3,616 results match your criteria Esophageal Diverticula


THE DYSPHAGIA INVESTIGATION: IS THERE STILL SPACE FOR THE VIDEOFLUOROSCOPIC METHOD?

Arq Bras Cir Dig 2022 17;35:e1650. Epub 2022 Jun 17.

Federal University of Rio de Janeiro, Digestive Motility Laboratory - Gastroenterology Division of HUCFF-UFRJ, Rio de Janeiro, RJ, Brazil.

Aim: Dysphagia can lead to aspiration pneumonia, impacting the nutritional status and quality of life of the patient. The videofluoroscopy is highlighted for allowing both a real-time evaluation and the recording of the images for later review and analysis. This study aimed to describe the characteristics of the population referred for videofluoroscopy and its value as an investigation method. Read More

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Esophageal Intramural Pseudodiverticulosis: A Histopathological and Immunohistochemical Study of 2 Cases.

Case Rep Gastroenterol 2022 Jan-Apr;16(1):270-277. Epub 2022 Apr 28.

Department of Gastroenterology, Japan Community Health Care Organization, Hoshigaoka Medical Center, Hirakata, Japan.

Esophageal intramural pseudodiverticulosis (EIPD) is a rare disorder characterized by an abnormal, cyst-like dilatation of the excretory ducts of esophageal submucosal glands. We aimed to elucidate the histopathological features and immunohistochemical properties of the epithelial lining of the cyst-like lesions in EIPD. We performed a histopathological and immunohistochemical study of 2 cases (one autopsy and one surgical) of EIPD. Read More

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Successful D-POEM after failed surgical myotomy and diverticulectomy.

VideoGIE 2022 Jun 20;7(6):211-215. Epub 2022 Mar 20.

University of Maryland Medical Center, Department of Gastroenterology, Baltimore, Maryland.

Video 1Case series showing 2 patients with prior failed Heller myotomy and diverticulectomy, with subsequent success with POEM, diverticulotomy, and closure with endoscopic suturing. Case 1 also depicts closure of an esophagopleural fistula. Read More

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Submucosal tunneling endoscopic septum division for esophageal diverticulum with a median follow-up of 39 months: a multicenter cohort study.

Gastrointest Endosc 2022 Jun 6. Epub 2022 Jun 6.

Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China.

Background And Aims: Submucosal tunneling endoscopic septum division (STESD) is an endoscopic minimally invasive technique for treating esophageal diverticulum. The objectives of this study were to evaluate the safety and efficacy of STESD and its impact on patients' quality of life.

Methods: This study included consecutive patients who underwent STESD for esophageal diverticulum from April 2016 to August 2020 in two centers (Zhongshan Hospital, Fudan University and Tianjin First Central Hospital). Read More

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Esophageal Cancer in Epiphrenic Diverticulum With Fistulization to the Lung.

ACG Case Rep J 2022 May 1;9(5):e00781. Epub 2022 Jun 1.

Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.

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Zenker's Diverticulum in Forestier Disease: Chance or Causality?

Iran J Otorhinolaryngol 2022 Mar;34(121):107-112

Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy.

Introduction: Zenker's diverticulum is an acquired sac-like outpouching of the mucosa and submucosa layers originating at the pharyngoesophageal junction. The predominant symptom of Zenker's diverticulum is dysphagia. Videofluoroscopy confirms the diagnosis. Read More

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Feeding Difficulties Following Vascular Ring Repair: A Contemporary Narrative Review.

Cureus 2022 Apr 30;14(4):e24623. Epub 2022 Apr 30.

Department of Pediatric Cardiology, Cohen Children's Medical Center, New Hyde Park, USA.

Vascular rings are congenital abnormalities of the aortic arch vascular system that compress the trachea and esophagus. A review of long-term outcomes suggests that chronic feeding difficulties can persist following surgical repair of vascular rings. Previous reports of postoperative vascular ring division outcomes indicate that chronic esophageal symptoms may persist following repair, though most available data focuses on persistent respiratory symptoms. Read More

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Chronic fibrosing esophagitis with diffuse esophageal intramural pseudo-diverticulosis.

JGH Open 2022 May 11;6(5):287-291. Epub 2022 May 11.

Department of Gastroenterology and Hepatology Brandenburg Medical School (Theodor Fontane) Brandenburg Germany.

