Dysphagia in oesophageal intramural pseudo-diverticulosis: fibrosis, dysmotility or web?
We describe two cases of oesophageal intramural pseudo-diverticulosis associated with a cervical oesophageal web presenting as intermittent dysphagia. In both cases, disruption of the web endoscopically resulted in lasting relief from symptoms. This observation, together with a review of the literature written during the past 39 years, suggests that oesophageal web formation may be under-reported in this condition and may be more important than either dysmotility or submucosal fibrosis and stricturing in the aetiology of the dysphagia seen in these patients. All patients with a radiological diagnosis of oesophageal intramural pseudo-diverticulosis should have an endoscopic examination which may be both diagnostic and potentially therapeutic.
Shand
A
A
Gastrointestinal Unit, Western General Hospital, Edinburgh, UK. ashand@ed.ac.uk
Papachrysostomou
M
M
Ghosh
S
S
D000368:Aged; D001466:Barium Sulfate; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004936:Diverticulum, Esophageal / Q000175:diagnosis* / Q000000981:diagnostic imaging; D015154:Esophageal Motility Disorders / Q000175:diagnosis*; D004940:Esophageal Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004945:Esophagoscopy; D005355:Fibrosis / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
D001466:Barium Sulfate