|
|
|
- Wilfred Berry
- 5 years ago
- Views:
Transcription
1 Zenker s Diverticulum and CP Dysfunction Fact and Fiction Joshua S. Schindler, MD Assistant Professor Department of Otolaryngology ASHA 2011 San Diego November 18, 2010
2 Zenker s Diverticulum:
3 Zenker s Diverticulum
4 Zenker s Diverticulum Esophagus Sac
5 Myth 1: All posterior cervical diverticula are Zenker s diverticula
6 Killian-Jamieson Diverticulum Killian-Jamieson Diverticulum Originate below the CP muscle Often project laterally May account for 4/9 diverticula Implications for treatment? RLN Recurrence
7 Killian-Jamieson Diverticulum
8 Killian-Jamieson Diverticulum
9 Killian-Jamieson Diverticulum
10 Killian-Jamieson Diverticulum
11 Killian-Jamieson Diverticulum
12 Killian-Jamieson Diverticulum Sac Esophagus
13 Forestier s Syndrome Dysphagia Cervical Osteophytes (DISH) Esophageal Diverticula Traction Diffuse Idiopathic Skeletal Hypertrophy
14 Post-traumatic Diverticulum
15 Post-traumatic Diverticulum
16 Management of Zenker s Diverticula
17 Diverticulotomy: External Approaches st Attempted Drainage (Nicoladoni) st Attempted Excision (Niehaus) st Successful Excision (Wheeler) 1892 Diverticulectomy with 1 o Closure (Kocher) 1896 Endoluminal Inversion of the Sac (Girard) 1917 Diverticulopexy (Hill) 1936 CP Myotomy with Diverticulotomy (Aubin) Emil Theodor Kocher
18 Myth 2: Recent technological advances have allowed endoscopic treatment of Zenker s diverticula
19 Diverticulotomy: Endoscopic Approaches st Endoscopic Diathermy (Mosher) Harris P. Mosher
20 Diverticulotomy: Endoscopic Approaches st Endoscopic Diathermy (Mosher) 1960 Endoscopic Diathermy (Dohlman) Gosta Dohlman
21 Endoscopic Diverticulotomy Dohlman Esophagoscope
22 Diverticulotomy: Endoscopic Approaches st Endoscopic Diathermy (Mosher) 1960 Endoscopic Diathermy (Dohlman) 1981 Endoscopic CO 2 Laser (van Overbeek) Geza Jako
23 Endoscopic Diverticulotomy Challenges: Dohlman procedure Prone to recurrence Occasional mediastinitis/death Occasional stenosis Laser Diverticulotomy Variable success rates Variable (some high) recurrence rates Occasional fistula Rare mediastinitis/death Often multiple procedures Dohlman Esophagoscope
24 Diverticulotomy: Endoscopic Approaches USS EndoGIA 30 Stapler st Endoscopic Diathermy (Mosher) 1960 Endoscopic Diathermy (Dohlman) 1981 Endoscopic CO 2 Laser (van Overbeek) 1992 Endoscopic KTP Laser (Kuhn) 1993 Endoscopic GIA Stapler (Collard & Martin- Hisrch)
25 Staple-assisted (SA) Diverticulotomy Advantages: Minimally invasive Technically simple Safe Easy to repeat Fast Outpatient
26 Staple-assisted (SA) Diverticulotomy Limitations: Massive exposure Dental injuries Fails with small diverticula Kastenbauer-Wollenberg Diverticuloscope
27 SA Diverticulotomy Limitations
28 EndoGIA Stapler Limitations 27 mm 10 mm
29 SA Diverticulotomy Limitations 28 mm Diverticulum
30 SA Diverticulotomy Limitations 28 mm Diverticulum
31 SA Diverticulotomy Limitations 28 mm Diverticulum
32 SA Diverticulotomy Limitations 17 mm Diverticulum Minimal Length About cm for Staple-assisted Diverticulotomy
33 EndoGIA Stapler Modification Removal of Stapler Tip 27 mm 10 mm
34 SA Diverticulotomy Limitations EndoStitch Technique for Staple Purchase
35 SA Diverticulotomy Limitations EndoStitch Technique for Staple Purchase
36 SA Diverticulotomy Limitations EndoStitch Technique for Staple Purchase
37 Myth 3: If you make a hole in the pharynx and esophagus and don t close it the patient will get mediastinitis and die
38 Laser-assisted (LA) Diverticulotomy 1.8 cm Sub 2 cm Zenker s Diverticulum
39 Laser-assisted (LA) Diverticulotomy
40 Laser-assisted (LA) Diverticulotomy Initial Cut
41 Laser-assisted (LA) Diverticulotomy
42 Laser-assisted (LA) Diverticulotomy Complete Division of Cricopharyngeus
43 Laser-assisted (LA) Diverticulotomy Exposure of Esophageal Serosa
44 LA Cricopharyngeal Myotomy Revision Following SA Diverticulotomy
45 LA Cricopharyngeal Myotomy Revision Following SA Diverticulotomy
