Skip to main content
Top
Published in: Digestive Diseases and Sciences 1/2007

01-01-2007 | Case Report

Upper Gastrointestinal Bleed from Esophageal Diverticula in a Patient with Dermatomyositis

Authors: Mohammad Al-Haddad, Massimo Raimondo

Published in: Digestive Diseases and Sciences | Issue 1/2007

Login to get access

Excerpt

Diverticula of the esophagus are uncommon. Most often, they are seen at the pharyngo-esophageal junction (Zenker’s diverticula) or at the lower esophagus (epiphrenic diverticula). Diverticula involving the middle portions of the esophagus are less common and often result from abnormal esophageal motility (pulsion diverticula) or mediastinal pathologies (traction diverticula). Complications are generally related to chronic stasis with underlying inflammation. Contrary to the colon, bleeding is a rare complication of esophageal diverticula. We report a case of dermatomyositis with bleeding esophageal diverticula involving most parts of the esophagus. …
Literature
1.
go back to reference Mendl K, Evans CJ (1962) Congenital and acquired diverticula of the esophagus. Br J Radiol 35:53–58PubMedCrossRef Mendl K, Evans CJ (1962) Congenital and acquired diverticula of the esophagus. Br J Radiol 35:53–58PubMedCrossRef
2.
go back to reference Borrie J, Wilson RL (1980) Esophageal diverticula: principles of management and appraisal of classification. Thorax 35:759–767PubMedCrossRef Borrie J, Wilson RL (1980) Esophageal diverticula: principles of management and appraisal of classification. Thorax 35:759–767PubMedCrossRef
3.
go back to reference Rivkin L, Bremner CG, Bremner CH (1984) Pathophysiology of mid-esophageal and epiphrenic diverticula of the esophagus. S Afr Med J 66:127–129PubMed Rivkin L, Bremner CG, Bremner CH (1984) Pathophysiology of mid-esophageal and epiphrenic diverticula of the esophagus. S Afr Med J 66:127–129PubMed
4.
go back to reference Baker ME, Zuccaro G Jr, Achkar E, Rice TW (1999) Esophageal diverticula: patient assessment. Semin Thorac Cardiovasc Surg 11:326–336PubMed Baker ME, Zuccaro G Jr, Achkar E, Rice TW (1999) Esophageal diverticula: patient assessment. Semin Thorac Cardiovasc Surg 11:326–336PubMed
5.
go back to reference Vinson PP (1934) Diverticula of the thoracic portion of the esophagus: report of 42 cases. Arch Otolaryngol 19:508–513 Vinson PP (1934) Diverticula of the thoracic portion of the esophagus: report of 42 cases. Arch Otolaryngol 19:508–513
7.
go back to reference McConnel F, Hood D,Jackson K, et al. (1994) Analysis of intrabolus forces in patients with Zenker’s diverticulum. Laryngoscope 104:571–581PubMedCrossRef McConnel F, Hood D,Jackson K, et al. (1994) Analysis of intrabolus forces in patients with Zenker’s diverticulum. Laryngoscope 104:571–581PubMedCrossRef
8.
go back to reference Cook IJ, Gabb M, Panagopoulos V, et al. (1992) Pharyngeal (Zenker’s) diverticulum is a disorder of upper esophageal opening. Gastroenterology 103:1229–1235PubMed Cook IJ, Gabb M, Panagopoulos V, et al. (1992) Pharyngeal (Zenker’s) diverticulum is a disorder of upper esophageal opening. Gastroenterology 103:1229–1235PubMed
9.
go back to reference Resouly A, Braar J, Jackson A, et al. (1994) Pharyngeal pouch: link with reflux and esophageal dysmotility. Clin Otolaryngol 19:241PubMedCrossRef Resouly A, Braar J, Jackson A, et al. (1994) Pharyngeal pouch: link with reflux and esophageal dysmotility. Clin Otolaryngol 19:241PubMedCrossRef
10.
go back to reference Debas HT, Payne SP, Cameron AJ, Carlson HC (1980) Pathophysiology of lower esophageal diverticulum and its implications for treatment. Surg Gynecol Obstet 151:593–600PubMed Debas HT, Payne SP, Cameron AJ, Carlson HC (1980) Pathophysiology of lower esophageal diverticulum and its implications for treatment. Surg Gynecol Obstet 151:593–600PubMed
11.
go back to reference Veenker E, Cohen JI (2003) Current trends in management of Zenker diverticulum. Curr Opin Otolaryngol Head Neck Surg 11(3):551–563CrossRef Veenker E, Cohen JI (2003) Current trends in management of Zenker diverticulum. Curr Opin Otolaryngol Head Neck Surg 11(3):551–563CrossRef
12.
13.
14.
go back to reference Fulp SR, Castell DO (1992) Manometric aspects of Zenker’s diverticulum. J Hepatogastroenterol 39:123–126 Fulp SR, Castell DO (1992) Manometric aspects of Zenker’s diverticulum. J Hepatogastroenterol 39:123–126
16.
go back to reference Narne S, Cutron C, Chella B (1999) Endoscopic diverticulotomy for the treatment of Zenker’s diverticulum: results in 102 patients with staple- assisted endoscopy. Ann Otol Rhinol Laryngol 108:810–815PubMed Narne S, Cutron C, Chella B (1999) Endoscopic diverticulotomy for the treatment of Zenker’s diverticulum: results in 102 patients with staple- assisted endoscopy. Ann Otol Rhinol Laryngol 108:810–815PubMed
17.
go back to reference Benacci JC, Deschamps C, et al. (1993) Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 55:1109–1114PubMedCrossRef Benacci JC, Deschamps C, et al. (1993) Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 55:1109–1114PubMedCrossRef
18.
go back to reference Mahajan SK, Warshauer DM, Bozymski EM (1993) Esophageal intramural pseudo-diverticulosis: endoscopic and radiology correlation. Gastrointest Endosc 39:565–567PubMedCrossRef Mahajan SK, Warshauer DM, Bozymski EM (1993) Esophageal intramural pseudo-diverticulosis: endoscopic and radiology correlation. Gastrointest Endosc 39:565–567PubMedCrossRef
Metadata
Title
Upper Gastrointestinal Bleed from Esophageal Diverticula in a Patient with Dermatomyositis
Authors
Mohammad Al-Haddad
Massimo Raimondo
Publication date
01-01-2007
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 1/2007
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-005-9029-5

Other articles of this Issue 1/2007

Digestive Diseases and Sciences 1/2007 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.