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Clinical Cases discussion











Attenzione: apre in una nuova finestra.


Clinical cases are a strong basis for continuous learning and understanding of medicine. 
This new initiative of OESO, launched in 2009, consists in the monthly presentation of cases, to be discussed between the case author and the members of the international scientific community.


The constant help of the HON (Health On the Net Foundation) team is key to the dissemination of information to the 14,000 members of the OESO network. 
On the last Wednesday of each month, they receive by means of the OESO Newsletter (Current Topics in Esophagology ) the elements of a chosen, anonymous patient’s file which is put up for discussion during a whole week on a special Forum organized with the University of Vienna.


This project has been successfully brought into function thanks to the efficient cooperation set up between the OESO Foundation, the University of Vienna (Prof. P. Pokieser, Dr A. Hirsch, Dr Hofmeister) and the team of HON (Dr Celia Boyer, Mr Vincent Baujard).


  • It was officially launched in December 2009, and has been continued on a regular basis since then applying a rigorous procedure, each time respected:

  • Presentation
    • A clinical case, selected for its didactic interest, is proposed each 3rd Wednesday of the month, and widely diffused by a blast e-mail to some 14,000 corresponding members of OESO.
      - Connection to a link allows access to a Forum. This connection is free of charge and requires only the e-mail address which serves as   the log-in.
    • The presentation of the case is done by the Chief Coordinator following the format developed 
at the University of Vienna and with the help of the OESO Foundation and the team from HON: it comprises the necessary information to its correct evaluation, along with selected images that can be studied in detail on full screen.
      All the preceding cases can be accessed with the same connection: the medical history is first briefly summarized, with all relevant illustrations from the patient's file. The starting point of the discussion is there, allowing the community to react to the case, the information being combined with the database of the OESO Foundation.
    • The second part of the case presentation is then carried through on the following Monday, again sent to the same 14,000 corresponding members,  with  the Coordinator summing up the diagnostic commentary and the therapeutical  means of  treatment.
    • The entire discussion will, in fine, have lasted one full week on the Forum., one being able to connect at any time, day or night, from whatever part of the world  he/she is, and intervene in 
one of two ways:
      - either to advance an opinion on the diagnosis or the treatment, and directly interact with other participants by inserting several lines of text in the space provided on the Forum,
      - or, in a more discreet manner, by only observing the exchanges and comments as spectator during the entire week of discussion.
    • At the same time as the case discussion, all uses of certain terms are numbered and 
referenced in one of the volumes of the OESO Encyclopedia of Esophagology (OESO Knowledge Interactive Information System ) put online by the OESO Foundation: a click 
on one of  the icons of the key words gives immediate access to the corresponding text(s) in the book(s). 
The texts can also be accessed through an original system of "Audio Reading" to avoid on screen reading. )

  • This vast undertaking testifies to the multi-disciplinarity of OESO, one of its founding principles.
    Its bears witness to the exemplary cooperation existing between the OESO Foundation and the University of Vienna where a team at each Institution participates in the careful choice of cases, their prior adaptation to the strict format of the Forum, to the insertion of key words, and to the functioning of the week long discussion.

  • To date (November 2011), 22 cases have already been discussed with an overall contribution of 900 people from all countries, most of them however preferring to watch the exchanges between experts, rather than presenting their opinion worldwide.  Thus, the OESO Foundation has now at its disposal a selection of  cases mainly discussed between specialists, which lends particular attraction to some clinical settings such as, for instance Eosinophilic Esophagitis where the literature is somewhat new and does not commonly allow for public exchanges between top, world renowned experts.  

    Access to this library of cases represents a valuable addition to the written literature that may be found on the web and has now become a important instrument to acquire knowledge and to enrich it month after month.
    Here after are the clinical cases that have been presented, at regular intervals, each following the above described procedure.