46 Endoscopic Diverticulotomy OHSU Experience Patients 66 Endoscopic Procedures (94%) 16 Stapler-assisted (24%) 0 major complications 1 dental injury 50 Laser-assisted (76%) 0 major complications 3 SQ emphysema 1 dental injury
47 Myth 4: Cricopharyngeal dysfunction without Zenker s diverticulum can only be treated via open approach
48 Cricopharyngeal Dysfunction Cricopharyngeal Bar
49 Cricopharyngeal Dysfunction Cricopharyngeal Dysfunction
50 Cricopharyngeal Botox Injection Cricopharyngeal Dysfunction
51 LA Cricopharyngeal Myotomy Cricopharyngeal Dysfunction
52 Myth 5: Massive diverticula require an open approach to successfully manage them
53 Massive Zenker s Diverticulum
54 Massive Zenker s Diverticulum
55 Massive Zenker s Diverticulum
56 Myth 6: All patients with Zenker s diverticulum will swallow better following treatment of the Zenker s diverticulum
57 Paraesophageal Hernia
58 Esophageal Dysmotility
59 Esophageal Dysmotility
60 Esophageal Dysmotility
61 Esophageal Dysmotility
62 Esophageal Dysmotility
63 Thank You Mt. Hood at Sunset
A Multidisciplinary Approach to Esophageal Dysphagia: Role of the SLP. Darlene Graner, M.A., CCC-SLP, BRS-S Sharon Burton, M.D.
A Multidisciplinary Approach to Esophageal Dysphagia: Role of the SLP Darlene Graner, M.A., CCC-SLP, BRS-S Sharon Burton, M.D. What is the role of the SLP? Historically SLPs the preferred providers for
Esophageal Diverticulum. Ahmed Hozain, PGY III Kings County Hospital University Hospital of Brooklyn, Surgery Grand Rounds May 18 th, 2017
Esophageal Diverticulum Ahmed Hozain, PGY III Kings County Hospital University Hospital of Brooklyn, Surgery Grand Rounds May 18 th, 2017 Case Presentation 53 YOF presented to KCHC with sx of dysphagia
Endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Interventional procedure consultation document Endoscopic carbon dioxide laser cricopharyngeal myotomy for relief of oropharyngeal dysphagia Difficulty
Case Report Delayed Failure after Endoscopic Staple Repair of an Anterior Spine Surgery Related Pharyngeal Diverticulum
Case Reports in Medicine Volume 2013, Article ID 281547, 4 pages http://dx.doi.org/10.1155/2013/281547 Case Report Delayed Failure after Endoscopic Staple Repair of an Anterior Spine Surgery Related Pharyngeal
Pharyngeal pouch (Zenker s diverticulum)
506 Department of Otorhinolaryngology, Head and Neck Surgery, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, UK M A Siddiq S Sood D Strachan Correspondence to: Mr Siddiq azher@excite.co.uk
ORIGINAL ARTICLE ENDOSCOPIC STAPLER-ASSISTED ZENKER S DIVERTICULOTOMY: WHICH IS THE BEST OPERATIVE FACILITY?
ORIGINAL ARTICLE ENDOSCOPIC STAPLER-ASSISTED ZENKER S DIVERTICULOTOMY: WHICH IS THE BEST OPERATIVE FACILITY? Roberto Saetti, MD, 1 Marina Silvestrini, MD, 1 Alberto Peracchia, MD, 2 Surendra Narne, MD
ENDOSCOPIC MYOTOMY OF THE CRICOPHARYNGEAL MUSCLE WITH CO 2 LASER SURGERY
ENDOSCOPIC MYOTOMY OF THE CRICOPHARYNGEAL MUSCLE WITH CO 2 LASER SURGERY Robert P. Takes, MD, PhD, Frank J. A. van den Hoogen, MD, PhD, Henri A. M. Marres, MD, PhD Department of Otolaryngology/Head and
Surgery of Zenker s diverticulum; Single center experience
Annals of Medical Research DOI: 10.5455/annalsmedres.2018.07.127 2018;25(4)608-12 Original Article Surgery of Zenker s diverticulum; Single center experience Sukru Colak, Bunyamin Gurbulak, Ekrem Cakar,
Gastroesophageal reflux disease Principles of GERD treatment Treatment of reflux diseases GERD
Esophagus Anatomy/Physiology Gastroesophageal reflux disease Principles of GERD treatment Treatment of reflux diseases GERD Manometry Question 50 years old female with chest pain and dysphagia. Manometry
ORIGINAL ARTICLE. Minimally Invasive Surgery for Zenker Diverticulum
ORIGINAL ARTICLE Minimally Invasive Surgery for Zenker Diverticulum Analysis of Results in 95 Consecutive Patients Alberto Peracchia, MD; Luigi Bonavina, MD; Surendra Narne, MD; Andrea Segalin, MD; Laura
Clinical Study Zenker s Diverticulum: Carbon Dioxide Laser Endoscopic Surgery
