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Eosinophilic Esophagitis Health Feed

Esophgeal (Food Pipe) Disorders - Some Briefs About Them!

Dr. Tarun Bharadwaj 87% (10 ratings)
MBBS, MD - Internal Medicine, DM - Gastroenterology, Fellowship in Advanced endoscopy, Fellowship in Endoscopic Ultrasound(EUS), Observer fellowship in NBI and ESD, Fellowship in Hepatology
Gastroenterologist, Bhopal
Esophgeal (Food Pipe) Disorders - Some Briefs About Them!

1. Esophagitis: Prolonged acid or bile reflux (Gastroesophageal reflux disease GERD) from the stomach can cause injury to the lower esophagus and causing esophagitis. It can be either Erosive esophagitis or Non-erosive reflux disease (NERD). Gastroscopy is usually recommended to document the extent of the injury. Prolonged untreated GERD can cause Barret’s esophagitis, upper GI bleeding or Cancer of the food pipe. Diagnosis usually involves Gastroscopy, 24 hours Phmetry and Esophageal manometry. Medical treatment is very effective and cures almost 100% of patients. Many endoscopic methods are available for the treatment of GERD such as GERDX, Stretta, ARMS etc. Laparoscopic Nissen fundoplication is the surgical treatment for GERD.

2. Difficulty in swallowing food (Dysphagia): It can be due to oesophagal stricture, cancer, webs, or motility disorders. Strictures require dilatation by SG dilators. Motility disorders are diagnosed by esophageal manometry.

1263 people found this helpful

Esophagectomy - Why Is It Required?

Dr. Shantanu Tiwari 90% (49 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB ( General Surgery ), Fellowship in Minimal Access Surgery, Senior Residency Training Program (Surgical Oncology)
General Surgeon, Raipur
Esophagectomy - Why Is It Required?

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as your stomach size is reduced.

3164 people found this helpful

Hi I am 36 years old and suffering from erosive esophagitis, I have been prescribed sompraz d 20 twice a day for one year can we take medicine for one year will it not have any negative impact on our health.

Dr. T Lakshmikanth 89% (18 ratings)
MS - General Surgery, MBBS, Fellowship in Laparoscopic & Advanced Laparoscopic surgical, Fellowship in Surgical Gastroenterology
Gastroenterologist, Hyderabad
Hi I am 36 years old and suffering from erosive esophagitis, I have been prescribed sompraz d 20 twice a day for one ...
Kindly look for the intensity of symptoms. Whether you were tested for h.pylori. Look if you are positive for hiatus hernia or lax esophageal sphincter. You may require esophageal manometry to look for the severity of reflux. Try taking the same medication at night before dinner and see the result.
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Eosinophilic Disorders - Know More About Them!

Dr. Lalit Raut 86% (30 ratings)
Fellowship In Leukemia & Stem Cell Transplant, DM - Clinical Haematology, MD - Medicine
Hematologist, Nagpur
Eosinophilic Disorders - Know More About Them!

The Eosinophilic disorders are one of the major hematological diseases, which deal with the white blood cells in the human body. The Eosinophils or the white blood cells play an important role in the human body while responding to asthma, allergic reactions, and infections that are caused due to parasites. Eosinophils not only play an important role in protective immunity against parasites but also contribute a lot to inflammation which occurs during allergic disorders.

Different disorders of the Eosinophils

  1. Low count of eosinophils
  2. High count of eosinophils
  3. Idiopathic hypereosinophilic syndrome
  4. Disorders and their treatments

Low count of eosinophils
A low count of eosinophils in the blood usually occurs with the sepsis or the infections in the blood stream, Cushing syndrome. They are usually treated with the corticosteroids. The treatment of the lower count of eosinophils is able to restore the normal count of the eosinophils.

High count of eosinophils
The condition of the high count of the eosinophils is known as eosinophilia or hypereosinophilia. Some of the most common causes which increase the count of the eosinophils are

  1. Disorders due to allergies including asthma, atopic dermatitis, eczema and allergic rhinitis.
  2. Infections caused by parasites, mainly the ones those are known to invade the tissues.
  3. Some of the cancers cause eosinophilia like leukemia, Hodgkin lymphoma, and myeloproliferative disorders.

