• Title/Summary/Keyword: 식도게실

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A CASE OF ESOPHAGEAL DIVERTICULUM (식도 게실 치험 1례)

  • Hong, Seok-Kyung;Yang Hoonsik;Kim, Hoon
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.34-34
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    • 1991
  • 식도게실은 식도 근육층의 결손 부위로 점막층이 감입됨으로써 발생하는 국한성 낭성 구조물로서 선천성 또는 후천성으로 발생할 수있다. 저자들은 1990넌 4월 17일 식사시 흉골 상부의 불쾌감을 주소로 중앙대학교 부속병원을 내원한 32세 여자 환자에서 식도 조영 촬영상 식도 우후방부, 윤상인두협부 하방 3㎝ 부위에서, 흔히 볼 수 있는 Zenker's diverticulum이 아닌 식도게실을 발견하여 식도게실제거술 및 근절개술 시행으로 특이한 합병증 없이 치유된 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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Surgical Experience with Killian-Jamieson Diverticulum - A case report - (Killian-Jamieson 게실의 수술적 치료 - 1예 보고 -)

  • Han, Kook-Nam;Kim, Young-Tae;Nam, Jin-Hae;Kang, Chang-Hyun;Kim, Joo-Hyun
    • Journal of Chest Surgery
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    • v.43 no.3
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    • pp.324-327
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    • 2010
  • Killian-Jamieson diverticulum is a rare disease that is seen at the cervical esophagus. It has quite a different pathogenesis and anatomical location compared with that of Zenker's diverticulum. The pathophysiology and strategy for treating Killian-Jamieson diverticulum are not fully understood. We performed surgery using one incision for treating a case of Killian-Jamieson diverticulum and we review the medical literature that's related to this unusual diverticulum.

Bronchoesophageal Fistula Associated with Esophageal Diverticulum; A Case Report (식도게실을 동반한 기관지-식도루;수술치험 1례)

  • 최대융
    • Journal of Chest Surgery
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    • v.26 no.7
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    • pp.579-582
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    • 1993
  • We experienced a case of acquired benign bronchoesophageal fistula associated esophageal diverticulum which was treated successfully by division of ~stulous tract and esophageal diverticulectomy.Benign bronchoesophageal fistulas associated with esophageal diverticulum are very rare. This presentation is characterized by paroxysmal cough especially after drinking liquids and is easily diagnosed by esophagogram. We report a case with review of literatures.

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Surgical Correction of Complete Vascular Ring Associated with Kommerell's Diverticulum (Kommerell 게실과 동반된 완전 혈관륜의 수술적 교정)

  • Kim, Hee-Jung;Jung, Sung-Ho;Kim, Kyung-Mo;Yun, Tae-Jin
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.943-945
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    • 2006
  • An 11-month old girl with a feeding difficulty and recurrent aspiration pneumonia received surgical correction of complete vascular ring, which was formed by right aortic arch, aberrant left subclavian artery(LSCA) originating from Kommerell's diverticulum(KD) and ligamentum arteriosum. Through left posterolateral thoracotomy, the ligamentum arteriosum was divided to relieve the tracheo-esophageal bundle. KD was separated from the right descending aorta, and the left subclavian artery was severed from KD at its origin and trasfered to the side wall of left common carotid artery. Postoperative course was uneventful, and the patient has been followed up with a clinical improvement.

Unusual Location of Esophageal Diverticulum (비전형적인 위치에 발생한 상부 식도 게실)

  • Kim, Tae-Hoo;Heo, Chul-Young;Kim, Beom-Gyu;Kim, Yong-Bok;Park, Il-Seok
    • Korean Journal of Bronchoesophagology
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    • v.15 no.2
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    • pp.87-91
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    • 2009
  • Esophageal diverticulum is a rare entity, the true incidence of which is unknown, mainly because there are usually no clinical symptoms. Most esophageal diverticulum are found incidentally during an endoscopic or radiologic examination. Their classification is based on anatomical location; namely, upper third(Zenker or pharyngoesophageal), middle third(thoracic), or lower third(epiphrenic). Here we report a 52-years-old female presenting with dysphagia and regurgitation. Esophagogram showed esophageal diveticulum at lower cervical esophagus. Its positional aspect, it is different from Zenker's diveticulum. Treatment is surgical via an endoscopic or external approach. In view of the patient's age and anatomical location, various surgical approaches were considered as a therapeutic option for the management. This paper presents our experience in the management of esophageal diverticulum which was unusual location and stapled open resection without sternotomy.