BioMed Research International, Article ID 516231, 5 pages http://dx.doi.org/10.1155/2014/516231 Clinical Study Zenker s Diverticulum: Carbon Dioxide Laser Endoscopic Surgery Jan Plzák, Michal Zábrodský,
THORACIC SURGERY: Dysphagia. Dr. Robert Zeldin Dr. John Dickie Dr. Carmine Simone. Thoracic Surgery Toronto East General Hospital
THORACIC SURGERY: Dysphagia Dr. Robert Zeldin Dr. John Dickie Dr. Carmine Simone Thoracic Surgery Toronto East General Hospital Objectives Definitions Common causes Investigations Treatment options Anatomy
Clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum
Clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum Poster No.: C-0561 Congress: ECR 2014 Type: Educational Exhibit Authors: S. pardo, A. M. Maiorana, F. Cremona, F. Cupido,
VACTERL Category A Category B
Dec 20: Esophageal Disorders/Dysphasia (updated 08/06) Preceptor: TBA ; Vacation Dara 1. (Amy) Tell us about radiologic testing for dysphagia. What is the difference between a barium swallow and a modified
Anatomy: From cricoid cartilage to diaphragm 25 Cms. 4 portions: Cervical 5 cms. Thoracic 25 cms. Abdominal 2 cms. Blood supply Lymphatic spread
Esophagus Anatomy: From cricoid cartilage to diaphragm 25 Cms. 4 portions: Cervical 5 cms. Thoracic 25 cms. Abdominal 2 cms. Blood supply Lymphatic spread Upper 2/3 Cephalad Lower 1/3 Caudad Physiology:
Indications and Outcomes of Endoscopic CO 2 Laser Cricopharyngeal Myotomy
The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. Indications and Outcomes of Endoscopic CO 2 Laser Cricopharyngeal Myotomy Jennifer L. Bergeron, MD; Dinesh
Per-oral Endoscopic Myotomy
POEM With the Flexible Scope as a Treatment for Achalasia and Zenker's Diverticulum Abraham Mathew, MD, MSc Professor of Medicine Penn State College of Medicine Penn State Hershey Medical Center Per-oral
Zenker's diverticulum, pharyngoesophageal diverticulum
Key words: Zenker's diverticulum, pharyngoesophageal diverticulum 4r(2167) Fig. 3 Computed tomography of the neck showed an oval mass including some air, eisting on the left posterior side of the trachea
Dysphagia. Conflicts of Interest
Dysphagia Bob Kizer MD Assistant Professor of Medicine Creighton University School of Medicine August 25, 2018 Conflicts of Interest None 1 Which patient does not need an EGD as the first test? 1. 50 year
01/26/2010 GENERAL SURGERY ABSITE ANATOMY ANATOMY. Yvonne M. Carter, MD Georgetown University Medical Center. Layers. mucosa. squamous epithelium
GENERAL SURGERY ABSITE REVIEW: ESOPHAGUS Yvonne M. Carter, MD Georgetown University Medical Center ANATOMY Layers mucosa muscle squamous epithelium columnar epithelium (distal 2cm) inner = circular outer
SAJS General Surgery. Oesophageal pouches and diverticula: A pictorial review
General Surgery Oesophageal pouches and diverticula: A pictorial review N Khan, FCRad (D) F Ismail, FCRad (D), MMed Rad (D) I E A van de Werke, FRCR Department of Radiology, Kalafong Hospital and University
Endoscopic versus surgical approach in the treatment of Zenker s diverticulum: systematic review and meta-analysis
E678 Endoscopic versus surgical approach in the treatment of Zenker s diverticulum: systematic review and meta-analysis Authors Débora V. Albers, André Kondo, Wanderley M. Bernardo 2, Paulo Sakai, Renata
FALK SYMPOSIUM MAINZ
FALK SYMPOSIUM MAINZ - 2008 Paulo Sakai, MD,FASGE Hospital das Clínicas University of São Paulo Medical School São Paulo - Brazil Paulo Sakai, MD, FASGE Gastrointestinal Endoscopy Unit São Paulo University
CLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 7/2/2011 Radiology Quiz of the Week # 27 Page 1 CLINICAL PRESENTATION AND RADIOLOGY QUIZ
HEAD & NECK SWELLINGS
HEAD & NECK SWELLINGS EXCLUDING GOITRE FAISAL GHANI SIDDIQUI MBBS; FCPS; MCPS-HPE; PGDIP-BIOETHICS PROFESSOR OF SURGERY J I N N A H S I N D H M E D I C A L U N I V E R S I T Y MIDLINE SWELLINGS NECK SWELLINGS
Oro-pharyngeal and Esophageal Motility and Dysmotility John E. Pandolfino, MD, MSci
Oro-pharyngeal and Esophageal Department of Medicine Feinberg School of Medicine Northwestern University 1 Oro-pharyngeal and Esophageal Motility Function: Oropharynx Transfer food Prevent aspiration Breathing
RECONSTRUCTIVE FACIAL PLASTIC SURGERY
RECONSTRUCTIVE FACIAL PLASTIC SURGERY An Introduction with Clinical Examples Prof. HILKO WEERDA, M.D., D.M.D. Chairman Emeritus, Department of Otorhinolaryngology and Plastic Surgery, Schleswig-Holstein
Surgical aspects of dysphagia
Dysphagia Why is dysphagia important? Surgery Surgical aspects of dysphagia Adrian P. Ireland aireland@eircom.net Academic RCSI Department of Surgery, Beaumont Hospital Why important Definitons Swallowing
STS General Thoracic Surgery Executive Summary Jan 2002 June 2018 Procedures All Patients
General Thoracic Surgery Jan 2002 June 2018 Procedures Table 1: Number of Operations submitted, Discharge Mortality,, by year Table 2:, by Primary Procedure -- i General Thoracic Surgery Database Table
STS General Thoracic Surgery Executive Summary January 2002 June 2016 Procedures All Patients
General Thoracic Surgery January 2002 June 2016 Procedures Table 1: Number of Operations submitted, Discharge Mortality, Operative Mortality, by year Table 2: Discharge and Operative Mortality, by Primary
STS General Thoracic Surgery Executive Summary Jan 2002 June 2017 Procedures All Patients
General Thoracic Surgery Jan 2002 June 2017 Procedures Table 1: Number of Operations submitted, Discharge Mortality,, by year Table 2:, by Primary Procedure -- i General Thoracic Surgery Database Table
Patient Presenting with Dysphagia
Patient Presenting with Dysphagia Radiology Elective Presentation Mansur Ghani 5/18/2018 S L I D E 0 Patient Presentation 86 y/o female with a past medical history of DM type II, diabetic neuropathy, and
Therapeutic Bronchoscopy Etiology - Benign Stenosis Post - intubation Trauma Post - operative Inflammatory Idiopathic
Endobronchial Palliation of Airway Disease Douglas E. Wood, MD Professor and Chief Division of Cardiothoracic Surgery Vice-Chair, Department of Surgery Endowed Chair in Lung Cancer Research University
1. Epidemiology of Esophageal Cancer 2. Operative Strategies 3. Minimally Invasive Esophagectomy 4. Video
Minimally Invasive Esophagectomy Guilherme M Campos, MD, FACS Assistant Professor of Surgery Director G.I. Motility Center Director Bariatric Surgery Program University of California San Francisco ESOPHAGEAL
Incidental Esophageal Findings on Chest CT. Amira Hussien, MD, Elliot Fishman, MD, Bouchra Younes, MD, Ahmed Hatw. Johns Hopkins Medical Institution
Incidental Esophageal Findings on Chest CT Amira Hussien, MD, Elliot Fishman, MD, ouchra Younes, MD, Ahmed Hatw. Johns Hopkins Medical Institution I have nothing to disclose. DISCLOSURE INTRODUCTION Although
Gastroesophageal Reflux Disease, Paraesophageal Hernias &
530.81 553.3 & 530.00 43289, 43659 1043432842, MD Assistant Clinical Professor of Surgery, UH JABSOM Associate General Surgery Program Director Director of Minimally Invasive & Bariatric Surgery Programs
The Combined Collis-Nissen Operation: Early Assessment of Reflwx Control
ORIGINAL ARTICLES The Combined Collis-Nissen Operation: Early Assessment of Reflwx Control Mark B. Orringer, M.D., and Jay S. Orringer, M.D. ABSTRACT This report summarizes the clinical experience with
Duke Masters of Minimally Invasive Thoracic Surgery Orlando, FL. September 17, Session VI: Minimally Invasive Thoracic Surgery: Miscellaneous
Duke Masters of Minimally Invasive Thoracic Surgery Orlando, FL September 17, 2016 Session VI: Minimally Invasive Thoracic Surgery: Miscellaneous NOTES and POEM James D. Luketich MD, FACS Henry T. Bahnson
Endoscopic Treatment of Luminal Perforations and Leaks
Endoscopic Treatment of Luminal Perforations and Leaks Ali A. Siddiqui, MD Professor of Medicine Director of Interventional Endoscopy Jefferson Medical College Philadelphia, PA When Do You Suspect a Luminal
Case 1- B.N. 66 yr old F with PMHx of breast cancer s/ p mastectomy, HTN, DM presented with dysphagia to solids and liquids.
