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. 1980 Oct;35(10):759–767. doi: 10.1136/thx.35.10.759

Oesophageal diverticula: principles of management and appraisal of classification.

J Borrie, R L Wilson
PMCID: PMC471377  PMID: 6781091

Abstract

In this paper we review a consecutive series of 50 oesophageal diverticula, appraise clinical features and methods of management, and suggest an improvement on the World Health Organization classification. The link between oesophageal diverticula and motor disorders as assessed by oesophageal manometry is stressed. It is necessary to correct the functional disorder as well as the diverticulum if it is causing symptoms. A revised classification could be as follows: congenital--single or multiple; acquired--single (cricopharyngeal, mid-oesophageal, epiphrenic other) or multiple (for example, when cricopharyngeal and mid-oesophageal present together, or when there is intramural diverticulosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. CROSS F. S., JOHNSON G. F., GEREIN A. N. Esophageal diverticula. Associated neuromuscular changes in the esophagus. Arch Surg. 1961 Oct;83:525–533. doi: 10.1001/archsurg.1961.01300160037005. [DOI] [PubMed] [Google Scholar]
  2. Ellis F. H., Jr, Schlegel J. F., Lynch V. P., Payne W. S. Cricopharyngeal myotomy for pharyngo-esophageal diverticulum. Ann Surg. 1969 Sep;170(3):340–349. doi: 10.1097/00000658-196909010-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gerard F. P., Sabety A. M. Pulsion diverticulum of the mid-thoracic esophagus. Report of two cases. Dis Chest. 1966 Jun;49(6):655–657. doi: 10.1378/chest.49.6.655. [DOI] [PubMed] [Google Scholar]
  4. Harrington S. W. The Surgical Treatment of Pulsion Diverticula of the Thoracic Esophagus. Ann Surg. 1949 May;129(5):606–618. [PMC free article] [PubMed] [Google Scholar]
  5. KAY E. B. The inferior esophageal constrictor in relation to lower esophageal disease. J Thorac Surg. 1953 Jan;25(1):1–15. [PubMed] [Google Scholar]
  6. Kaye M. D. Oesophageal motor dysfunction in patients with diverticula of the mid-thoracic oesophagus. Thorax. 1974 Nov;29(6):666–672. doi: 10.1136/thx.29.6.666. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lichter I. Measurement of gastro-oesophageal acid reflux: its significance in hiatus hernia. Br J Surg. 1974 Apr;61(4):253–258. doi: 10.1002/bjs.1800610402. [DOI] [PubMed] [Google Scholar]
  8. Lichter I. Motor disorder in pharyngoesophageal pouch. J Thorac Cardiovasc Surg. 1978 Aug;76(2):272–275. [PubMed] [Google Scholar]
  9. Montgomery R. D., Mendl K., Stephenson S. F. Intramural diverticulosis of the oesophagus. Thorax. 1975 Jun;30(3):278–284. doi: 10.1136/thx.30.3.278. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. NEGUS V. E. Pharyngeal diverticula; observations on their evolution and treatment. Br J Surg. 1950 Oct;38(150):129–146. doi: 10.1002/bjs.18003815002. [DOI] [PubMed] [Google Scholar]
  11. ROBB D. Congenital tracheo-oesophageal fistula without atresia but with large oesophageal diverticulum. Aust N Z J Surg. 1952 Nov;22(2):120–122. doi: 10.1111/j.1445-2197.1952.tb05492.x. [DOI] [PubMed] [Google Scholar]
  12. Smiley T. B., Caves P. K., Porter D. C. Relationship between posterior pharyngeal pouch and hiatus hernia. Thorax. 1970 Nov;25(6):725–731. doi: 10.1136/thx.25.6.725. [DOI] [PMC free article] [PubMed] [Google Scholar]

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