May
19
23:01
Gastroenterology

Diverticula of the esophagus

diverticulitis of the esophagus called meshochkoobraznye protrusions all layers of the wall of the esophagus, which communicate with the cavity.They can not quite feel sick or cause them considerable inconvenience affecting the quality of everyday life.

Content

  • 1 Causes of
  • 2 Symptoms
  • 3 Complications
  • 4 Diagnostics
  • 5 Treatment

diverticula are found in 2% of patientswhich performs X-rays of the esophagus.Their frequency is 40% of the diverticula formed in the digestive organs.In most cases, they are observed in men over the age of 50 years, although sometimes there are congenital diverticula.They are both single (90%) and multiple (10%).

formation of diverticula can occur at each of the three (cervical, thoracic, abdominal), esophagus, but is dominated by diverticula in his chest part.Separate names deserve pharyngoesophageal diverticula, or Zenker diverticula, t. To. They have their own specific clinical symptoms.

There are many reasons that lead to the emergence of oesopha

geal diverticula.Most often, these include:

Under their influence increases intraesophageal pressure and esophageal wall bulges in weak areas (usually formed above the constriction or compression).

manifestations of esophageal diverticula depend on their size and location.If they are small (2 cm) and are found in the thoracic region, then, as a rule, does not overshadow the lives of patients its existence.But Zenker diverticula (even a small magnitude) cause:

Other esophageal diverticula manifest in the large size.Their symptoms are quite varied, so sometimes even experienced doctors did not immediately remember them, assuming pathology very different systems and organs (bronchi, lungs, heart, blood vessels, spine, nervous system, etc.).After all, along with difficulty swallowing can be confusing for patients:

Even with small diverticula of the esophagus should remain under close medical supervision and periodically examined, ie. A. Always possible occurrence of serious complications.They are:

Big diverticulum Zenker sometimes can be seen even without instrumental examination.It is visible when tilting the head back on the neck, representing a mild protrusion which decreases with pressure on him.But even in this case it is necessary to confirm its presence.

For suspected esophageal diverticulum doctors refer patients to the following diagnostic tests:

After further diagnosis should be sure to go to a consultation with a surgeon.Only it is based on location, size of the diverticulum and its relation to adjacent organs and the condition of the entire esophagus can determine further tactics.

Small diverticula, which are characterized by asymptomatic, usually do not operate.But patients must sometimes carry out a control X-ray examination to assess their condition.Uncomplicated diverticulosis do not require any medication.However, patients are advised to:

The indications for surgery are:

surgeon removes the diverticula (divertikulektomiya) or record them (divertikulopeksiya).In the case of Zenker's diverticulum they have dissected perstneglotochnuyu muscle.Then, if necessary, carry plastic appeared due to diverticulum resection defect.To do this, apply the patch pleura or diaphragm.

About diverticula of the esophagus in the "Live healthy!»:

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