Diffuse esophageal intramural pseudo-diverticulosis (DEIPD) is a chronic fibrosing inflammation of the esophagus of unknown origin. Its name derives from the characteristic pseudo-diverticula formed by dilated ducts of submucosal glands. With an assumed prevalence of approximately 5-50/100 000, DEIPD is more frequent than previously estimated. Read More

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Thoracoscopic resection of esophageal diverticulum assisted by white light under ICG mode.

Cir Esp (Engl Ed) 2022 May 18. Epub 2022 May 18.

Unidad de Innovación en Cirugía Mínimamente Invasiva, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Sevilla, Spain.

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Congenital true oesophageal diverticulum: a report and review of the literature.

BMJ Case Rep 2022 May 16;15(5). Epub 2022 May 16.

Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Oesophageal diverticulum occurring secondary to motility disorders or gastro-oesophageal reflux disease (GERD) is common in adults but true congenital oesophageal diverticula are rare in infants and children. We present a case of a toddler boy who presented with dysphagia and vomiting after feeds after weaning was attempted starting at 6 months of age. Barium esophagogram revealed a diverticulum in the upper one-third of the oesophagus within the thoracic cavity. Read More

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Incidental Zenker's diverticulum during exploration of penetrating neck wound.

J Surg Case Rep 2022 May 6;2022(5):rjac212. Epub 2022 May 6.

Department of Surgery, University of Florida, P.O. Box 100108, Gainesville, FL 32610, USA.

Intraoperative incidental findings are a persistent concern for surgeons. Even when such findings are not overtly life-threatening, surgeons must quickly decide whether to intervene. Esophageal diverticula are rare and underdescribed incidental findings associated with increased morbidity. Read More

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[Esophageal squamous cell carcinoma localized in pharyngeal-esophageal diverticulum].

Khirurgiia (Mosk) 2022 (4):105-109

National Medical Research Center of Oncology, Rostov-on-Don, Russia.

Squamous cell carcinoma in Zenker's diverticulum was first described in 1933. No large studies have yet been conducted due to rarity of this disease. There are a lot of unresolved issues regarding diagnosis and treatment of this pathology. Read More

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Zenker Diverticulum Treatment: The New Gold Standard Still to be Defined.

J Clin Gastroenterol 2022 07 11;56(6):552. Epub 2022 Apr 11.

Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme University Hospital Brussels, Belgium.

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Zenker-diverticulum miatt végzett 47 flexibilis endoszkópos beavatkozás jellemzői és kimenetele.

Orv Hetil 2022 Apr 24;163(17):677-687. Epub 2022 Apr 24.

1 Magyar Honvédség Egészségügyi Központ, Honvédkórház, Gasztroenterológiai Osztály Budapest, Róbert Károly krt. 44., 1134 Magyarország.

Összefoglaló. Bevezetés: A musculus cricopharyngeus flexibilis endoszkópos myotomiája a tüneteket okozó Zenker-diverticulum hatékony, biztonságos kezelési módszere. Célkitűzés és módszer: Retrospektíven elemeztük a hagyományos flexibilis endoszkópos myotomia eljárással szerzett tapasztalatainkat. Read More

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[Update Esophageal Diverticula].

Ther Umsch 2022 Apr;79(3-4):141-144

Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich.

Update Esophageal Diverticula Esophageal diverticula are rare diseases typically associated pathophysiologically with esophageal dysmotility. The most common location (about 80%) is pharyngo-oesophageal. The therapy must be adapted to the location, the size, the symptoms and also the individual perioperative risk of the patient. Read More

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Peroral endoscopic myotomy for multiple esophageal diverticula.

Endoscopy 2022 Apr 8. Epub 2022 Apr 8.

Department of Gastroenterology, Second Clinical Medical College of Jinan University, Shenzhen People's Hospital, Shenzhen, Guangdong Province, China.

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Esophageal Diverticulum - Indications and Efficacy of Therapeutic Endoscopy.

Intern Med 2022 1;61(7):943-949. Epub 2022 Apr 1.

Division of Gastroenterology, Niigata University Faculty of Medical Graduate School of Medical and Dental Science, Japan.

Objective Esophageal diverticulum is rare, and the concomitance of esophageal motility disorders (EMDs) and the efficacy of novel endoscopic treatment have not been investigated in Japan. Methods An examination including high-resolution manometry (HRM) was performed for patients with both EMDs and epiphrenic diverticulum. EMD-related epiphrenic diverticulum and Zenker's diverticulum were treated using salvage peroral endoscopic myotomy (s-POEM) and endoscopic diverticulotomy, respectively. Read More

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POEM, GPOEM, and ZPOEM.

