“…Chronic inflammation of the submucosa has been documented early in the course of the disease, and is felt to be related to the presence of colonizing organisms, or be a result of chemical irritation such as is found with gastroesophageal reflux [4][5][6][7][8][9][10][11][12][13][14][15]. Infectious agents often found as secondary invaders include Candida, herpes virus, and streptococci [6,[16][17][18], Congenital or develop mental origins for the disorder have also been proposed; however, most authors share the view that it is an acquired abnormality [3,4,[6][7][8][9][10][11][12][13][19][20][21]. Although much speculative discussion has arisen regarding the etiology of intramural pseudodiverticulosis, no cause has been eluci dated.…”
Diffuse, intramural esophageal pseudodiverticulosis is a rare condition manifested by progressive or intermittent dysphagia. Although much controversy has arisen regarding its etiology, it is believed to be a result of the dilatation of excretory ducts of submucosal glands within the esophageal wall. The characteristic appearance on barium studies and its unique pattern on endoscopy simplify its recognition. Treatment usually centers around symptomatic relief with esophageal dilatations. Complications arising from this disorder generally are related to the dysphagia and its sequelae. Esophagobronchial fistulization has not been reported in the literature in association with intramural pseudodiverticulosis. We present a case that characterizes the salient features of this disease along with the development of an esophagobronchial communication resulting in recurrent bouts of pneumonia.
“…Chronic inflammation of the submucosa has been documented early in the course of the disease, and is felt to be related to the presence of colonizing organisms, or be a result of chemical irritation such as is found with gastroesophageal reflux [4][5][6][7][8][9][10][11][12][13][14][15]. Infectious agents often found as secondary invaders include Candida, herpes virus, and streptococci [6,[16][17][18], Congenital or develop mental origins for the disorder have also been proposed; however, most authors share the view that it is an acquired abnormality [3,4,[6][7][8][9][10][11][12][13][19][20][21]. Although much speculative discussion has arisen regarding the etiology of intramural pseudodiverticulosis, no cause has been eluci dated.…”
Diffuse, intramural esophageal pseudodiverticulosis is a rare condition manifested by progressive or intermittent dysphagia. Although much controversy has arisen regarding its etiology, it is believed to be a result of the dilatation of excretory ducts of submucosal glands within the esophageal wall. The characteristic appearance on barium studies and its unique pattern on endoscopy simplify its recognition. Treatment usually centers around symptomatic relief with esophageal dilatations. Complications arising from this disorder generally are related to the dysphagia and its sequelae. Esophagobronchial fistulization has not been reported in the literature in association with intramural pseudodiverticulosis. We present a case that characterizes the salient features of this disease along with the development of an esophagobronchial communication resulting in recurrent bouts of pneumonia.
“…The relatively high incidence of esophageal webs and cases of life-long dysphagia [20,23,27] suggest a congenital or developmental origin. However, we feel, as do the majority of authors, that EIP is an acquired abnormality which is a secondary change due to a chronic inflammatory process.…”
Section: Discussionmentioning
confidence: 99%
“…In 19 cases, a comparison of the number of the pseudodiverticula was made. In 53% of these cases, the pseudodiverticula remained the same in number [1,3,5,6,17,22,27,32]. In 6 cases (31%), complete disappearance was noted [9,14,19,20].…”
Section: Radiographic Findingsmentioning
confidence: 99%
“…Of the 17 patients treated with dilatation, 16 (94%) had a beneficial result. The one patient who did not improve was a 21-year-old male with dysphagia since infancy [27]. Most patients with a clinical manifestation of esophagitis were clinically improved by appropriate medical treatment.…”
Esophageal intramural pseudodiverticulosis (EIP) is a rare condition of unknown etiology. It is characterized by multiple, small, flaskshaped outpouchings in the esophageal wall. Involvement may be segmental or diffuse. Since this entity was first reported in 1960, there have been 43 cases described in the English literature. These cases are reviewed and six additional cases are reported with emphasis on clinical and radiographic parameters of this entity.
“…eine Ballondilatation durchgeführt, wobei es aber häufig zu Rezidiven kam [3,5,25]. Oesophagusresektionen wurden bisher nur bei entzündli-chen Komplikationen (Fistelbildung ¾tiologie Da die Diagnose bei den ersten Fallberichten zunächst nur radiologisch bzw.…”
Esophageal intramural pseudodiverticulosis is a very rare disease with unknown etiology, which especially affects male patients between 45 and 65 years. This disease is characterized by dilatation of the esophageal submucosal glands and their outlets. Stenosis caused by esophagitis due to intramural pseudodiverticulosis is found in most of the known patients. All patients presented with dysphagia, usually of long duration. The characteristic radiographic appearance is numerous intramural esophageal contrast-filled diverticulosis-like pouches--4 mm in depth.
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