| Theme |
Emergency Endoscopy |
| Title |
Emergency Endoscopy for Esophageal Passage Disorders |
| Author |
Yuichi Shimizu |
Division of Endoscopy, Hokkaido University Hospital |
| Author |
Mototsugu Kato |
Division of Endoscopy, Hokkaido University Hospital |
| Author |
Junji Yamamoto |
Department of Gastroenterology, Hokkaido University School of Medicine |
| Author |
Yuji Ono |
Department of Gastroenterology, Hokkaido University School of Medicine |
| Author |
Souichi Nakagawa |
Division of Endoscopy, Hokkaido University Hospital |
| Author |
Masahiro Asaka |
Department of Gastroenterology, Hokkaido University School of Medicine |
| [ Summary ] |
Passage disorders are largely divided into the categories of functional disorders and mechanical disorders. Many diseases which require emergent gastrointestinal endoscopy are mechanical disorders. Related conditions are esophageal cancer, thyroid cancer obstructions, metastatic lymph nodes, foreign bodies in the esophagus, reflux esophagitis scars, anastomotic strictures, scars from chemoradiotherapy and scars from EMR. Generally, emergent endoscopy is indicated for patients whose strictures are filled with food. The most frequent condition is foreign bodies in the esophagus. The purpose of emergent endoscopy is the diagnosis of the causes of obstructions and, if possible, removal of them. In removal of esophageal foreign bodies, aortic penetration and mediastinitis should be avoided. |