True Intramural Esophageal Duplication Cyst

Al-Riyami, Salim; Al-Sawafi, Yaqoob

doi:10.5001/omj.2015.91

Cited by 4 publications

(5 citation statements)

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“…A thoracic approach was chosen in half of the patients, being more frequently employed a conventional method [19, 30, 33, 34, 53–57]. There are known advantages associated with the minimally invasive approach, such as a short hospital stay, minimal postoperative discomfort, fast recovery and return to regular activities [11, 15, 17, 58–62].…”

Section: Discussionmentioning

confidence: 99%

“…In this review, 18% of patients were asymptomatic upon diagnosis, and most of these diagnoses were incidentally made when performing an imaging study. Some patients who underwent routine checkup with endoscopy [4, 9, 10] or chest X‐ray [11] were diagnosed with an incidental mass. For other patients in whom a CT scan was performed for various reasons such as renal transplant protocol [6], urolithiasis [12], lumbar back pain [13], staging breast cancer [14] and pneumonia [15], incidental masses were also detected.…”

Section: Discussionmentioning

confidence: 99%

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Esophageal Duplication Cysts in 97 Adult Patients: A Systematic Review

et al. 2021

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Background Esophageal duplication cysts are a rare congenital cystic malformation from faulty intrauterine recanalization of the esophagus during the 4-8 th weeks of development. They account for 20% of all gastrointestinal duplication cysts and commonly involve the distal esophagus. Presenting symptoms may be related to size and location. Materials and Methods Following the PRISMA guidelines, a systematic review was performed by searching published literature in various databases. Data from 97 reported case reports were pooled to present a descriptive and statistical analysis. Results Patient population was composed of 51(52.5%) males and 46 (47.5%) females, and mean ages was 42.3 years (18-77). Distal cysts were the most prevalent. Seventy-nine (81.4%) patients were symptomatic; common symptoms included dysphagia, chest pain, cough and weight loss. Fifteen (15.5%) patients were treated conservatively and 75 (84.5%) by surgical treatment, among them thoracotomy in 30 (30.9%) patients and VATS in 17 (17.5%) patients. Mean length of hospital stay was 8.6 days (range: 1-26 days). One fatality was registered. Location, unlike size, was not found to influence presenting symptoms or treatment employed. Frequency of conservative treatment was not significantly different between symptomatic and asymptomatic patients. Open approaches were associated with longer stays than their minimally invasive counterparts. Conclusion Esophageal duplication cysts remain rare in adults and are frequently located in the distal esophagus. Larger cysts are more likely to cause symptoms. Various surgical techniques may successfully be employed in the treatment of this pathology. Minimally invasive procedures have a shorter hospital stay.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Esophageal Duplication Cysts in 97 Adult Patients: A Systematic Review

et al. 2021

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“…[ 6 12 ] However, they could be managed safely and effectively with minimally invasive approaches such as VATS and robot-assisted thoracoscopic surgery. [ 5 6 7 8 9 10 18 22 24 26 ] There are reports of ODC in the lower oesophagus managed by transhiatal laparoscopic or robotic approach. [ 16 22 27 28 29 ] Intra-abdominally located cysts may be managed by a laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

“…Only a few case reports of VATS for ODC are available in the literature. [ 5 6 7 8 9 10 ] In this paper, we have analysed the clinical profile, details of investigations, surgical technique and outcomes in six consecutive patients with ODC, treated by VATS in our institution.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive surgery for adult oesophageal duplication cysts

