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Midesophageal Pulsion Diverticulum Resulting From Hypercontractile (Jackhammer) Esophagus
Onkar V. Khullar, MD, Sagar R. Shroff, MD, Sonali S. Sakaria, MD, Seth D. Force, MD The Annals of Thoracic Surgery Volume 103, Issue 2, Pages e127-e129 (February 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Esophagoscopy revealed a large midesophageal diverticulum (arrow). The Annals of Thoracic Surgery , e127-e129DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 (A) Initial barium contrast esophagram revealed a large midesophageal pulsion diverticulum with no distal lower esophageal sphincter obstruction. (B) Postoperative esophagram showing resection of the diverticulum and successful myotomy. The Annals of Thoracic Surgery , e127-e129DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 High-resolution esophageal manometry revealed hypercontractile esophageal body with two contractions with a distal contractile integral greater than Resting lower esophageal sphincter pressure was normal. These findings are consistent with jackhammer esophagus. The Annals of Thoracic Surgery , e127-e129DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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