Case 1- B.N 66 yr old F with PMHx of breast cancer s/ p mastectomy, HTN, DM presented with dysphagia to solids and liquids. Reports retching to clear esophagus. Case 1- B.N EGD: Stricture in the distal
Radiology. Gastrointestinal. Transient Intraluminal Diverticulum of the Esophagus: A Significant Flow Artifact. Farooq P. Agha
Gastrointest Radiol 9:9%103 (1984) Gastrointestinal Radiology 9 Springer-Verlag 1984 Transient Intraluminal Diverticulum of the Esophagus: A Significant Flow Artifact Farooq P. Agha Department of Radiology,
How I Do It? Per-oral Endoscopic Myotomy (POEM) Ping-hong ZHOU, MD. Endoscopy Center, Zhongshan Hospital Fudan University, Shanghai, China
How I Do It? Per-oral Endoscopic Myotomy (POEM) Ping-hong ZHOU, MD Endoscopy Center, Zhongshan Hospital Fudan University, Shanghai, China The 2 nd World Congress on CONTROVERSIES IN GASTROENTEROLOGY Prof.
د.أحمد أسامة حسن. Specialist in General Surgery, Laparoscopic and Bariatric Surgery
د.أحمد أسامة حسن Specialist in General Surgery, Laparoscopic and Bariatric Surgery Monday, 1 / October / 2018 Objectives : Upon completion of this lecture, you will be able to: Describe the classical history
ESOPHAGEAL PERFORATION. Anju Sidhu MD University of Louisville Gastroenterology, Hepatology, and Nutrition January 24, 2013
ESOPHAGEAL PERFORATION Anju Sidhu MD University of Louisville Gastroenterology, Hepatology, and Nutrition January 24, 2013 OUTLINE Risk factors Diagnosis Management GOALS Make sure you don t miss it If
Epiphrenic diverticula are those that occur in the distal. Surgical Treatment of Epiphrenic Diverticula: A 30-Year Experience
HAWLEY H. SEILER RESIDENT AWARD PAPER The Hawley H. Seiler Resident Award is presented annually to the resident with the oral presentation and manuscript deemed the best of those submitted for the competition.
Endoscopic CO 2 Laser Cricopharyngeal Myotomy
The Laryngoscope VC 2009 The American Laryngological, Rhinological and Otological Society, Inc. Endoscopic CO 2 Laser Cricopharyngeal Myotomy Michael Pitman, MD; Philip Weissbrod, MD Objectives: Over the
The forgotten Upper gastrointestinal series. When and how I do it?
The forgotten Upper gastrointestinal series. When and how I do it? Poster No.: C-0617 Congress: ECR 2015 Type: Educational Exhibit Authors: W. Mnari, K. Bouslama, M. Maatouk, A. Zrig, B. Hmida, R. Salem,
CHARACTERISTICS OF KILLIAN JAMIESON DIVERTICULA MIMICKING A THYROID NODULE
CASE REPORT CHARACTERISTICS OF KILLIAN JAMIESON DIVERTICULA MIMICKING A THYROID NODULE Hee Kyung Kim, MD, 1 Ji In Lee, MD, 1 Hye Won Jang, MD, 1 So Young Bae, MD, 2 Jun Haeng Lee, MD, PhD, 2 Young-sun
Oesophageal Disorders
Oesophageal Disorders Anatomy Upper sphincter Oesophageal body Diaphragm Lower sphincter Gastric Cardia Symptoms Of Oesophageal Disorders Dysphagia Odynophagia Heartburn Atypical Chest Pain Regurgitation
Oropharyngeal dysphagia has high morbidity, mortality,
GASTROENTEROLOGY 1999;116:455 478 AGA Technical Review on Management of Oropharyngeal Dysphagia This literature review and the recommendations therein were prepared for the American Gastroenterological
Swallowing after a Total Laryngectomy
Swallowing after a Total Laryngectomy Diane Longnecker, M.S.,CCC-SLP, BCS-S Baylor Institute for Rehabilitation at Baylor University Medical Center Dallas, TX Disclosure Statement No relevant financial
Management of the Difficult Patient with Type 3 Achalasia. Steven R. DeMeester Professor and Clinical Scholar Department of Surgery
Management of the Difficult Patient with Type 3 Achalasia Steven R. DeMeester Professor and Clinical Scholar Department of Surgery Achalasia Treatment Concepts Disease leads to non-relaxing LES and loss
STS General Thoracic Surgery Database Participant Performance for Lobectomy Compared to STS and NIS Databases
Performance for Lobectomy Compared to and NIS Databases Table : Performance for Lobectomy Compared to and NIS Databases Nationwide Inpatient Sample (NIS) Last 3 Years Last 3 Years Most Recently Available
Barium esophagogram as the first step to modern tecniques
Barium esophagogram as the first step to modern tecniques Poster No.: C-0603 Congress: ECR 2014 Type: Educational Exhibit Authors: R. Morcillo, V. Rodriguez Laval, L. M. Cruz Hernandez, M. Hernandez Guilabert,
Barium esophagogram as the first step to modern tecniques
Barium esophagogram as the first step to modern tecniques Poster No.: C-0603 Congress: ECR 2014 Type: Educational Exhibit Authors: R. Morcillo Carratalá, V. Rodriguez Laval, L. M. Cruz Hernandez, P. M.
