Diverticulum of the esophagus
it germanophone the protrusion of its wall. It is presented by the mucous membrane, which bulges because of a defect, located in the muscular layer of the body.
Different congenital and acquired esophageal diverticula. Congenital can be rather rarely met. Purchased can meet more often, and they, in turn, are divided into several types
- pharyngoesophageal or canceroscope POSELENIE diverticula that extend from the posterior pharynx
- bifurcation traction diverticula that extend from the right side of the esophagus at the level of the trachea. They act as a result of the inflammatory process to the pleura or mediastinum
- apipeline or nudepregnancy it pulsione diverticula that extend from the right side of the esophagus in the area of its lower part
- multiple diverticula, which are typically functional, i.e. they occur during contraction of the esophageal wall and disappear after relaxation.
Most frequently, diverticula of the esophagus in the thoracic spine.
Most often, this problem occurs in males aged 50 years. On the mechanism of their development are allocated policyonly the esophagus and diverticulum traction diverticulum of the esophagus. Pulsione are the result of increased pressure inside the esophagus during the process of swallowing. Traction of the oesophagus of this kind develop as a result of a particular inflammatory process in the tissues that surround the esophagus (e.g., pleurisy, mediastinitis,
). When this scar tissue that is formed, pull the wall of the esophagus toward the affected organ.
Diverticula, which are small, are usually no symptoms. In the process of increase in the esophagus accumulates food, and he squeezed. In the presence of a disease like diverticulum of the esophagus, the symptoms can be belching, dysphagia, regurgitation, bad breath. On the left side of the neck can be seen bulging of the esophagus, which hum after pressing on them. Diverticula can become a cause of mediastinal structures that are adjacent to the esophagus heart, lungs, major blood vessels. Also shows the swelling of the veins in the neck, palpitations, shortness of breath, changes voice.
For the diagnosis of the disease can be used for contrast radiography of the esophagus and esophagoscopy.
Observation is necessary in case of small diverticula in which no inflammation and severe complaints in patients in adulthood in the presence of severe comorbidities. In other cases, such diseases as esophageal diverticulum, treatment is necessary. Use a method such as excision or surgery diverticulum of esophagus with subsequent restoration of the wall of the esophagus. When the diverticulum the small size is intussusception, together with additional strengthening of the walls of the seams with local tissues.
Diverticulum of the esophagus may lead to inflammation. Appears perforation, that is, education through a defect in the esophageal wall, along with the development of purulent inflammation. There may be bleeding into the lumen of the esophagus, which is manifested by vomiting of fresh blood or coffee ground emesis. Diverticulum of the esophagus can even transform into cancer.