Esophageal Intramural Pseudodiverticulosis With Esophageal Strictures Successfully Treated With Dilation Therapy

Teraishi, Fuminori; Fujiwara, Toshiyoshi; Jikuhara, Atsushi; Kamitani, Shingo; Morino, Yasuo; Sato, Katsuaki; Tanaka, Noriaki

doi:10.1016/j.athoracsur.2006.01.062

Cited by 16 publications

(13 citation statements)

References 7 publications

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“…Some authors reported that obstruction and subsequent dilation of excretory ducts were caused by inflammatory cells, epithelial desquamation, submucosal fibrosis, or a combination of these factors, as occurred in gastroesophageal reflux disease or infectious esophagitis [4, 8]. Otherwise, esophageal intramural pseudodiverticulosis is also related with diabetes mellitus, achalasia, and other motor disorders of the esophageal wall, which may lead to ductal dilation by myoepithelial cells dysfunction that are responsible for duct contraction and glandular excretion [7, 9, 10].…”

Section: Discussionmentioning

confidence: 99%

“…In this examination, a direct visualization of small orifices in esophageal lumen allows the diagnosis of EIP; however, according to literature, it is only seen in 20% of the cases [4, 8]. Since the lesions are intramural, endoscopic biopsies usually demonstrate nonspecific acute or chronic esophagitis.…”

Section: Discussionmentioning

confidence: 99%

“…Esophageal stricture is described in up to 80% to 90% of cases, but dysphagia occurs irrespectively of this finding [4, 8]. Some authors described a higher prevalence of esophageal cancer in this disease; however, there is no literature evidence that supports it as premalignant condition [4].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors described a higher prevalence of esophageal cancer in this disease; however, there is no literature evidence that supports it as premalignant condition [4]. Complications such as esophageal fistula or perforation are rare [1, 8]. …”

Section: Discussionmentioning

confidence: 99%

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Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding

Oliveira

Carneiro

Baba

et al. 2013

Case Reports in Medicine

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A 76-year-old woman, presenting with a 4-year history of progressive dysphagia, was submitted to endoscopic examination. The upper endoscopy revealed a proximal esophageal stricture and inflammatory mucosa associated with multiples small orifices in the esophageal wall, some of them fulfilled with white spots suggestive of fungal infection. This was a typical endoscopic finding of esophageal intramural pseudodiverticulosis, a benign and rare condition, related to chronic esophagitis and others comorbid states, such as gastroesophageal reflux disease or infectious esophagitis, diabetes mellitus, alcohol consumption, and achalasia. Dysphagia is the predominant symptom and can be accompanied by esophageal stricture in 80% to 90% of patients. The pathogenesis is unknown, and as the pseudodiverticulosis is an intramural finding, endoscopy biopsies are inconclusive. The main histological finding is dilation of the submucosal glands excretory ducts, probably obstructed by inflammatory cells. The treatment consists in management of the underlying diseases and symptoms relief. In this particular case, the patient was submitted to antifungal drugs followed by endoscopic dilation with thermoplastic bougies, with satisfactory improvement of dysphagia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Esophageal Intramural Pseudodiverticulosis: A Rare Endoscopic Finding

Oliveira

Carneiro

Baba

et al. 2013

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…As such, management of our patient includes frequent surveillance with en− doscopy, keeping in mind the bizarre ar− chitecture of his esophagus and the possi− bility of malignancy within sinus tracts. The residual symptom of intermittent dysphagia can be treated symptomatical− ly with dilatation during endoscopy [3].…”

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confidence: 99%