Difference between revisions of "Oesophageal Diverticula"

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==Description==  
 
==Description==  
 
A circumscribed sacculation of the oesophageal wall. These can be divided into congenital or acquired. Congenital diverticula are due to a herniation of the mucosa through a muscularis defect. Acquired diverticula can be subdivided into:
 
A circumscribed sacculation of the oesophageal wall. These can be divided into congenital or acquired. Congenital diverticula are due to a herniation of the mucosa through a muscularis defect. Acquired diverticula can be subdivided into:
#'''Traction forms'''
+
#'''Traction forms''' result from peri-oesophageal inflammation and fibrosis and develop mainly in the cranial and mid-oesophageal body. Sacculations are created by adhesions to adjacent tissues.
 
#'''Pulsion forms'''
 
#'''Pulsion forms'''
 
==Diagnosis==
 
==Diagnosis==

Revision as of 11:10, 10 August 2009



Typical Signalment

Description

A circumscribed sacculation of the oesophageal wall. These can be divided into congenital or acquired. Congenital diverticula are due to a herniation of the mucosa through a muscularis defect. Acquired diverticula can be subdivided into:

  1. Traction forms result from peri-oesophageal inflammation and fibrosis and develop mainly in the cranial and mid-oesophageal body. Sacculations are created by adhesions to adjacent tissues.
  2. Pulsion forms

Diagnosis

Clinical Signs

usually result from food/fluid impaction in the sacculated area and can present as:

  • regurgitation
  • odynophagia
  • retching
  • postprandial dyspnoea
  • anorexia
  • sepsis if the diverticulum becomes perforated
  • may be subclinical if small

Laboratory Tests

Diagnostic Imaging

Treatment

Prognosis

References