Pharyngoesophageal Diverticulum Research Articles

Squamous cell carcinoma arising in a pharyngoesophageal diverticulum.

A 55-year-old man with a pharyngoesophageal diverticulum that had been, followed for 10 years developed progressive symptoms. The diverticulum was resected and was found to contain an invasive carcinoma. It would appear that there is little justification for conservative treatment of pharyngoesophageal diverticula as they may undergo malignant transformation, and resection can be performed with low morbidity and mortality.

Pharyngoesophageal diverticulum in each of three sisters. Report of cases.

Pharyngoesophageal diverticulum in each of three sisters. Report of cases.

A simplified approach for removal of pharyngoesophageal diverticulum

A simplified approach for removal of pharyngoesophageal diverticulum

The Removal of a Pharyngo-Esophageal Diverticulum Under Local Anesthesia: Report of a Case

The Removal of a Pharyngo-Esophageal Diverticulum Under Local Anesthesia: Report of a Case

Double pulsion diverticula of the pharyngoesophageal junction.

PULSION diverticula of the pharyngoesophageal junction are reported with some frequency. It is suggested that the incidence is approximately 3% of patients appearing for x-ray examination for disturbances of swallowing. 12 An apparently rare variety of pharyngoesophageal diverticulum is one that presents as two separate lesions. An unusual case of double diverticula of the pharyngoesophageal junction is reported below. Report of a Case A 68-year-old woman was admitted to the Wesley Hospital, Oklahoma City, Okla., in September 1959, with a 3-month history of recurrent coughing, choking, and regurgitation of previously ingested food. Her symptoms had become progressively worse, and one week prior to admission x-ray examination had shown two pulsion diverticula of the upper esophagus (Fig. 1). Her history revealed a thyroidectomy in 1938 for benign goiter, which had been followed by the need for treatment with desiccated thyroid. Postoperatively, she had also developed tetany and had habitually taken

Some Technical Considerations in the Management of Pharyngo-Esophageal Diverticulum

Some Technical Considerations in the Management of Pharyngo-Esophageal Diverticulum

Carcinoma in a Large Pharyngoesophageal Diverticulum

Summary A case of carcinoma in a large pharyngoesophageal diverticulum is described. Simple resection, followed by radiation therapy, was ineffective. Review of the literature shows that only in cases of noninvasive carcinoma in situ type of lesions were the results following surgery good. It is therefore probable that the presence of a constant filling defect on the roentgenograms is not a sufficiently early diagnostic sign. It is suggested that cytologic examination of the material aspirated endoscopically from the cavity of the diverticulum may be a better way of making an early diagnosis.

Epiphrenic diverticulum of the esophagus: surgical treatment.

Introduction Epiphrenic diverticulum is an uncommon entity comprising less than 10% of all esophageal diverticula. 1 Occurring in the lower third of the esophagus, usually within the distal 10 cm., 2 it is a false diverticulum, as its wall is primarily mucosa. The epiphrenic diverticulum, like Zenker's pharyngoesophageal diverticulum, is classified as a pulsion type. Mondiere 3 described this lesion in 1833 and suggested that its etiology was related to increased intraluminal pressure. Since that time little has been added that explains the exact cause of this acquired defect. Some related facts have been observed and have been published in the few reports devoted to this entity. In about 65% of cases, associated cardiospasm occurs. 4 Hiatal hernia and diffuse esophageal spasm 2 have also been observed in conjunction with epiphrenic diverticulum. Kay 5 made a significant observation when he described hypertrophy of the inferior constrictor muscle of the terminal

Pharyngoesophageal diverticulum; a comparison of results obtained by inversion and by excision.

Pharyngoesophageal diverticulum; a comparison of results obtained by inversion and by excision.

Bronchoesophagology; summaries of the bibliographic material available in the field of otolaryngology for 1955.

Bronchoscopy was utilized to a great extent in performing cardioangiography during 1955, with satisfactory results and no serious complications. Cytologic study of bronchial secretions retained its important diagnostic position in bronchogenic carcinoma. While some reports appeared in the otolaryngological literature on the surgical correction of pulsion pharyngoesophageal diverticulum, the chief interest in the esophagus centered upon the lower end, with esophagitis again claiming a major share of the discussion. <h3>Experimental Studies</h3> Experimental transbronchial cardioangiography was performed by Taufic and Asta.¹A bronchoscope was inserted into the left main bronchus just distal to the carina, and a 15 gauge needle fitted into a saline-filled aspirating tube was inserted into the left atrium through the wall of the left main stem bronchus at a point 1 cm. from the carina. Aspiration of bright red blood into the syringe confirmed the presence of the tip of the needle in the atrium, and

Diverticula of the lower part of the esophagus; a clinical study of one hundred forty-nine nonsurgical cases.

