Gastroesophageal Intussusception

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Jamie S. Barkin - One of the best experts on this subject based on the ideXlab platform.

  • Retrograde Gastroesophageal Intussusception.
    The American journal of gastroenterology, 1992
    Co-Authors: S. David, Jamie S. Barkin
    Abstract:

    This is an initial report of spontaneous retrograde Gastroesophageal Intussusception in an adult. The patient is a 72-yr-old women with a history of ovarian cancer and hiatal hernia, who presented with symptoms of upper gastrointestinal obstruction. Retrograde Intussusception was diagnosed endoscopically and confirmed radiographically with an upper gastrointestinal series. Heightened awareness of this entity may lead to its more frequent diagnosis.

Bangmao Wang - One of the best experts on this subject based on the ideXlab platform.

  • retrograde Gastroesophageal Intussusception after peroral endoscopic myotomy in a patient with achalasia cardia a case report
    Medicine, 2018
    Co-Authors: Samiullah Khan, S U Shuai, Kui Jiang, Bangmao Wang
    Abstract:

    RATIONALE Retrograde Gastroesophageal Intussusception (RGEI) is a relatively rare gastrointestinal (GI) disorder in which a portion of the stomach wall invaginates into the esophagus. More recently, peroral endoscopic myotomy (POEM) has emerged as an endoscopic alternative to surgical myotomy for achalasia, and, to the best of our knowledge, our case is the first RGEI after POEM to be reported. PATIENT CONCERNS A 22-year-old male was presented with a history of vomiting, intractable retching and hematemesis for 3 days. He had a history of achalasia and underwent POEM 3 years ago caused by symptoms of severe dysphagia to solid and liquid. DIAGNOSES Initially, the patient was diagnosed with a blood-filled esophagus, and the mid esophagus was occluded with a ball-like mass, however, the final diagnosis of RGEI was made by thoracotomy. INTERVENTIONS A therapeutic strategy of conservative treatment and left transthoracic surgery were applied. OUTCOMES The surgery and post operative course were uneventful, and he remained asymptomatic 1 year after operation. LESSONS POEM is a reliable and minimally invasive endoscopic method for esophageal achalasia. Early recognition and severity of RGEI are essential to decrease the unwanted complications. Upper GI series, esophagogastroduodenoscopy and computed tomography scan are helpful for diagnostic purposes of RGEI. Conservative treatment, endoscopic intervention, and surgery are the mainstay of treatments for RGEI.

So Young Jin - One of the best experts on this subject based on the ideXlab platform.

  • gastritis cystica profunda with a long stalk
    Gastrointestinal Endoscopy, 2013
    Co-Authors: Tae Hee Lee, Joon Seong Lee, So Young Jin
    Abstract:

    Commentary Retrograde Gastroesophageal Intussusception is a rarely reported condition, in which a portion of the stomach invaginates into the esophagus. It must be distinguished from retrograde prolapse of the stomach, which is much more common and which may resemble at endoscopy its intussusceptive cousin. Gastroesophageal Intussusception involves all layers of the stomach, whereas with retrograde prolapse, only the gastric mucosa passes into the esophagus. One predisposing factor involves poor fixation of the stomach, often a result of laxity or absence of gastrophrenic, gastrohepatic, gastrosplenic, and gastrocolic ligaments as well as the omental attachments. Other risk factors include increased abdominal pressure during retching or vomiting, physical exertion as with weight lifting, or ascites. Hiatus hernia with a lax phrenoesophageal ligament and various operations such as laparoscopic myotomy and fundoplication also have been cited as risk factors. Intussusception may cause intermittent dysphagia, nausea, and abdominal pain in patients with predisposing anatomy. If it is diagnosed in a nonemergent setting, it may be reasonable to attempt endoscopic reduction or even gastric fixation, but laparotomy and manual reduction are usually required. Lawrence J. Brandt, MD Associate Editor for Focal Points

S. David - One of the best experts on this subject based on the ideXlab platform.

  • Retrograde Gastroesophageal Intussusception.
    The American journal of gastroenterology, 1992
    Co-Authors: S. David, Jamie S. Barkin
    Abstract:

    This is an initial report of spontaneous retrograde Gastroesophageal Intussusception in an adult. The patient is a 72-yr-old women with a history of ovarian cancer and hiatal hernia, who presented with symptoms of upper gastrointestinal obstruction. Retrograde Intussusception was diagnosed endoscopically and confirmed radiographically with an upper gastrointestinal series. Heightened awareness of this entity may lead to its more frequent diagnosis.

Aarti Kathrani - One of the best experts on this subject based on the ideXlab platform.

  • Gastroesophageal Intussusception and extreme esophageal dilatation secondary to bilateral laryngeal paralysis in a cat.
    Journal of veterinary internal medicine, 2021
    Co-Authors: Sarah Tayler, Deirdre Mullowney, Alexandru Lataretu, Mark Plested, Jayson Tuan, Aarti Kathrani
    Abstract:

    Gastroesophageal Intussusception, extreme esophageal dilatation, and laryngeal paralysis are individually rare clinical entities in cats and the simultaneous occurrence in a single animal has not been described. We describe these 3 conditions occurring concurrently in a geriatric cat, and resolution of the cat's clinical signs after treatment with unilateral arytenoid lateralization. This finding supports the need for thorough history taking and examination in cats with extreme esophageal dilatation to determine if upper respiratory tract abnormalities are present, as appropriate treatment might resolve the esophageal dilatation.