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Congenital esophagobronchial fistula associated with esophageal traction diverticulum in adult -Report of one case- (성인의 견인성 식도게실이 동반된 선천성 식도 기관지루 -1예 보고-)

  • 심성보
    • Journal of Chest Surgery
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    • v.24 no.5
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    • pp.510-514
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    • 1991
  • A fistulous communication between an esophageal traction diverticulum and the tracheo-bronchial tree appears to be of rare occurrence. This report reviews the feature of congenital esophagobronchial fistula associated with esophageal traction diverticulum. This 38-year-old male patient suffered from coughing, hemoptysis, fever and chest pain. This patient was taken a diverticulectomy and lobectomy of right lower lobe. Post-operation course was uneventful.

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Diffuse Esophageal Spasm with Epiphrenic Diverticulum - Report of 1 case - (횡경막 상부 식도게실을 동반한 범발성 식도경축증 -수술치험 1예-)

  • Yang, Tae-Bong;O, Bong-Seok;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.21 no.5
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    • pp.924-928
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    • 1988
  • Diffuse esophageal spasm[DES] is a rare disease, and its surgical management is controversial. We experienced one case of diffuse esophageal spasm with a large epiphrenic diverticulum. We resected the diverticulum with right side approach and underwent extended esophageal myotomy from the apex of the chest to 3 cm above the diaphragm. And then we preserved the LES without antireflux procedure.

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Esophageal diverticulum complicated with esophagobronchial fistula-Report of one case- (식도기관지루를 합병한 식도게실 1례 보고)

  • Mun, Byeong-Tak;Kim, Sang-Hyeong;Lee, Dong-Jun
    • Journal of Chest Surgery
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    • v.16 no.3
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    • pp.405-410
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    • 1983
  • Acquired communicated diverticula between the esophagus and respiratory system are infrequent, and they are caused by carcinoma, trauma, infection, and traction. This report reviews the feature of benign esophagobronchial fistula due to midesophageal diverticulum. Patient is twenty year old man with excellent result by surgical intervention . The surgical procedures consist of divertuculectomy and superior segmentectomy of lower lobe of right lung. Clinically and radiologically, the patient is free from substernal distress, regurgitation, esophagorespiratory fistula, and esophageal stricture after surgical treatment.

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A Case of Killian-Jamieson Diverticulum Simulating Thyroid Mass (갑상선 종물로 오인된 Killian-Jamieson 게실 1예)

  • Chu Hyung-Ro;Lee Jong-Sun;Han Dong-Hyuk;Jin Jae-Won
    • Korean Journal of Head & Neck Oncology
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    • v.22 no.1
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    • pp.33-35
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    • 2006
  • Killian-Jamieson and Zenker diverticula are both rare pharyngoesophageal diverticula. Both are outpouching of the mucosal and submucosal layers of the esophageal wall, which protrude through a mucosal gap at the level of the pharyngoesophageal esophagus. When these diverticula are large enough, they can be in proximity to the thyroid gland and may mimic a thyroid nodule. We report a case in which a diverticulum was filled with dietary residue and thus simulated a thyroid cyst on CT scan. And it was finally diagnosed as a Killian-Jamieson diverticulum by the surgery.

Surgical Treatment of Epiphrenic Esophageal Diverticulum -One case report- (횡격막상부 식도게실 수술 1예)

  • 이진영
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.584-587
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    • 1990
  • Recently we experienced one, case of epiphrenic esophageal diverticulum of a 50 - year - old female patient who had complained heaviness in her chest after meals and occasional dysphagia for one year. Preoperative barium study showed a large epiphrenic esophageal diverticulum at about 7cm above the diaphragm which protruded to the right side of the mid thorax. On the operation field, epiphrenic esophageal diverticulum, measuring 5x 6x3cm in size, was noted. Diverticulectomy and extended myotomy was performed and the postoperative course was uneventful.

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