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http://dx.doi.org/10.1055/a-2643-8931 | DOI Listing |
Aortoesophageal fistula (AEF) is a rare but life-threatening condition. Initial management typically includes thoracic endovascular aortic repair (TEVAR) or aortic graft replacement to achieve hemostasis, followed by esophagectomy with aortic graft replacement and greater omentum wrapping to eliminate the source of infection. We report a case of successful endoscopic closure of a chronic esophageal fistula secondary to AEF.
View Article and Find Full Text PDFBackground Accidental ingestion of coin-shaped lithium batteries (CSLBs) poses a serious health risk, leading to severe esophageal injuries and fatal complications. Conventional CSLBs cause rapid tissue damage due to electrochemical reactions, necessitating the development of safer battery designs. This study aimed to develop and evaluate an improved CSLB with a titanium-clad design to reduce electrochemical reactions and delay esophageal tissue damage in cases of accidental ingestion.
View Article and Find Full Text PDFIntern Med
September 2025
Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Japan.
Pneumomediastinum refers to the accumulation of air in the mediastinum, which may occur due to trauma, esophageal perforation, or spontaneously. Although rare, dental procedures, especially those involving air turbine drills, can cause mediastinal emphysema. Most reported cases are related to tooth extraction; however, nonextraction procedures may also be associated with this complication.
View Article and Find Full Text PDFAnn Med Surg (Lond)
September 2025
Department of Medicine, BPP University, United Kingdom.
Background: Spontaneous esophageal perforation, especially Boerhaave syndrome, carries high morbidity and mortality. Minimally invasive treatments like esophageal stenting and endoscopic vacuum therapy (EVT) are increasingly used, but optimal management remains unclear.
Objective: This systematic review and meta-analysis evaluates the efficacy and safety of esophageal stenting and EVT in managing esophageal defects by assessing sealing rates, failure rates, and mortality.
World J Crit Care Med
September 2025
Department of Medicine and Pharmacology, Texas A and M University, College Station, TX 77843, United States.
The Sengstaken-Blakemore tube (SB tube), introduced in the 1950s, was a pivotal device for managing acute gastrointestinal (GI) bleeding, particularly from esophageal varices. This multi-lumen tube, featuring esophageal and gastric balloons, applied mechanical pressure to control bleeding and provided a temporary solution until more definitive treatments could be employed. It was historically significant in resource-limited settings where advanced endoscopic options were unavailable, enabling patient stabilization and transfer to specialized centers.
View Article and Find Full Text PDF