Cases already discussed:

Case 1 - Esophageal Disaster - Dec 9-17, 2009


Case 2 - Esophageal motor disorder - Jan 20-28, 2010


Case 3 - Eosinophilic Esophagitis - Feb 17-25, 2010


Case 4 - Caustic Burn of the Esophagus - Mar 24 - Apr 1, 2010


Case 5 - Caustic stenosis of the Esophagus - Apr 28 - May 6, 2010


Case 6 - NCCP and NERD - May 26 - Jun 3, 2010


Case 7 - dysphagia - congenital alacrimia - Jun 23 - Jul 1, 2010


Case 8 - Esophageal Case Discussion - Aug 4 - 12, 2010


Case 9 - A drawn out story of Barrett's Esophagus - Sep 29 - Oct 7, 2010


Case 10 - An interesting case of dysphagia in a young patient - Oct 27 - Nov 4, 2010


Case 11 - Dysphagia secondary to pseudodiverticula following esophagectomy
- Nov 24 - Dec 2, 2010


Case 12 - A case of esophageal perforation difficult to diagnose and to treat
- Dec 29 2010 - Jan 6, 2011


Case 13 - Modern technology, and the etiopathologic diagnosis of dysphagia
- Jan 26 2011 - Feb 3, 2011


Case 14 - Untraditional treatment of a severe lye oesophageal stricture
- Feb 23 2011 - Mar 3, 2011


Case 15 - Long-term post-treatment evolution of a mid esophagus squamous cancer.
- Mar 30 2011 - Apr 7, 2011


Case 16 - Non-obstructive dysphagia and chest pain - Apr 28 2011
- May 9, 2011


Case 17 - A difficult conjunction of upper and lower esophageal dysfunction,
in a complex pathological context - May 25 2011 - Jun 2, 2011


Case 18 - The expertise of specialists in several disciplines needed for diagnosis
- A difficult choice of treatment for a rare case of esophageal disease.
- Jun 29 2011 - Jul 7, 2011


Case 19 - Forum proposes an exchange on an interesting example of the diversity
of problems that can be present at the same time in a patient.
- Jul 27 2011 - Aug 4, 2011


Case 20 - Esophageal oncology - Aug 31 2011 - Sep 8, 2011


Case 21 - Long term evolution of a stromal tumor - Sep 28 2011 - Oct 6, 2011


Case 22 - Aortic arch stenoses - Oct 26 - Nov 3, 2011


Case 23 - Obesity and motility disorders of the esophagus – Nov 30 - Dec 8, 2011


Case 24 - Diagnosis and potential treatments applied to a pan-esophageal Barrett’s esophagus with High grade Dysplasia – Dec 28, 2011 - Jan 5, 2012


Case 25 - A complicated case of neo-natal dysphagia - Jan 25 - Feb 2, 2012


Case 26 - A rare case of complete aphagia with total pharyngo-esophageal stop.. - Feb 29 2012 - Mar 7, 2012


Case 27 - A difficult case of swallowing disorder - Mar 28 2012 - Apr 4, 2012


Case 28 - Difficult evaluation and treatment of an upper esophageal stenosis - May 2, 2012 - May 9, 2012


Case 29 - A challenging case of otopharyngeal dysphagia - June 6, 2012 - June 13, 2012


Case 30 - Management of a Barrett patient: a difficult untertaking - July 4, 2012 - July 14, 2012


Case 31 - An interesting case of familial Barrett's esophagus - August 8, 2012 - August 16, 2012


Case 32 - A long tale of Barrett's - September 13 , 2012 - September 20 , 2012





This initiative has raised considerable interest. It perfectly reflects the aims and goals of the OESO Foundation, since it represents an efficient tool for the updating of knowledge, as witnessed by the number of those who log-in, be they active or passive.
Month after month, the number of those connecting, mainly to observe the discussions, regularly increases, including representatives of new countries that were not formerly included in the OESO mailing list.

  • The discussions are currently enjoying increasing success and attract a number of participants owing to the careful selection of cases and the qualifications of the presenter and discussants.
    The content of the discussion is conserved in the database of the OESO Foundation, and contributes to its enrichment.
  • The work of OESO, functioning on high standard information technology for its database, is a perfect example for an integrated system based on a repository which is the basis for communication and multi-disciplinary actions.
The decision of the Foundation to implement a combination of its unique database with an action disseminated twice monthly among 14,000 people allowed for fostering a kind of heartbeat of the OESO, the biennial Conferences remaining the scientific grounds witnessing the scientific weight of the repository. 

    This initiative has a prominent importance for the continuing reputation of OESO and the OESO Foundation among the members of the international scientific community.

"Intelligence is not the neurons,

but the synapses".