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The gastrointestinal system
Published in C. Simon Herrington, Muir's Textbook of Pathology, 2020
Sharon J. White, Francis A. Carey
Gastric carcinomas can be classified macroscopically as polypoid, exophytic, ulcerative, or infiltrative (Figure 10.27). These categories are again of little independent clinical significance, but the diffusely infiltrative lesions give rise to a rigid immobile (‘leather-bottle’) stomach known as linitis plastica. This can give a characteristic appearance radiologically on barium meal examination.
Upper Gastrointestinal Surgery
Published in Gozie Offiah, Arnold Hill, RCSI Handbook of Clinical Surgery for Finals, 2019
Diagnosis and investigation➢ Diagnosis usually by gastroscopy and biopsy Barium meal may be required if gastroscopy contraindicated.➢ Staging investigations include CT TAP to assess for distant metastases and local lymphadenopathy.Endoluminal ultrasound to assess for local disease.Diagnostic laparoscopy (for patients considered for potential resection) to exclude small volume peritoneal metastases.
Oesophagus
Published in Michael Gaunt, Tjun Tang, Stewart Walsh, General Surgery Outpatient Decisions, 2018
The Nissen wrap either slips down the stomach, causing an hour-glass deformity and presenting as dysphagia and abdominal discomfort, or the wrap slips up between the crura into the chest, with accompanying dysphagia. Diagnosed by a barium meal.Requires prompt revision surgery.
Effect of Preoperative Nutritional Risk Screening and Enteral Nutrition Support in Accelerated Recovery after Resection for Esophageal Cancer
Published in Nutrition and Cancer, 2021
Yi Shen, Yunfeng Zhou, Tao He, Xiang Zhuang
Before surgery, the patients underwent the following routine tests and exams: barium meal examination of the upper gastrointestinal tract, upper gastrointestinal endoscopy + endoscopic ultrasonography, cervical color Doppler ultrasound, enhanced chest and abdomen computed tomography (CT), lung function, and electrocardiogram (ECG). Fibreoptic bronchoscopy was performed if CT indicated unclear boundaries between the lesion and the trachea and the main bronchus. Patients with a lesion occupying more than two-thirds of the esophageal lumen per gastroscopy were enrolled in the study. For the investigational group, a gastric tube was placed for EN support. For the control group, a central venous catheter (CVC) was placed for PN support.
Endoscopic diagnosis of gastrointestinal melanoma
Published in Scandinavian Journal of Gastroenterology, 2020
Sheng Wang, Siyu Sun, Xiang Liu, Nan Ge, Guoxin Wang, Jintao Guo, Wen Liu, Jinlong Hu
Three patients with esophageal melanoma were identified by endoscopic examination. One patient presented with an ulcer-type lesion measuring 2.0 × 3.0 cm with contaminated moss on the surface and peripheral mucosa uplifting; melanin pigmentation was observed on the lesion. Barium meal examination demonstrated that barium could not pass the lower esophagus smoothly and an irregular filling defect measuring 5 cm could be seen; local esophageal wall stiffening and mucosal interruption were observed (Figure 1).
Indications and complications of secondary tracheoesophageal puncture in Chinese laryngectomees
Published in Acta Oto-Laryngologica, 2022
Chunping Wu, Duo Zhang, Xiaohui Yuan, Ling Chen, Lei Tao
Bleeding at the puncture occurred in one patient who undertaken TEP 3 months after radiotherapy. The puncture appeared to ooze blood 1 week after TEP and did not improve with conservative treatment. The prosthesis was removed surgically after 2 weeks and the fistula was closed with direct sutures. Gastroscopy was done 3 weeks later, suggesting a little pseudomembrane at the inner side of the TEP. Barium meal examination showed no barium flowing into trachea through puncture (Figure 6).