Dig Dis Sci 2022 05 2;67(5):1500-1520. Epub 2022 Apr 2.

Division of Gastroenterology, Hepatology and Nutrition, NYU-Winthrop Hospital, 222 Station Plaza N Suite 429, Mineola, NY, 11501, USA.

Our tripartite narrative review discusses Peroral Endoscopic Myotomy (POEM), gastric POEM (GPOEM) and POEM for Zenker's diverticula (ZPOEM). POEM is the prototypical procedure that launched the novel "3rd space endoscopy" field of advanced endoscopy. It revolutionized achalasia therapy by offering a much less invasive version of the prior gold standard, the laparoscopic Heller myotomy (HM). Read More

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Development of Dilated Esophagus, Sigmoid Esophagus, and Esophageal Diverticulum in Patients With Achalasia: Japan Achalasia Multicenter Study.

J Neurogastroenterol Motil 2022 Apr;28(2):222-230

Digestive Diseases Center, Showa University Koto-Toyosu Hospital, Tokyo, Japan.

Background/aims: Patients with achalasia-related esophageal motility disorders (AEMDs) frequently present with dilated and sigmoid esophagus, and develop esophageal diverticulum (ED), although the prevalence and patients characteristics require further elucidation.

Methods: We conducted a multicenter cohort study of 3707 patients with AEMDs from 14 facilities in Japan. Esophagography on 3682 patients were analyzed. Read More

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Upper Esophageal Dysphagia.

Authors:
Neil N Chheda

Surg Clin North Am 2022 Apr 4;102(2):199-207. Epub 2022 Mar 4.

Division of Laryngology, Department of Otolaryngology, University of Florida, 1345 Center Drive, PO Box 100264, Gainesville, FL 32610, USA. Electronic address:

Esophageal dysphagia presents acutely, most frequently as a food impaction, or in a progressive fashion. Anatomic changes are frequently responsible. Although the history may be suggestive, diagnosis is made from imaging or endoscopic studies. Read More

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Per-oral endoscopic myotomy as treatment for Killian-Jamieson diverticulum.

DEN open 2022 Apr 24;2(1):e27. Epub 2021 Aug 24.

Digestive Diseases Center Showa University Koto Toyosu Hospital Tokyo Japan.

Killian-Jamieson diverticulum (KJD) is a rare type of esophageal diverticulum less commonly encountered compared with Zenker's diverticulum (ZD). Endoscopic approach for these diverticula has been rapidly evolving. Currently, a flexible endoscopic septum division is considered the first-line treatment for symptomatic ZD patients, however reported recurrence rates are over 10% according to recent literature. Read More

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A case report of medically managed esophageal fistula due to complicated esophageal tuberculosis.

Int J Surg Case Rep 2022 Apr 25;93:106883. Epub 2022 Feb 25.

Department of Radiology, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia.

Introduction And Importance: Esophageal TB is a relatively uncommon condition. Mostly, the esophagus can be affected by tuberculosis through direct spread or from mediastinal nodes (rarely from the lungs or bloodstream). The most common symptom is dysphagia, and the diagnosis is confirmed by histology. Read More

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Simultaneous Massive Esophageal Mucosal Candidiasis and Profound Cytomegaloviral Esophageal Ulcers with Recurrence of Both Infections 12 Years Later in a Patient with Long-Standing AIDS: Endoscopic, Radiologic, and Pathologic Findings.

Case Rep Gastrointest Med 2022 27;2022:9956650. Epub 2022 Feb 27.

Division of Gastroenterology, Department of Medicine, Building 1, Room 3210, Aleda E. Lutz VA Medical Center, 1500 Weiss St, Saginaw, MI 48602, USA.

Immunocompromised patients with acquired immunodeficiency syndrome (AIDS) can develop opportunistic esophageal candidial and cytomegaloviral infections. A case is reported which extends the clinico-endoscopic severity of these infections. A 32-year-old bisexual man with AIDS since 1997, and intermittently compliant with antiretroviral therapy, presented (2007) with dysphagia and 32 kg-weight loss. Read More

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February 2022

Surgical treatment of cervical oesophageal diverticula.

