Wednesday, August 7, 2013

Esophageal disorders Benign 2


3.2 PHARYNGOESOPHAGEL DIVERTICULUM

This  is a mucosal pouch between the inferior constrictor of  the

pharynx and criopharyngeus muscle (UES) (Fig.above).

- The patient is between 30-40 years of complaining of  dysphagia

  at the upper end of oesophagus.

- An effortless regurgitation of undigested food.

- There may be gurgling in the neck and

- Some patients compalin of choking and aspiration.

Diagnosis  is made with a barium study and treatment is  surgical

with  excision of the divertication and repair of the  defect  in

the muscle.

 

3.3 PLUMER VINSON SYNDROME (PATERSON-KELLY)

This is a cervical dysphagia in women above the age of 40 years

- These patients have iron  defieciency  anaemia. 

- They manifest atrophic oral mucosa., 

- The  cause   of  dysphagia  is  sometimes  the   presence   of

  demonstrable oesophageal web.

Treatment is with dilatation and correction of the anaemia.
 
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