Esophageal Intramural Diverticula: Multiple and Single

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Presentation transcript:

Esophageal Intramural Diverticula: Multiple and Single Jennifer Hubbard, BS, Nicholas J. Demos, MD The Annals of Thoracic Surgery Volume 101, Issue 2, Pages 769-771 (February 2016) DOI: 10.1016/j.athoracsur.2015.03.045 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Esophagram of patient 1 showing multiple intramural diverticula, a moderate lower esophageal stricture, and a hiatal hernia. The Annals of Thoracic Surgery 2016 101, 769-771DOI: (10.1016/j.athoracsur.2015.03.045) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Endoscopic view of patient 1 showing multiple small pits throughout the esophagus were seen. In addition, severe lower esophagitis, a mild stricture, and sliding hiatal hernia were identified. The arrow points to the opening of the intramural diverticulum. The Annals of Thoracic Surgery 2016 101, 769-771DOI: (10.1016/j.athoracsur.2015.03.045) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Biopsy specimen from patient 1 showing goblet metaplasia of Barrett’s (left) and hyperplasia of the wall of the pseudodiverticulum (right). (HNE, 100x.) The Annals of Thoracic Surgery 2016 101, 769-771DOI: (10.1016/j.athoracsur.2015.03.045) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Endoscopic view of patient 2 showing bleeding intramural diverticula. The Annals of Thoracic Surgery 2016 101, 769-771DOI: (10.1016/j.athoracsur.2015.03.045) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Single intramural diverticulum in patient 3, anteroposterior view of esophogram (Operation performed at Jersey City Medical Center, Jersey City, NJ by Dr Ralph Gualtieri). The Annals of Thoracic Surgery 2016 101, 769-771DOI: (10.1016/j.athoracsur.2015.03.045) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions