A 68-yr-old man complaining of sudden, postprandial chest pain visited the emergency room. His symptom had been aggravated during the preceding two days. Upper gastrointestinal contrast study with gastrographin showed leakage of dye from the epiphrenic diverticulum in the lower third of the esophagus. The primary repair was urgently carried out. Upper gastrointestinal contrast study 14 days aft...

A 62-year-old man was admitted with hematemesis. He had been diagnosed to have hepatitis B-related cirrhosis 4 months earlier, and had not undergone esophagogastroduodenoscopy (EGD) previously. He had no history of dysphagia. During intubation with an endoscope (GIF Q-150, Olympus, Japan), resistance was encountered at the upper esophageal sphincter, and a diverticulum was noted at this level. ...

OBJECTIVE The aim of our study was to identify the presence of associated functional disorders (dysmotility or gastro-esophageal reflux, GER), to select patients who need surgery and to plan a tailored surgical treatment in patients affected by esophageal body diverticula. METHODS We report on 51 consecutive patients with esophageal body diverticula, observed at our department, who underwent ...

BACKGROUND Mid-esophageal region is an uncommon location of esophageal diverticula, a condition usually diagnosed in elderly individuals. CASE REPORT We report a case of an elderly male with incidental finding of mediastinal lesion, which was initially thought to be an aortic aneurysm. Further evaluation demonstrated a mid-esophageal diverticulum at the level of the carina. We present patient...

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...

A 34 year-old male was admitted in our hospital because of double vision, ptosis of the eyelid, miosis and enopthalmos of the left eye together with impaired sweating of the upper body quarter for the last two weeks. Ten years ago the patient underwent total esophagectomy with colonic graft interposition because of esophageal rupture during large caliber bougienage for congenital esophageal ste...

Paraesophageal bronchogenic cyst was one of common mediastinal congenital cystic lesions of foregut origin. Because of an intimate embryologic relationship with the esophagus, they were usually found intramural (intramural esophageal bronchogenic cysts) with the local esophageal mucosa being intact and the paraesophageal bronchogenic cysts were rarely communicated with esophageal lumen. We repo...

OBJECTIVE To evaluate the postoperative outcome of patients with pharyngoesophageal diverticulum submitted to surgical and endoscopic treatments. METHODS We retrospectively analyzed 36 patients with pharyngo-esophageal diverticulum treated at the Hospital of the Medical School of Botucatu - UNESP. Patients were divided into two groups, depending on the treatment: group 1 (n = 24): diverticule...