Surendran

Samuel

Yacob

et al. 2021

Journal of Minimal Access Surgery

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Background: Oesophageal duplication cysts (ODC) are rare in adults. Complete surgical excision is the ideal treatment. Conventionally, it is performed through a thoracotomy. We aimed to study the feasibility and safety of minimally invasive surgery (MIS) in the management of ODC and briefly reviewed the available literature. Materials and Methods: A retrospective study of all adult patients with ODC diagnosed and treated at our tertiary care centre, from 2015 to 2019, was done. All patients were operated on by MIS. Their demographic, clinicopathological, radiological and surgical details and outcomes were analysed. Results: A total of six patients (four females and two males) were diagnosed to have ODC by contrast-enhanced computed tomography. The mean age was 38 ± 4.4 years. The most common presenting complaint was chest pain (50%). Upper gastrointestinal endoscopy was normal in four patients. Endoscopic ultrasound was performed in five patients. In four patients, the cyst was located in the distal third of the oesophagus. The mean size of the cysts was 5.7 ± 2.02 cm. All the patients were operated upon by video-assisted thoracoscopic surgery (VATS). There was no conversion to open surgery. The resection was complete in all but one patient. The mean duration of surgery was 143.3 ± 35 min, and the average blood loss was 58.33 ± 20.4 mL. One patient had an oesophageal staple line leak on the 9 th post-operative day. There was no mortality. The median duration of hospital stay was 7.5 days (range: 3–25 days). Conclusion: MIS is feasible and safe in the management of adult ODC.

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“…su hallazgo es incidental, su localización más frecuente es el mediastino derecho posteroinferior y su tratamiento es generalmente quirúrgico, incluso en ausencia de síntomas (24,25) …”

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Esofagograma: imágenes que valen mas que mil palabras

Segura

Gómez

Meza

et al. 2017

Rev. Colomb. Gastroenterol.

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ResumenEl estudio de las enfermedades esofágicas requiere de múltiples exámenes diagnósticos, ya que ninguno, por sí solo, provee total información sobre la funcionalidad y la anatomía del tracto digestivo superior. Para los cirujanos generales y gastrointestinales, el esofagograma constituye una herramienta esencial que, además de sugerir un diagnóstico, ofrece una idea de la anatomía del órgano y nos permite esbozar un mapa de fácil evaluación (sin la necesidad de un radiólogo), para establecer o definir un plan quirúrgico. El objetivo del presente artículo es mostrar al lector la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su representación en algunas enfermedades frecuentes. Palabras clavesEsófago, enfermedades del esófago, neoplasias esofágicas, esofagograma. AbstractThe study of esophageal diseases requires multiple diagnostic tests since no one test alone can provide full information on upper digestive tract anatomy and functionality. For general surgeons and gastrointestinal surgeons, the esophagogram is an essential tool that can suggest a diagnosis while simultaneously providing an idea of the anatomy of the organ and outlining an easily evaluated map without the need of a radiologist. This information can be used to establish a surgical plan. The aim of this article is to show readers the usefulness of esophagograms at referral centers for study and treatment of esophageal diseases while providing representations of several frequent diseases. KeywordsEsophagus, diseases of the esophagus, esophageal neoplasms, esophagogram.Revisión de tema DOI: https://doi.org/10.22516/25007440.157 INTRODUCCIÓNEl estudio de las enfermedades del esófago requiere de múltiples ayudas diagnósticas que aporten, dependiendo de la enfermedad, información sobre su funcionalidad o anatomía. El esofagograma es un estudio radiológico diná-mico del tracto digestivo superior que utiliza un medio de contraste y aire (doble contraste) y permite realizar una aproximación diagnóstica de anomalías estructurales y funcionales del esófago. Para los cirujanos generales y gastrointestinales, este estudio -cada vez más en desuso-es un instrumento esencial que nos acerca al diagnóstico y planeación de un tratamiento quirúrgico.El objetivo del presente artículo es mostrar la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su

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True Intramural Esophageal Duplication Cyst

Cited by 4 publications

References 5 publications

Esophageal Duplication Cysts in 97 Adult Patients: A Systematic Review

Esophageal Duplication Cysts in 97 Adult Patients: A Systematic Review

Minimally invasive surgery for adult oesophageal duplication cysts

Esofagograma: imágenes que valen mas que mil palabras

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