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[Esophageal pseudodivertikulosis].

O Möschler1, M K Müller

  • 1Klinik für Allgemeine Innere Medizin, Marienhospital Osnabrück, Germany.

Deutsche Medizinische Wochenschrift (1946)
|October 10, 2002
PubMed
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Esophageal pseudodiverticulosis, a rare condition from chronic inflammation, was diagnosed in a patient with liver cirrhosis. Treatment for Candida esophagitis and reflux disease resolved symptoms, highlighting the need for endoscopic surveillance.

Area of Science:

  • Gastroenterology
  • Esophageal Diseases

Background:

  • A 56-year-old male with alcoholic liver cirrhosis (Child B) and gastro-esophageal reflux disease presented with dyspnea and exhaustion.
  • Clinical examination revealed jaundice and hepatomegaly.

Observation:

  • Gastroscopy identified multiple pseudodiverticula and severe esophageal mucosal inflammation, indicative of esophageal pseudodiverticulosis.
  • Lugol's staining and biopsy confirmed no malignancy.

Findings:

  • The patient received treatment for Candida esophagitis and gastro-esophageal reflux disease with antimycotics and proton-pump inhibitors.
  • Post-treatment, the patient reported resolution of symptoms.

Implications:

  • Esophageal pseudodiverticulosis is a rare condition often found incidentally.

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  • Potential complications include strictures, motility disorders, and malignant transformation.
  • Regular endoscopic monitoring is crucial for early detection and management.