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Thoracic esophageal diverticula

Report of three cases

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Summary

A review of intrathoracic esophageal diverticula has been presented. Diverticula are considered either epibronchial or epiphrenic by their point of origin in the intrathoracic esophagus. The pathogenesis, symptomatology, complications, and methods of diagnosis of each has been presented. The surgical treatment of epibronchial diverticula is indicated for complications. Small, asymptomatic epiphrenial diverticula are treated conservatively; diverticula that are symptomatic or large and retain barium should be removed surgically. The treatment of choice is a transpleural diverticulectomy. The technical details of this procedure as performed by the authors has been recorded.

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References

  1. Cornell, A. Diverticula of the esophagus.J. Mt. Sinai Hosp. 23:40, 1956.

    Google Scholar 

  2. Hoyne, R. M., andRogers, J. C. T. Esophageal fibromyoma associated with diverticulum.Am. J. Surg. 81:592, 1951.

    PubMed  Google Scholar 

  3. Stewart, J. D., Jr. Myoma of the esophagus with associated diverticulaA.M.A. Arch. Path. 12:77, 1931.

    Google Scholar 

  4. Brosch, A. Quoted by LeCount.

    Google Scholar 

  5. LeCount, E. R. Epibronchial pulsion diverticula of the esophagus.Chicago. Path. Soc. 10:35, 1915.

    Google Scholar 

  6. Wallace, R. P. Traction diverticula of the esophagus.M. Clin. North America 26:889, 1942.

    Google Scholar 

  7. Nash, E. C., andPalmer, W. L. The clinical significance of diverticulosis including diverticultis of the gastrointestinal tract.Ann. Int. Med. 27:41, 1947.

    Google Scholar 

  8. Coleman, F. P., andBunch, G. H., Jr. Acquired non-malignant esophagotracheobronchial communications.Dis. Chest 18:31, 1950.

    PubMed  Google Scholar 

  9. Lindskog, G. E., andStern, H. Diverticulum of the esophagus.Yale J. Biol. & Med. 26:285, 1954.

    Google Scholar 

  10. Goodman, H. I., andParnes, I. H. Epiphrenic diverticula of the esophagus.J. Thoracic Surg. 23:145, 1952.

    Google Scholar 

  11. Habein, H. C., Jr., Moersch, H. J., andKirklin, J. W. Diverticula of the lower part of the esophagus: A clinical study of 149 non-surgical cases.A. M. A. Arch. Int. Med. 97:768, 1956.

    Google Scholar 

  12. Habein, H. C., Jr., Kirklin, J. W., Clagatt, O. T., andMoersch, H. J. Surgical treatment of lower esophageal pulsion diverticula.A. M. A. Arch. Surg. 72:1018, 1956.

    Google Scholar 

  13. Wheeler, D. Diverticula of the foregut.Radiology 49:476, 1947.

    Google Scholar 

  14. Lerche, W. The esophagus and pharynx in action: A study of structure in relation to function. Springfield, Ill., Thomas, 1950.

    Google Scholar 

  15. Vinson, P. P. Diverticula of the thoracic portion of the esophagus: A report of 42 cases.A. M. A. Arch. Otolaryngol. 19:508, 1934.

    Google Scholar 

  16. MacMillan, A. S. Statistical study of diseases of the esophagus.Surg. Gynec. & Obst. 60:394, 1935.

    Google Scholar 

  17. von Bergmann, G. Das “epiphrenale Syndrom” seine beziehung zur Angina pectoris und zum Kardiospasmus.Deut. med. Wochnshr. 58:605, 1932.

    Google Scholar 

  18. Gilbert, N. C. Influence of extrinsic factors on the coronary blood flow and clinical course of heart disease.Bull. New York Acad. Med. 18:83, 1942.

    Google Scholar 

  19. Morrison, L. M., andSwalm, W. A. Role of the gastrointestinal tract in production of cardiac symptoms,J.A.M.A. 114:217, 1940.

    Google Scholar 

  20. Cabot case # 26032:New England J. Med. 222:113, 1940.

    Google Scholar 

  21. Kay, E. B. The inferior esophageal constrictor in relation to lower esophageal disease.J. Thoracic Surg. 25:1, 1953.

    Google Scholar 

  22. Maisel, B., Cooper, W., andGlenn, F. Pneumoperitoneum in the management of esophageal hiatus hernia.J. Am. Med. Women Assn. 11:299, 1956.

    Google Scholar 

  23. DeBakey, M. E., andCreech, O. Surgical treatment of epiphrenic diverticulum of the esophagus.J. Thoracic Surg. 23:486, 1952.

    Google Scholar 

  24. Kausel, H. W., andLindskog, G. E. Epiphrenic diverticulum of the esophagus.Dis. Chest 21:334, 1953.

    Google Scholar 

  25. Adams, H. D. Diverticula of the thoracic esophagus.J. Thoracic Surg. 17:639, 1948.

    Google Scholar 

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Shields, T.W., Anderson, M.C. Thoracic esophageal diverticula. Digest Dis Sci 4, 522–533 (1959). https://doi.org/10.1007/BF02231963

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  • DOI: https://doi.org/10.1007/BF02231963

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