Pol Przegl Chir 2021 Sep;94(1):41-47

Department of Thoracic and Surgical Oncology, Jagiellonian University Collegium Medicum, John Paul II Hospital, Cracow, Poland.

Aim Of The Study: The aim of our study is to present the results of surgical treatment of patients with cervical diverticula of the oesophagus in a period of 20 years.

Material And Methods: A retrospective analysis of 65 patients treated between 2000 and 2020. Patients with symptoms such as dysphagia, vomiting, chocking, recurrent respiratory tract inflammation, as well as patients with diverticular recurrence or poor outcome of primary surgery, were qualified for surgical resection of the oesophageal diverticulum with myotomy using an open technique. Read More

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September 2021

Comparison of conventional and new endoscopic band ligation devices for colonic diverticular bleeding.

Clin Endosc 2022 May 18;55(3):408-416. Epub 2022 Feb 18.

Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

Background/aims: Endoscopic band ligation (EBL) is used to treat colonic diverticular bleeding (CDB). An endoscopic variceal ligation device for esophageal varices is used as a conventional EBL device (C-EBL). A new EBL device (N-EBL) was developed by Sumitomo Bakelite Co. Read More

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Myotomy technique and esophageal contractility impact blown-out myotomy formation in achalasia: an in silico investigation.

Am J Physiol Gastrointest Liver Physiol 2022 05 16;322(5):G500-G512. Epub 2022 Feb 16.

Theoretical and Applied Mechanics Program, McCormick School of Engineering, Northwestern University, Evanston, Illinois.

We used in silico models to investigate the impact of the dimensions of myotomy, contraction pattern, the tone of the esophagogastric junction (EGJ), and musculature at the myotomy site on esophageal wall stresses potentially leading to the formation of a blown-out myotomy (BOM). We performed three sets of simulations with an in silico esophagus model, wherein the myotomy-influenced region was modeled as an elliptical section devoid of muscle fibers. These sets investigated the effects of the dimensions of myotomy, differing esophageal contraction types, and differing esophagogastric junction (EGJ) tone and wall stiffness at the myotomy affected region on esophageal wall stresses potentially leading to BOM. Read More

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Endoscopic management of gastrointestinal motility disorders.

Rozhl Chir 2022 ;101(1):4-13

Gastrointestinal motility disorders include several heterogeneous units affecting the esophagus, stomach, small or large intestine and the rectum. These are namely Zenkers diverticulum, esophageal achalasia, gastroesophageal reflux disease, gastroparesis, constipation, Ogilvies syndrome and post-fundoplication dysphagia. Given the progressive development of endoscopic techniques, patients with most of the above mentioned diseases can be offered a solution consisting of a mini-invasive endoscopic procedure which has already become a first-choice treatment for some of the disorders. Read More

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February 2022

Peroral endoscopic myotomy, septotomy, and restoration of esophageal lumen with over-the-scope clips: closing the circle of esophageal diverticula management.

Endoscopy 2022 Feb 11. Epub 2022 Feb 11.

Gastrointestinal Endoscopy Research Unit, Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Navarra, Spain.

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February 2022

Treatment of Achalasia and Epiphrenic Diverticulum.

World J Surg 2022 Jul 10;46(7):1547-1553. Epub 2022 Feb 10.

Department of Surgery, University of Virginia, Charlottesville, VA, USA.

Background: Epiphrenic diverticulum (ED) is a pulsion pseudodiverticulum found in the distal 10 cm of the esophagus. Motility disorders are present in the majority of patients with ED explaining the pathophysiology of this rare disease. Achalasia is the most common underlying disorder. Read More

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Peroral endoscopic myotomy for achalasia.

Minerva Gastroenterol (Torino) 2022 Feb 3. Epub 2022 Feb 3.

Division of Gastroenterology, Department of Medicine, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, NY, USA -

Peroral endoscopic myotomy (POEM) for achalasia (sometimes also referred as E-POEM to distinguish it from its offshoots such as G-POEM for gastroparesis or Z-POEM for Zenker's diverticula) is the newest treatment modality but has already been well validated as a standard intervention for esophageal achalasia. POEM was conceived as a Natural Orifice Transluminal Endoscopic Surgery (NOTES) procedure with an incisionless, endoscopic approach to myotomy. It matches or exceeds the efficacy of its surgical counterpart, the laparoscopic Heller myotomy, with superiority for type III (spastic) achalasia. Read More

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February 2022