epiphrenic esophageal diverticula
Authors
abstract
epiphrenic esophageal diverticula (eed) are rare. the estimated incidence is about 1:500,000/year. eed usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. most of the symptoms are unspecific, but dysphagia is most common. chest radiograph, barium esophagogram, endoscopy and manometry are diagnostic tools. the treatment methods are conservative medical therapy, myotomy, diverticulectomy and fundoplication. in addition, endoscopic pneumatic dilation and botulinum toxin injection are a good alternative for symptomatic patients with motility disorders who are unfit for or unwilling to undergo surgery.
similar resources
Epiphrenic esophageal diverticula
Epiphrenic esophageal diverticula (EED) are rare. The estimated incidence is about 1:500,000/year. EED usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. Most of the symptoms are unspecific, but dysphagia is most common. Chest radiograph, barium esophagogram, endoscopy and manometry are diagnostic tools. The t...
full textSurgical Management of Two Simultaneously Occurring Epiphrenic Esophageal Diverticula
Among all diverticula of the esophagus, epiphrenic diverticula occur less frequently than those in the pharyngo-esophageal segment. Two simultaneously occurring diverticula in the epiphrenic esophagus are very rarely reported in the English literature. A 52-year-old woman had a 3-year history of troublesome dysphagia, heartburn, chest pain and cough. Initial investigation included a physical ex...
full textEpiphrenic and middle esophageal diverticula: A rare cause of esophageal dysphagia. Esophageal high resolution manometry findings.
Esophageal diverticula (ED) constitute a rare pathology, with a prevalence ranging between 0.06% and 4% (1,2). According to its anatomical location it is classified as pharyngo-esophageal, middle esophageal and epiphrenics ED (3). The pathophysiologic mechanism differs in diverticula caused by traction, due to an inflammatory process involving the esophagus, or pulsion, associated with a concom...
full textEsophageal Diverticula
Herein, we present the case of a 45-year-old woman with pulsion and midesophageal diverticula, who had complaints of dysphagia and regurgitation. Diagnosis was confirmed by endoscopy and barium swallow. The patient underwent right posterolateral thoracotomy with excision of diverticula and repair of the muscular layer along the site of diverticula. Five days following the operation, barium swal...
full textAchalasia associated with two epiphrenic diverticula
Here, we present the case of a 63-year-old, previously healthy, female patient who sought treatment at a general surgery outpatient clinic complaining of an approximate one-year history of dysphagia for solids. An upper gastrointestinal series showed achalasia and two diverticula in the distal esophagus (Figure 1). Those findings were also documented by computed tomography (Figure 2) and upper ...
full textLarge Epiphrenic Diverticula: A Rare Case Presentation
A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophago-gastro-duodenoscopy, esophageal manometry, 3D computed tomography scan showed right-sided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hyperte...
full textMy Resources
Save resource for easier access later
Journal title:
journal of research in medical sciencesجلد ۱۹، شماره ۸، صفحات ۰-۰
Keywords
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023