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Doctor insights on: Esophageal Fistula Treatment

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Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Tracheo-oesophageal fistula and oesophageal atresia hereditary?

Not usually: Esophageal atresia with or with out fistula is usually sporadic. There area a few cases ( and i mean very few) in the literature where a parent had ea-tef and had a child with same. It is reportable. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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What treatment for anal fistula?

An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read more

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Treatment for intestinal strictures?

Treatment for intestinal strictures?

Depends: What is the cause of the strictures? If it is from adhesions, the scar tissue is removed. If it is from something unusual like carcinoid tumor, then bowel resection. If from crohn's disease, then sometimes bowel resection or stricturoplasty. Stricture of colon from diverticulitis would need colon resection. Etc. ...Read more

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How is esophageal diverticulitis treated?

How is esophageal diverticulitis treated?

Diverticulitis: tge esophagus can have diverticuli but usually in one of two locations. They are both treated surgically. Diverticulitis is an infection of the diverticuli and that usually happens in the colon and not the esophagus. May need more details here ...Read more

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Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?

Not frequent: If stricture develops may be due to recurrences of disease, balloon dilation may help, will require resection for better out come. ...Read more

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Is anorectal abscess curable?

Is anorectal abscess curable?

Yes: This is manageable with surgical drainage and antibiotics in combination, but important to determine why the abscess occurred and to make sure that other associated conditions are not overlooked. ...Read more

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Ultimate method to cure an anal fissure?

Ultimate method to cure an anal fissure?

Avoid constipation: Constipation and forced bowel movements are the root cause behind formation of the fissure. It is a tear in the skin inside the rectum that occurs when it stretches too far while passing hard stool. ...Read more

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What is the treatment for esophageal achalasia?

What is the treatment for esophageal achalasia?

Several: The main treatments are 1) medications, 2) endoscopic, and 3) surgical. Which one to choose depends on how severe the symptoms are. ...Read more

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What is an esophageal fistula exactly?

What is an esophageal fistula exactly?

See below: Fistula is a naturally occurring, abnormal communication between two structures as a tracheo-esophageal fistula, which can cause frequent episodes of food aspiration into the lungs. ...Read more

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What is the best treatment for gastro esophageal reflux disease ?

Protonpump inhibitor: For mild reflux h2 blockers such ranitidine or zantac works and for worse cases proton pump inhibitors such Omeprazole or prilosec. Avoid caffeine and eating at least 2 hours before bedtime. Being overweight may worsen the case as well as stress. ...Read more

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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more

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Esophageal atresia and tracheoesophageal fistula: where can I get info?

Esophageal atresia and tracheoesophageal fistula: where can I get info?

Need Info.: Esophageal atresia and tracheo-esophageal fistulas are unfortunately frequently seen in my practice. The best source of information regarding these entities for a non medical individual would be a google search. ...Read more

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Best non surgical treatment for zenker diverticulum?

Best non surgical treatment for zenker diverticulum?

None: Really, the treatment for this congenital esophagus outpouching is surgical. There's no medication or lifestyle change which can make it go away. Good luck. ...Read more

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What is the difference between an esophageal atresia and a tracheoesophageal fistula?

What is the difference between an esophageal atresia and a tracheoesophageal fistula?

Often associated: About 1 in 4000 live births results in an anomaly of the esophagus &/or trachea. The most common form is esophageal atresia (ea) with distal tracheosesophageal fistula (tef) -- the upper and lower parts of the esophagus (swallowing tube) are not connected, & the lower part is connected to the trachea (breathing tube). There can also be ea by itself, or tef by itself, or other rarer combinations. ...Read more

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How is esophageal cancer treated?

How is esophageal cancer treated?

Depends on stage: There are 4 stages of esophageal cancer (with a and b subtypes for some). For stage i and iia, the upfront therapy is surgery or esophagectomy. For stage iib or iii, treatment is chemoradiation followed by surgery, or definitive chemoradiation. For stage iv, the treatment is chemotherapy, + /- radiation. ...Read more

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Has anyone done surgery for GERD (gastro esophageal reflux disease)?

Common: It is a fairly common laparoscopic surgery performed by surgeons with expertise in this type of surgery. Names of surgery may be laparoscopic nissen fundoplication. ...Read more

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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more