Symptoms of eosinophilia

When the count of the eosinophils increases considerably, it can not only inflame the tissues but can also cause damage to the organs. The organs that are usually affected due to this are the heart, skin, lungs and the nervous system. People may suffer from skin rashes, shortness of breath or wheezing and fatigue. One can also suffer from throat as well as stomach pain if the stomach or the esophagus gets affected.
It is generally treated with antibiotics even if no infection is detected. Doctors usually treat such conditions with oral corticosteroids.

Idiopathic Hypereosinophilic Syndrome
In this disorder, the eosinophil count increases to more than 1500 cells/microliter of blood. It is common in the ones who have crossed 50 and usually suffers from a condition of the heart known as Loffler endocarditis which leads to heart attacks.

Symptoms

  1. Weight loss
  2. Night sweats
  3. Chest pain
  4. Fevers
  5. Weakness
  6. Stomach ache and sometimes coma

Most of the people need to treat this with the drugs of prednisone, hydroxyurea and sometimes chemotherapy drugs. Eosinophilic disorders should always be treated according to the drugs prescribed by the doctors.

2429 people found this helpful

I am 19 years old female and have monilial esophagitis for last 2 months I have used razor tablet and sucralfate oxytocin suspension syrup but haven't get any relief. What should I do now?

Dr. Pahun 95% (17509 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jaipur
I am 19 years old female and have monilial esophagitis for last 2 months I have used razor tablet and sucralfate oxyt...
take khadiradi vati 2 tablet twice a day empty stomach regularly for 15 days, septillin (Himalaya) syrup one tsf twice a day empty stomach for 15 days
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Esophagectomy - Where It Will Be Useful?

Dr. Prashanth Hegde 86% (10 ratings)
MBBS, MS - General Surgery, Fellowship in Gastroenterology
General Surgeon, Hyderabad
Esophagectomy - Where It Will Be Useful?

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced.

My Eosinophilia is 6.9 What medicine should I take to reduce. Also what should I do to over come the Iron deficit.

Dr. Prashant K Vaidya 90% (18372 ratings)
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
My Eosinophilia is 6.9 What medicine should I take to reduce.
Also what should I do to over come the Iron deficit.
best plant sources of iron : Beans and lentils. Tofu. Baked potatoes. Cashews. Dark green leafy vegetables such as spinach. Fortified breakfast cereals. Whole-grain and enriched breads.
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What Is Esophagectomy And Its Usage?

Dr. Shrikant Kurhade 90% (22 ratings)
M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
Laparoscopic Surgeon, Pune
What Is Esophagectomy And Its Usage?

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced.

3321 people found this helpful

How To Manage Adverse Respiratory Events?

Dr. Avaneesh Hasiza 89% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
How To Manage Adverse Respiratory Events?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you
  2. Block pain
  3. Make you sleepy or forgetful
  4. Make you unconscious for your surgery

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:

  1. Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
  2. Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  1. Airway Obstruction
  2. Inadequate inspired oxygen delivery
  3. Aspiration
  4. Endobronchial Intubation
  5. Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  1. Pulse Oximetry
  2. Capnometry
  3. Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome.

2734 people found this helpful

Esophagectomy: When And Why Is It Necessary?

Dr. Khomane Gorakshanath 89% (31 ratings)
M. S. , MBBS
General Surgeon, Mumbai
Esophagectomy: When And Why Is It Necessary?

The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.

Esophagectomy is commonly used to treat oesophageal cancer.

Uses:

Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).

Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.

Some other conditions which require esophagectomy include:

  1. Oesophageal trauma.

  2. Swallowing of cell-damaging, or caustic agents such as lye.

  3. Problematic stomach disorders that make the passage of food to the stomach difficult.

  4. A previously performed esophagectomy was unsuccessful.

Procedures:

There are three ways a surgeon may perform an esophagectomy, which include:

  • Transthoracic Esophagectomy (TTE)

In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:

    • Cancer present only in two-thirds of the oesophagus

    • Barrett’s oesophagus (Abnormal cell transformation in the lower oesophagus)

    • Damage to the oesophagus by swallowing a caustic agent

    • Reflux esophagitis (stomach acids return to the oesophagus) complications

  • Transhiatal Esophagectomy (THE)

In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:

    • To remove the cancerous oesophagus

    • To tighten or narrow the oesophagus in order to make swallowing easier

    • To fix issues in the nervous system

    • To repair frequent gastroesophageal reflux

    • Correct a hole in the oesophagus caused by any caustic agent

  • En Bloc Esophagectomy

In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.

Potentially curable tumours are treated by en bloc esophagectomy.

Outlook:

Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced.

2925 people found this helpful
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