Vesalius SCALpel : Esophagus (see also: esophageal folios) Anatomy/physiology
Vesalius SCALpel : Esophagus (see also: esophageal folios) Anatomy/physiology upper 1/3 straited, lower 2/3 smooth muscle LN drainage: upper: paratracheal, supraclavicular lower: subcarinal, inferior pulmonary
Killian-Jamieson Diverticulum Revisited: a potential diagnostic pitfall on neck sonography
Killian-Jamieson Diverticulum Revisited: a potential diagnostic pitfall on neck sonography Poster No.: C-0568 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit C.-Y. Lin; Taipei/CN Diverticula,
Background DYSPHAGIA IN THE ELDERLY: DIAGNOSIS ANDMANAGEMENT. Background: Dysphagia. Background. Process of deglutition. Impact of Dysphagia 3/8/2018
Background DYSPHAGIA IN THE ELDERLY: DIAGNOSIS ANDMANAGEMENT Natasha Mirza, MD Professor Otolaryngology, Head and Neck Surgery Director Penn Voice and Swallowing Center Estimated that by the year 2050,
Flexible endoscopic treatment of Zenker s diverticulum: thirteen years experience in Spain
1130-0108/2016/108/6/297-303 Revista Española de Enfermedades Digestivas Copyright 2016 Arán Ediciones, S. L. Rev Esp Enferm Dig (Madrid) Vol. 108, N.º 6, pp. 297-303, 2016 ORIGINAL PAPERS Flexible endoscopic
Accepted Article. Flexible endoscopic treatment of Zenker s diverticulum: thirteen years experience in Spain
Accepted Article Flexible endoscopic treatment of Zenker s diverticulum: thirteen years experience in Spain Emilio Jesús de la Morena Madrigal, Elena Pérez Arellano, Isabel Rodríguez García DOI: 10.17235/reed.2016.4030/2015
Delineation Of Privileges Otolaryngology Privileges
Delineation Of s Otolaryngology s OTOLARYNGOLOGY PRIVILEGES Criteria - New Applicants: Board Certification or qualified for certification by the American Board of Otolaryngology. Criteria - Current Staff
EGD. John M. Wo, M.D. University of Louisville July 3, 2008
EGD John M. Wo, M.D. University of Louisville July 3, 2008 Different Ways to do an EGD Which scope? Pediatric, regular, jumbo EGD endoscope or pediatric colonoscope Transnasal vs. transoral insertion Sedation
Delineation Of Privileges Otolaryngology Privileges
OTOLARYNGOLOGY PRIVILEGES Criteria - New Applicants: Board Certification or qualified for certification by the American Board of Otolaryngology. Criteria - Current Staff Members Only: Successful completion
Anesthesia for Esophageal Surgery
30 Anesthesia for Esophageal Surgery Randal S. Blank, Julie L. Huffmyer, and J. Michael Jaeger Anatomy and Physiology of the Esophagus... 416 Nonmalignant Disorders of the Esophagus and Surgical Therapies...
Anterior Cervical Fusion: What is the Effect on Swallow Function?
