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esophageal intramural pseudodiverticulosis

World Journal of Gastroenterology 2024年第2期30卷 137-145页

作者： Masako Shintaku Department of Gastroenterology Japan Community Healthcare Organization Hoshigaoka Medical CenterHirakata 573-8511OsakaJapan

esophageal intramural pseudodiverticulosis(EIPD)is a disease of unknown pathogenesis characterized by usually systemic,cystic dilatation of the excretory ducts of esophageal submucosal *** this article,I review the epidemiology,clinical manifestations,endoscopic findings,esophagographic findings,and histopathology of EIPD.I also discuss the etiology and possible pathogenesis of EIPD based on my experiences with this disease and a review of the *** usually presents with dysphagia in middle-aged *** is often complicated with secondary infections,most commonly *** esophagography,EIPD is delineated as small,multiple,flask-shaped outward projections within the esophageal *** recent years,EIPD has been mainly diagnosed by endoscopic findings of multiple,localized,small mucosal *** orifices of the“pseudodiverticula”periodically open and close,and excrete mucus onto the mucosal *** histopathological examination,the luminal surface of dilated ducts in EIPD is covered by multilayered,hyperplastic epithelial cells,but myoepithelial cells in the glandular acini are well *** of EIPD is usually symptomatic therapy,and prevention of the infectious complications is *** etiology and pathogenesis of EIPD are largely unknown,but functional abnormalities of autonomic nerve fibers innervating the esophageal glands likely play an important role,since the structures of the glands are basically preserved in this disease.

关键词： esophageal endoscopy esophageal intramural pseudodiverticulosis Esophagography Dysphagia

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esophageal intramural pseudodiverticulosis,a rare cause of food impaction:case report and review of the literature

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Gastroenterology Report 2015年第2期3卷 175-178页

作者： Yahuza Siba Saritha Gorantla Anand Gupta Edward Lung Joan Culpepper-Morgan Department of Medicine Columbia University Medical CenterHarlem Hospital CenterNew YorkNYUSA Division of Gastroenterology Department of MedicineColumbia University Medical CenterHarlem Hospital CenterNew YorkNYUSA

esophageal intramural pseudodiverticulosis(EIPD)is a rare,benign condition of uncertain etiology and pathogenesis,which usually presents with either progressive or intermittent *** presentation with food impaction,requiring emergency esophago-gastroduodenoscopy(EGD),is *** report a case of EIPD presenting as food bolus impaction in an elderly black *** patient had no previous history of dysphagia or *** accepted risk factors,such as diabetes mellitus,chronic alcoholism,and reflux esophagitis,were not present in our *** EGD established the diagnosis and also dislodged the food *** evaluation of the mucosa diagnosed co-existent acute candidal *** treatment with proton pump inhibitor and azole antifungal led to resolution of her *** of the literature revealed that stenosis,strictures,perforation,gastro-intestinal bleed,and fistula formation are potential complications of *** motility abnormalities have been described but are not *** of the underlying inflammatory and or infectious condition is the mainstay of management of this unusual condition.

关键词： esophageal intramural pseudodiverticulosis food impaction dysphagia esophageal candidiasis

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