Esophageal diverticulum – treatment of disease. Symptoms and prevention of the disease esophageal diverticulum

Esophageal diverticulum – What is this disease? Divertikulom esophagus called the wall of the esophagus diverticulum, which communicates with its gleam.

Esophageal diverticulum – The cause of the

Pul'sionnye Esophageal diverticula arise from violations of pishhevodnoj motility with the development of the spastic contractions, that cause increased vnutripishhevodnogo pressure, bulging wall of the esophagus in weak field.

The presence of connective-tissue adhesions of the walls of the esophagus with the surrounding organs (eg, with inflamed lymph nodes in the mediastinum) causes stretching and pishhevodnoj offset wall toward the affected organ, the formation of diverticula, the factory.

Esophageal diverticulum – Symptoms of esophageal diverticulum

The most frequent clinically manifest diverticula Cenkera, even at small sizes. Patients with violation occurs passage of food to the esophagus, especially in the use of solid and liquid food. Leftover food in the divertikule congregate, that leads to the srygivaniju of undigested food, unpleasant smell from the mouth. Often on waking the patient finds leftover food, mucus on the pillow. Patients are concerned about scratching sensation in throat, Tickle, the feeling of a foreign body in the throat, increased salivation (hyperptyalism), dry cough, nausea, voice alteration. Characteristic of the so-called “the phenomenon of blockade” postprandial, reflecting a sense of lack of air, reddening of the face, dizziness, disappearing after vomiting.

Bifurcation and jepifrenal'nye diverticula, up to 2 cm, in most cases not clinically apparent. At larger sizes diverticula occurs dysphagia (swallowing disorder), regurgitation of undigested food, nausea, aerofagija (ingestion of air), night cough, chest pain, back.

When divertikulah the lower third of the esophagus, symptoms described is supplemented by palpitation, reflex shortness of breath, bronchospasm, the pain in the heart without changes on the electrocardiogram, that is associated with irritation the vagus nerve.

Esophageal diverticulum – Diagnostics

To diagnose the diverticulum and diverticulitis produce x-ray study: determined by the deformation of the esophagus, rigidity of walls, Contour ridging, delay content. When the esophagus contrast material passes through the probodnoe hole in the mediastinal'noe space.

Esophageal diverticulum – Types of disease

Distinguish between false and true Esophageal diverticula.

False diverticulum is an outpouching of mucosa of the esophagus through a defect in the muscular layer. This wall consists of an outer stress and mucous membrane.

A true diverticulum-diverticulum, wall which contains all the layers of the wall pishhevodnoj-muscle, slimy and external.

Diverticula can be acquired and congenital.

On the development of acquired diverticula are divided into:

• traction;
• pul'sionnye;
• pul'sionno-traction.

Pul'sionnye diverticula develop at elevated pressure in the esophagus as a result of the breach of his motor skills or stenosis of the underlying divisions of the esophagus.

Traction diverticula arise from the seam between the wall of the oesophagus and surrounding organs.

Cenkera diverticulum-diverticulum in meshkovidnoe area-sphincter pishhevolnogo pharyngoesophageal junction.

Diverticula can be single or multiple.

Esophageal diverticulum – Actions of the patient

If you experience the symptoms described above, it is necessary to see a doctor. Recommended diet (crushed, negorjachaja, nerazdrazhajushhaja the wall of the esophagus food). Eating should be done in a comfortable position.

Esophageal diverticulum – Esophageal diverticulum treatment

With small divertikulah of the esophagus without signs of inflammation and complaints in patients with severe concomitant diseases, old age shown surveillance. With a view to eliminating or preventing inflammatory process spend washing, drainage of the esophagus warm weak solutions of antiseptic or water. In some cases, produce diverticulectomy (divertikuljektomija) with the subsequent restoration of wall pishhevodnoj.

With a small divertikule esophagus performed his invaginaciju.

Esophageal diverticulum – Complications

• Perforation;
• Penetration;
• Bleeding;
• Esophageal stenosis;
• Esophageal carcinoma;
• Development of fistulas;
• Diverticulitis;
• Phlegmon neck;
• Mediastinitis.

Esophageal diverticulum – Prevention of esophageal diverticulum

Preventing the formation of Esophageal diverticula is a timely treatment of diseases, resulting in their education.