Anterior Cervical Fusion: What is the Effect on Swallow Function? Rebecca L. Gould, MSC, CCC-SLP, BRS-S rebec26050@aol.com (561) 833-2090 www.med-speech.com STATE OF THE ART EVALUATION Anterior Cervical
Basic Principles of Esophageal Surgery. 1 Surgical Anatomy of the Esophagus... 3
Contents Basic Principles of Esophageal Surgery 1 Surgical Anatomy of the Esophagus... 3 D. C. Broering, J. Walter, Z. Halata ] Topography of the esophagus... 3 ] Development of the esophagus... 4 ] Structure
The Society of Thoracic Surgeons General Thoracic Surgery Database Non-analyzed Procedure Version 2.3
The Society of Thoracic Surgeons General Thoracic Surgery Database Non-analyzed Procedure Version 2.3 2014 The Society of Thoracic Surgeons Revised 9-22-14 Procedures listed on this form, unless performed
People normally swallow hundreds of times a day to eat
Evaluation and Management of Swallowing Disorders EXPERTOPINION By Joseph Spiegel, MD, Maurits Boon, MD, and Steven Mandel, MD Among other causes, dysphagia may be the presenting sign of several neurologic
External trauma (MVA, surf board, assault, etc.) Internal trauma (Endotracheal intubation, tracheostomy) Other
Etiology External trauma (MVA, surf board, assault, etc.) Internal trauma (Endotracheal intubation, tracheostomy) Other Systemic diseases (vasculitis, etc.) Chemo/XRT Idiopathic Trans nasal Esophagoscope
Dysphagia and Swallowing. Jan Adams, DNP, MPA, RN and Karen Kern
Dysphagia and Swallowing Jan Adams, DNP, MPA, RN and Karen Kern Scope of the Problem and Incidence 15 million people in the US have some form of Dysphagia. Every year, 1 million people are diagnosed with
Catherine Kerschen DO, FACOI Michigan State University College of Osteopathic Medicine
Catherine Kerschen DO, FACOI Michigan State University College of Osteopathic Medicine none 32 yo male presents with a burning sensation in chest following most large meals for 2-3 months. He denies dysphagia,
INTRODUCTION TO UPPER ENDOSCOPY
INTRODUCTION TO UPPER ENDOSCOPY Satish Nagula, MD Associate Professor of Medicine Icahn School of Medicine at Mount Sinai NYSGE First Year Fellows Course July 14, 2018 Early endoscopes 1805: Bozzini Lichtleiter
Minimally Invasive Esophagectomy
American Association of Thoracic Surgery (AATS) 95 th Annual Meeting Seattle, WA April 29, 2015 General Thoracic Masters of Surgery Video Session Minimally Invasive Esophagectomy James D. Luketich MD,
The role of the modified barium swallow study & esophagram in patients with GERD/Globus sensation
The role of the modified barium swallow study & esophagram in patients with GERD/Globus sensation James P. Dworkin, Ph.D. Jayme Dowdall, M.D. Adam Folbe, M.D. Tom Willis, M.S. Richard Culatta, Ph.D. Wayne
Dysphagia Lusoria and Zenker s Diverticulum
Rev. Fac. Med. 2014 Vol. 62 No. 1: 131-135 131 CASOS CLÍNICOS Dysphagia Lusoria and Zenker s Diverticulum Dysphagia Lusoria y Diverticulum de Zenker. Reporte de caso Julian D. Martinez1, 2 Luis F. Maya2
OPEN ACCESS TEXTBOOK OF GENERAL SURGERY
OPEN ACCESS TEXTBOOK OF GENERAL SURGERY BENIGN DISEASES OF THE PHARYNX OESOPHAGUS PC Bornman JM Shaw D Bizos EMBRYOLOGY The oesophagus develops in two parts; the upper segment which with the trachea evolves
The diseases of airway-tracheal diverticulum: a review of the literature
Review Article The diseases of airway-tracheal diverticulum: a review of the literature Asli Tanrivermis Sayit, Muzaffer Elmali, Dilek Saglam, Cetin Celenk Department of Radiology, Faculty of Medicine,
9/18/2015. Disclosures. Objectives. Dysphagia Sherri Ekobena PA-C. I have no relevant financial interests to disclose I have no conflicts of interest
Dysphagia Sherri Ekobena PA-C Disclosures I have no relevant financial interests to disclose I have no conflicts of interest Objectives Define what dysphagia is Define types of dysphagia Define studies
Back to Basics: What Imaging Test should I order? Jeanne G. Hill, M.D. Pediatric Radiology Medical University of South Carolina
Back to Basics: What Imaging Test should I order? Jeanne G. Hill, M.D. Pediatric Radiology Medical University of South Carolina Disclosure Neither I nor any member of my immediate family has a relevant
Ultrasound Interpretation of Non-Thyroid Neck Pathology
Ultrasound Interpretation of Non-Thyroid Neck Pathology Kevin T. Brumund, M.D., F.A.C.S. Associate Professor of Surgery Head and Neck Surgery University of California, San Diego Health Sciences VA Medical
Managing the Patient with Dysphagia
Managing the Patient with Dysphagia Patricia K. Lerner, MA, CCC, ASHA Fellow Board Certified Specialist in Swallowing & Swallowing Disorders Clinical Assistant Professor New York University School of Medicine
JNM Journal of Neurogastroenterology and Motility
JNM Journal of Neurogastroenterology and Motility J Neurogastroenterol Motil, Vol. 19 No. 1 January, 2013 pissn: 2093-0879 eissn: 2093-0887 http://dx.doi.org/10.5056/jnm.2013.19.1.99 How to Interpret a
AATS Focus on Thoracic Surgery: Minimally Invasive Esophagectomy: Are We Still Getting Better in 2017?
AATS Focus on Thoracic Surgery: Mastering Surgical Innovation Las Vegas, NV October 28, 2017 Session VIII: Video Session Minimally Invasive Esophagectomy: Are We Still Getting Better in 2017? James D.
