Esophageal intramural pseudodiverticulosis of the residual esophagus after esophagectomy for esophageal cancer.
A 91-year-old man was referred to our hospital with intermittent dysphagia. He had undergone esophagectomy for esophageal cancer (T3N2M0 Stage III) 11 years earlier. Endoscopic examination revealed an anastomotic stricture; signs of inflammation, including redness, erosion, edema, bleeding, friability, and exudate with white plaques; and multiple depressions in the residual esophagus. Radiographical examination revealed numerous fine, gastrografin-filled projections and an anastomotic stricture. Biopsy specimens from the area of the anastomotic stricture revealed inflammatory changes without signs of malignancy. Candida glabrata was detected with a culture test of the biopsy specimens. The stricture was diagnosed as a benign stricture that was caused by esophageal intramural pseudodiverticulosis. Accordingly, endoscopic balloon dilatation was performed and anti-fungal therapy was started in the hospital. Seven weeks later, endoscopic examination revealed improvement in the mucosal inflammation; only the pseudodiverticulosis remained. Consequently, the patient was discharged. At the latest follow-up, the patient was symptom-free and the pseudodiverticulosis remained in the residual esophagus without any signs of stricture or inflammation.
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Nobuyoshi
N
Takeshita
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Naoki
N
Kanda
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Toru
T
Fukunaga
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Masayuki
M
Kimura
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Yuji
Y
Sugamoto
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Kentaro
K
Tasaki
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Masaya
M
Uesato
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Tetsutaro
T
Sazuka
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Tetsuro
T
Maruyama
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Naohiro
N
Aida
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Tomohide
T
Tamachi
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Takashi
T
Hosokawa
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Yo
Y
Asai
Nobuyoshi Takeshita, Naoki Kanda, Toru Fukunaga, Masayuki Kimura, Yuji Sugamoto, Kentaro Tasaki, Tetsutaro Sazuka, Tetsuro Maruyama, Naohiro Aida, Tomohide Tamachi, Takashi Hosokawa, Yo Asai, Department of Surgery, Numazu City Hospital, Shizuoka 410-0302, Japan.
Hisahiro
H
Matsubara
D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy; D041221:Candida glabrata / Q000302:isolation & purification; D002177:Candidiasis / Q000382:microbiology; D003680:Deglutition Disorders / Q000209:etiology; D004106:Dilatation; D045723:Diverticulosis, Esophageal / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D004936:Diverticulum, Esophageal / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology; D016629:Esophagectomy / Q000009:adverse effects*; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000935:Antifungal Agents
Anastomotic stricture; Esophageal cancer; Esophageal candidiasis; Esophageal intramural pseudodiverticulosis; Esophagectomy; Residual esophagus