Association of midoesophageal diverticula with oesophageal motor disorders. Videofluoroscopy and manometry.
OBJECTIVE
To evaluate the prevalence and clinical significance of associated oesophageal motor disorders in patients with midoesophageal diverticula.


METHODS
We retrospectively reviewed videofluoroscopic and, if available, manometric studies of 30 patients with midoesophageal diverticula. The type of diverticulum and the presence and nature of oesophageal motor disorders were assessed.


RESULTS
Videofluoroscopy showed that 24 patients had 26 pulsion-type diverticula and 6 patients had 7 traction-type diverticula. Oesophageal motor disorders were demonstrated in 21 of the 24 patients with pulsion-type diverticula and in 3 of the 6 with traction-type diverticula. Nineteen patients had nonspecific motor disorders, 5 had achalasia, and 5 had gastrooesophageal reflux or oesophagitis.


CONCLUSIONS
Midoesophageal diverticula are most often of the pulsion-type and tend to be associated with an oesophageal motor disorder. Motor disorders are predominantly nonspecific, but achalasia may be encountered as well.
Schima
W
W
Department of Radiology, University of Vienna, Austria.
Schober
E
E
Stacher
G
G
Franz
P
P
Uranitsch
K
K
Pokieser
P
P
Wenzl
E
E
Resch
A
A
Herold
C J
CJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004936:Diverticulum, Esophageal / Q000145:classification / Q000150:complications / Q000175:diagnosis*; D015154:Esophageal Motility Disorders / Q000175:diagnosis* / Q000209:etiology; D004947:Esophagus / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005471:Fluoroscopy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008365:Manometry / Q000295:instrumentation / Q000379:methods; D008875:Middle Aged; D010528:Peristalsis; D012189:Retrospective Studies; D014743:Videotape Recording