Esophageal anastomotic techniques
Esophageal anastomotic techniques Raphael Bueno, MD, Brigham and Women s Hospital Slide 1 Good afternoon, I would like thank the association and Dr and Dr for inviting me to speak today. Slide 2 I am trying
IATROGENIC OESOPHAGEAL PERFORATION
IATROGENIC OESOPHAGEAL PERFORATION TAOLE MOKOENA DPhil FRCS PROFESSOR OF SURGERY UNIVERSITY OF PRETORIA 17 TH Controversies and Problems in Surgery Symposium 4-5 October 2013 Introduction Perforation of
Esophagectomy for benign disease
Review Article Esophagectomy for benign disease Jessica Mormando, Arianna Barbetta, Daniela Molena Division of Thoracic Surgery, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York,
Combined Collis-Nissen Reconstruction. of the esophagogastric junction at. Mark B. Orringer, M.D., and Herbert Sloan, M.D.
Combined Collis-Nissen Reconstruction of the Esophagogastric Junction Mark B. Orringer, M.D., and Herbert Sloan, M.D. ABSTRACT Recent reports have indicated that combined Collis-Belsey reconstruction of
Chapter 127: Trauma. Lauren D. Holinger, Gabriel F. Tucker. Caustic Ingestion
Chapter 127: Trauma Lauren D. Holinger, Gabriel F. Tucker Caustic Ingestion A variety of corrosive substances continues to find its way into the hands and mouths of children. Often this is the result of
Cystic Head and Neck Lesions
Cystic Head and Neck Lesions Disclosures None Brad Wright, MD 19 March 2018 Key points Huge variety of cystic lesions in H&N May be cystic, necrotic, or solid but cystic-appearing Patient age, clinical
Esophageal injuries. 新光急診張志華醫師 Facebook.com/jack119
Esophageal injuries 新光急診張志華醫師 Facebook.com/jack119 Pre-test 1 What is the most common cause of esophageal injuries? A. Traffic accidents B. Gunshot wounds C. Iatrogenic Pre-test 2 Which contrast agent
15/11/2011. Swallowing
Swallowing Swallowing starts from placement of the food in the mouth and continues until food enters the stomach. Dysphagia: any difficulty in moving food from mouth to stomach. Pharynx is shared for both
Paraesophageal Hernia
Paraesophageal Hernia Inderpal (Netu) S. Sarkaria, M.D. Vice Chairman, Clinical Affairs Director, Robotic Thoracic Surgery Co-Director, Esophageal and Lung Surgery Institute Speaker/Education: Intuitive
SAGES Guidelines for the Surgical Treatment of Esophageal Achalasia
Practice/Clinical Guidelines published on: 05/2011 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) SAGES Guidelines for the Surgical Treatment of Esophageal Achalasia Dimitrios
Dr. P. Gullane Wharton Chair Head & Neck Surgery Professor Department of Otolaryngology -Head & Neck Surgery University of Toronto
Wharton Head and Neck Centre The Toronto General Hospital Dr. P. Gullane Wharton Chair Head & Neck Surgery Professor Department of Otolaryngology -Head & Neck Surgery University of Toronto Controversies
By incision of the pyloric muscle and plastic reconstruction
Pyloroplasty Jon Arne Söreide, MD, PhD, FACS and Kjetil Söreide, MD By incision of the pyloric muscle and plastic reconstruction of the pyloric channel, pyloroplasty facilitates gastric emptying when the
Applied physiology. 7- Apr- 15 Swallowing Course/ Anatomy and Physiology
Applied physiology Temporal measures: Oral Transit Time (OTT) Pharyngeal Delay Time (PDT) Pharyngeal Transit Time (PTT) Oropharyngeal Swallowing Efficiency Score (OPSE score) 7- Apr- 15 Swallowing Course/
(a) (b) Plate 16.1 Esophageal tear after passage of the echoendoscope.
Plate 16.1 Esophageal tear after passage of the echoendoscope. Plate 11.1 Prophylactic pancreatic duct stents. 3-Fr, 4-cm long single-pigtail stent. 5-Fr, 3-cm long flanged stent. Plate 16.2 Esophageal
Case Report Association between Oesophageal Diverticula and Leiomyomas: A Report of Two Cases
Case Reports in Gastrointestinal Medicine Volume 2016, Article ID 6832535, 4 pages http://dx.doi.org/10.1155/2016/6832535 Case Report Association between Diverticula and Leiomyomas: A Report of Two Cases
USMLE Step 1 Problem Drill 17: Gastrointestinal System
USMLE Step 1 Problem Drill 17: Gastrointestinal System Question No. 1 of 10 1. A surgeon is planning to remove a patient s gallbladder endoscopically. During the procedure, the endoscope will traverse