RESUMO
Esophageal pseudodiverticulosis is a rare endoscopic finding in eosinophilic esophagitis. We report a case of a 32-year-old male who presented with dysphagia and gastroesophageal reflux disease and was found to have esophageal pseudodiveritcula along with esophageal rings. The patient was subsequently treated with endoscopic balloon dilation and a diagnosis of eosinophilic esophagitis (EoE) with pseudodiverticulosis was made based upon the endoscopic and biopsy findings. This case provides evidence of the unusual finding of pseudodiverticulosis associated with EoE and further understanding of its pathogenesis is required.
Assuntos
Diverticulose Esofágica/etiologia , Esofagite Eosinofílica/complicações , Adulto , Esofagite Eosinofílica/diagnóstico , Humanos , MasculinoAssuntos
Esôfago de Barrett/complicações , Diverticulose Esofágica/etiologia , Endoscopia Gastrointestinal/métodos , Endossonografia/métodos , Esofagite Péptica/complicações , Úlcera Péptica/complicações , Esôfago de Barrett/diagnóstico , Diverticulose Esofágica/diagnóstico , Esofagite Péptica/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/diagnósticoRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Deglutição/complicações , Transtornos de Deglutição/diagnóstico por imagem , Divertículo/etiologia , Diverticulose Esofágica/etiologia , Endoscopia , Transtornos de Deglutição/terapia , Estenose Esofágica/terapia , Dilatação/métodosRESUMO
Peoral endoscopic myotomy (POEM) has been proved to be safe and effective for treating achalasia, however the presence of esophageal diverticulum would increase the technical difficulty. In this letter, we firstly report a case regarding POEM for achalasia with concomitant multiple esophageal diverticulums.
Assuntos
Diverticulose Esofágica/cirurgia , Divertículo Esofágico/cirurgia , Endoscopia Gastrointestinal/métodos , Acalasia Esofágica/complicações , Diverticulose Esofágica/diagnóstico por imagem , Diverticulose Esofágica/etiologia , Divertículo Esofágico/diagnóstico por imagem , Endoscopia do Sistema Digestório , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
A 91-year-old man was referred to our hospital with intermittent dysphagia. He had undergone esophagectomy for esophageal cancer (T3N2M0 Stage III) 11 years earlier. Endoscopic examination revealed an anastomotic stricture; signs of inflammation, including redness, erosion, edema, bleeding, friability, and exudate with white plaques; and multiple depressions in the residual esophagus. Radiographical examination revealed numerous fine, gastrografin-filled projections and an anastomotic stricture. Biopsy specimens from the area of the anastomotic stricture revealed inflammatory changes without signs of malignancy. Candida glabrata was detected with a culture test of the biopsy specimens. The stricture was diagnosed as a benign stricture that was caused by esophageal intramural pseudodiverticulosis. Accordingly, endoscopic balloon dilatation was performed and anti-fungal therapy was started in the hospital. Seven weeks later, endoscopic examination revealed improvement in the mucosal inflammation; only the pseudodiverticulosis remained. Consequently, the patient was discharged. At the latest follow-up, the patient was symptom-free and the pseudodiverticulosis remained in the residual esophagus without any signs of stricture or inflammation.
Assuntos
Diverticulose Esofágica/etiologia , Divertículo Esofágico/etiologia , Neoplasias Esofágicas/cirurgia , Esofagectomia/efeitos adversos , Idoso de 80 Anos ou mais , Antifúngicos/uso terapêutico , Biópsia , Candida glabrata/isolamento & purificação , Candidíase/microbiologia , Transtornos de Deglutição/etiologia , Dilatação , Diverticulose Esofágica/diagnóstico , Diverticulose Esofágica/microbiologia , Diverticulose Esofágica/terapia , Divertículo Esofágico/diagnóstico , Divertículo Esofágico/microbiologia , Divertículo Esofágico/terapia , Neoplasias Esofágicas/patologia , Estenose Esofágica/etiologia , Esofagoscopia , Humanos , Masculino , Estadiamento de Neoplasias , Fatores de Risco , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Pulsion diverticulae of the mid-esophagus with unknown etiology are usually asymptomatic and therefore considered incidental findings on chest X-rays, barium swallows, or endoscopic procedures. Diagnosis is often delayed due to the rarity of clinical symptoms. The clinical, radiological, etiological and surgical features in a patient with extraordinary symptomatic giant mid-esophageal pulsion diverticulum with history of alkali ingestion are presented here. Alkali injury may yield asymptomatic strictures and/or acquired weaknesses of the esophageal wall, both of which are known to lead to the formation of this giant malady. Putative pathomechanism and suggested therapy including diverticulectomy is proposed in this communication.