Diverticula occur more commonly in the thoracic esophagus than in the pharyngoesophageal region. For several reasons, however, more pharyngoesophageal than thoracic diverticula have been treated surgically. Being confined within the limited fascial compartments of the neck, they are more likely than thoracic diverticula to cause symptoms while relatively small. In addition, pharyngoesophageal diverticula are amenable to resection without opening the pleural space. In 1949 Harrington1had operated on 216 pharyngoesophageal diverticula and on only 8 thoracic esophageal diverticula. Similarly, Lahey's2group by 1954 had removed 365 pharyngoesophageal diverticula and only 9 diverticula from the lower part of the esophagus. The majority of diverticula in the middle third of the esophagus are of the traction variety. Presumably they result from inflammatory processes in contiguous tissues (for example, trachea, bronchi, and lymph nodes). An attenuated and weakened esophageal wall is dragged outward by consequent scarring and contraction. The neck of

Surgical Approaches in the Treatment of Pharyngo-Esophageal Diverticulum

Surgical Approaches in the Treatment of Pharyngo-Esophageal Diverticulum

Diverticulectomy as treatment for traumatic perforation of pharyngoesophageal diverticulum

A perforated esophageal diverticulum should be treated by immediate diverticulectomy if operation can be performed within a few hours of perforation before an acute inflammatory process interferes with the esophageal repair. Although small traumatic perforations of the esophagus may respond to antibiotics and drainage, the advisability of immediate surgical closure of the perforation should be considered.

Pharyngoesophageal diverticulum and the technique of its surgical treatment.

Pharyngoesophageal diverticulum and the technique of its surgical treatment.

Epidermoid carcinoma occurring in a pharyngoesophageal diverticulum.

CancerVolume 8, Issue 4 p. 727-730 ArticleFree Access Epidermoid carcinoma occurring in a pharyngoesophageal diverticulum Angelo Riberi M.D., Angelo Riberi M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this authorJames Stanley Battersby M.D., James Stanley Battersby M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this authorFrank Vellios M.D., Frank Vellios M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this author Angelo Riberi M.D., Angelo Riberi M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this authorJames Stanley Battersby M.D., James Stanley Battersby M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this authorFrank Vellios M.D., Frank Vellios M.D. Departments of Surgery and Clinical Pathology, Indiana University School of Medicine and Indiana University Medical Center, Indianapolis, IndianaSearch for more papers by this author First published: 1955 https://doi.org/10.1002/1097-0142(1955)8:4<727::AID-CNCR2820080415>3.0.CO;2-2Citations: 13AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume8, Issue41955Pages 727-730 ReferencesRelatedInformation

Goitre plongeant (plunging goiter) associated with pharyngo esophageal diverticulum; report of case.

It is not at all unusual to encounter a retrosternal extension of a cervical goiter, but this type, by definition (6), is not usually included in a discussion of intrathoracic goiter. If the latter category is limited to those goiters which lie entirely, or in their major portion, within the thorax, then the incidence of intrathoracic goiter falls sharply. A rare case is encountered in which there is a history of a cervical goiter increasing in size for years, and then permanently disappearing. Rarest of all is the goitre plongeant (plunging goiter), initially described and so named by Malard (3), a cervical goiter disappearing within the chest, only to bob up into the neck following a straining effort or during an attack of coughing brought on by a choking spell. The following case of goitre plongeant was encountered in the dispensary of the Maimonides Hospital. It presents an additional novelty in that it was associated with a pharyngo-esophageal (Zenker's, pulsion) diverticulum. Case Report A 64-year-o...

Possible etiological factor in a pharyngoesophageal diverticulum.

THE SUBJECT of pharyngoesophageal diverticulum is an interesting one, not because the diverticula are rare but because the etiological factors are not definitely known. Most of the authors, including Lahey1and Harrington,2feel that there is a true herniation of the mucosa and submucosa of the esophagus, probably resulting from a congenital weakness plus the pulsion force of swallowing which causes the herniation. King3also states that herniation of the esophageal wall may result from pressure of the lower border of the cricoid cartilage against the ridge of the fifth cervical vertebral joint. Bortone4shows that the pouch usually arises just above the beginning of the esophagus and bulges through the cricoid-pharyngeal muscle and the herniation probably results from mechanical pressure. Scott5feels that it is a congenital anomaly in which repeated pressure on a weak area loosens the attachment of the cricopharyngeal muscle and

Treatment of pharyngo-esophageal diverticulum by inversion of the sac.

Treatment of pharyngo-esophageal diverticulum by inversion of the sac.

Esophageal intubation for repair of pharyngo-esophageal diverticulum

Using technics familiar to his specialty, the anesthesiologist is able to assist the surgeon greatly in the repair of pharyngo-esophageal diverticula by the following: (1) providing positive identification of the diverticulum sac and (2) anchoring and distending the esophagus during coaptation of its cut edges, permitting a more anatomic closure, and reducing thereby, it is hoped, postoperative complications. ∗ ∗ Until the time of publication this technic has been used in five instances, each time with gratifying results.

Dissecting (Intramural) Pharyngo-Esophageal Diverticulum

A dissecting pharyngo-esophageal diverticulum has, to the best of our knowledge, never been reported in the literature. The roentgen signs of such a dissecting form of pulsion diverticulum are characteristic and permit of a preoperative diagnosis, once the pathological possibility of such a lesion is established. The intramural pharyngo-esophageal diverticulum in the case to be recorded here was situated posteriorly between the mucosa and muscularis of the esophagus. The roentgen appearance and characteristics of such a lesion can quite readily be surmised. Although there are points of similarity between the intramural and extramural forms, one can easily differentiate one from the other. It is hoped that the description of our findings will lead to the discovery of more such forms of pharyngo-esophageal diverticulum before surgical extirpation is attempted. Our patient would have been spared some anxious and dangerous moments had the roentgen features been fully appreciated and a correct preoperative dia...