EsophagealWeb in a Down Syndrome Infant—A Rare Case Report We describe the rare case of an infant with trisomy 21 who presented with recurrent vomiting and aspiration pneumonia and a failure to thrive. Infants with Down's syndrome have been known to have various problems in the gastrointestinal tract. In the esophagus, what have been described are dysmotility, gastroesophageal reflux and strictures. This infant on evaluation was found to have an esophagealweb and simple endoscopic dilatation relieved the infant of her symptoms. No similar case has been reported in literature.
Plummer-Vinson Syndrome with Proximal EsophagealWeb. Plummer-Vinson Syndrome is a condition where iron deficiency is associated with difficulty swallowing due to the presence of an esophagealweb. Deficiency of iron-dependent oxidative enzymes causes gradual degradation of the pharyngeal muscles which lead to mucosal atrophy and formation of webs. Although it is a very rare condition , an increased risk of esophageal squamous cell carcinoma makes its identification very important. Dilation of the esophagealweb using a Savary dilator is a more effective and safer approach compared to conventional balloon dilation.
Use of Sato's curved laryngoscope and an insulated-tip knife for endoscopic incisional therapy of esophagealweb We experienced two cases of esophagealweb accompanying severe stricture that were treated by endoscopic incisions with an insulated-tip knife (IT-knife). With attention paid to the mucosa at the stricture, the lesion was incised with an IT-knife without complications. Sato's curved
Management of a postradiation esophagealweb in the setting of a coexisting Zenker's diverticulum. We present a case of postradiation obstructive esophagealweb, seen in the setting of a coexisting Zenker's diverticulum, that was treated with combined anterograde and retrograde esophagoscopy puncture and dilation. We also review the relevant literature. Obstructing esophagealwebs and stenoses
EsophagealWebEsophagealWeb - Gastrointestinal Disorders - MSD Manual Professional Edition MSD Manual Please confirm that you are a health care professionalYes No Leave this Site? The link you have selected will take you to a third-party website. We do not control or have responsibility for the content of any third-party site.Continue Cancel honeypot link Brought to you by * about MSD * MSD : verify here. Medical Topics & Chapters * A * B * C * D * E * F * G * H * I * J * K * L * M * N * O * P * Q * R * S * T * U * V * W * X * Y * Z 1. Professional / 2. Gastrointestinal Disorders / 3. Esophageal and Swallowing Disorders / 4. ... / 5. EsophagealWeb / * * * * * OTHER TOPICS IN THIS CHAPTER Overview of Esophageal
and symptomatology related to chronic iron deficiency, including pica, angular stomatitis, and glossitis.Dysphagia that is the result of esophagealwebs (very rare).Possibly muscle weakness.In addition, progressive splenomegaly or pruritus not controllable by antihistamines may persist despite control of the hematocrit by phlebotomy. (Refer to the PDQ summary on Pruritus for more information.) If phlebotomy
a subgroup analysis to better understand patient selection. Retrospective observational study from a single university hospital. Two-hundred four TNO and balloon dilatations were performed for 146 patients (median age 73 years; range 12-94 years). Indications included cricopharyngeal hypertrophy ± pouch (n = 70), hypopharyngeal/upper oesophagealweb/stenosis (n = 18), head and neck cancer treatment-related
Plummer-Vinson syndrome: a rare occurrence in paediatrics. Plummer-Vinson syndrome (PVS) is characterized by a triad of symptoms consisting of microcytic hypochromic anaemia, oesophagealwebs, and dysphagia. PVS is commonly found in women in the fourth and fifth decades of life and is rarely reported in the paediatric population. We report the case of a 1-year-old male South Asian child who presented with dysphagia and anaemia for 4 months and frequent episodes of vomiting after ingesting semisolid and solid food. A complete blood analysis revealed microcytic hypochromic anaemia. An oesophagogram revealed circumferential narrowing of the upper thoracic oesophagus. Based on these findings, our suspicion was that the patient had an oesophagealweb and vascular ring. Oesophageal dilation
endoscopy, diagnostic work-up for potential underlying disease including histologicalevaluation is recommended (Grade 1B). An underlyingesophageal disorder can be found in up to 25% of pa-tients. The most commonly associated disorders areesophageal stricture, hiatus hernia, esophagealweb orSchatzki ring, eosinophilic esophagitis, achalasia, and tu-mors. A latent eosinophilic esophagitis may be diag-nosed
Plummer-Vinson syndrome: A decade's experience of 132 cases from a single center. Plummer-Vinson syndrome (PVS) comprises triad of iron deficiency anemia, dysphagia, and post-cricoid esophagealweb. PVS is rare nowadays due to improved nutritional status. However, we encountered patients with PVS regularly at our center. Data regarding PVS are limited; hence, we aimed to study the clinical bougie dilation of the web. Patients were followed-up for the recurrence of dysphagia and development of complications. Overall, 153 patients exhibited esophagealweb, of which 132 (86.27%) patients had concomitant PVS and 21 (13.7%) patients did not. The mean age was 43.50 years (range 16-76) and 113 (85.6%) were women. Single session of Savary-Gilliard bougie dilation was successful in 90.7
of microcytic hypochromic anaemia (iron deficiency), atrophic glossitis, and oesophagealwebs or strictures.[1] A description of this syndrome was published by Henry Plummer in Chicago in 1911 and also by Porter Vinson in Philadelphia in 1919. Donald Ross Paterson and Adam Brown Kelly published independently of each other in London in 1919.[2]How common is Plummer-Vinson syndrome? (Epidemiology)PVS most often correction it is important to maintain a normal iron status. Causes of blood loss like menorrhagia may require attention.Regular endoscopic surveillance is required to detect transformation into squamous cell carcinoma.[14]Endoscopic dilatation or argon plasma coagulation therapy of the oesophagealweb is occasionally required in cases of persistent dysphagia.[15]ComplicationsPost-cricoid carcinoma
but, classically, at the anterior postcricoid area of the upper oesophagus. The triad of postcricoid oesophagealweb, dysphagia, and iron-deficiency anaemia is termed Plummer-Vinson syndrome. There may be koilonychia (spoon nails), cheilosis and glossitis. Webs are more frequent in women and this may be related to propensity for iron deficiency. Most upper oesophagealwebs are not associated with Plummer-Vinson
, they can include:[2]Fatigue.Shortness of breath on exertion.Palpitations.Sore tongue and taste disturbance.Changes in the hair/hair loss.Pruritus.Headache.Tinnitus.Angina, which can occur if there is pre-existing coronary heart disease.Very rarely, dysphagia due to an oesophagealweb with chronic iron deficiency. This is the Plummer-Vinson syndrome and there is an association with oesophageal