title: Massive upper gastrointestinal bleed from epiphrenic diverticulum.
abstract: Epiphrenic diverticula are outpouchings of the esophagus that retain some or all layers of the esophageal wall. Symptoms such as intermittent dysphagia and vomiting may occur. The authors present a case of an elderly woman with a history of dysphagia who presented with a massive upper gastrointestinal bleed because of a bleeding epiphrenic diverticulum seen at endoscopy who responded to conservative management. Bleeding epiphrenic diverticula should be considered as a cause of upper gastrointestinal bleeding.
authors.affiliation: Department of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas 79905, USA.
authors.forename: Cesar J
authors.initials: CJ
authors.lastname: Garcia
authors.forename: Ajoy
authors.initials: A
authors.lastname: Dias
authors.forename: Reza A
authors.initials: RA
authors.lastname: Hejazi
authors.forename: Jose D
authors.initials: JD
authors.lastname: Burgos
authors.forename: Ana
authors.initials: A
authors.lastname: Huerta
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Zuckerman
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000369:Aged, 80 and over; D004240:Diverticulum / Q000150:complications*; D016145:Endoscopy, Digestive System; D004935:Esophageal Diseases / Q000150:complications*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D000077402:Pantoprazole; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D054328:Proton Pump Inhibitors; D000077402:Pantoprazole