This paper is concerned with the pulmonary -aspiration phenomena associated with mechanical dysphagia, and the term "dysphagia pneumonitis" is used for the syndrome. Lesions due to central dysphagia and secondary to bronchooesophageal fistulae have been excluded. In 1927 Vinso"n reported a case of achalasia vhich was complicated by a lung abscess, and since then 38 others have been described. T...

A 77-year-old Caucasian woman presented to our hospital with difficulty swallowing solid food and weight loss during the past 2 years. She did not drink alcohol or smoke. Her physical examination and her past medical history were unremarkable. Radiograph of the chest showed a right-sided aortic arch (Figure 1). A barium esophagogram was performed. A double indentation at the level of the aortic...

OBJECTIVE The purpose of this study was to describe the sonographic findings of Zenker diverticula. METHODS This study included 6 patients (age, 26-70 years; average, 55.3 years). Three cases were detected incidentally by thyroid sonograms, and 3 cases were transferred from other hospitals for aspiration of a thyroid nodule. All the sonograms and medical records were reviewed retrospectively....

A woman described a 2-year history of solid foods “getting stuck” once or twice per week. The sensation was not progressive, and she denied heartburn, regurgitation, weight loss, fever, hemoptysis and melena. She did not drink or smoke and had no history of muscle weakness or respiratory illness. On physical examination she appeared well nourished and was not jaundiced. Head, neck, respiratory ...

Epiphrenic esophageal diverticula (EED) are rare. The estimated incidence is about 1:500,000/year. EED usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. Most of the symptoms are unspecific, but dysphagia is most common. Chest radiograph, barium esophagogram, endoscopy and manometry are diagnostic tools. The t...

Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. In the vast majority of cases it remains asymptomatic throughout life but in about 5% of cases it gives rise to complications, namely, haemorrhage, intestinal obstruction and inflammation. A rare complication is being presented--a femoral hernia containing a strangulated Meckel's diverticulum. This is...

A subthreshold pharyngeal stimulus induces lower esophageal sphincter (LES) relaxation and inhibits progression of ongoing peristaltic contraction in the esophagus. Recent studies show that longitudinal muscle contraction of the esophagus may play a role in LES relaxation. Our goal was to determine whether a subthreshold pharyngeal stimulus induces contraction of the longitudinal muscle of the ...

Present work was directed to study the prevalence and anatomical basis of diverticulum formation and its association with malignancy inside the urinary bladder on cadavers. Urinary bladder diverticulum and its complications including malignancy has been reported by different authors based on their study on radiological findings and endoscopy. Present study was undertaken on cadavers to meet the...

Zenker's diverticulum (ZD) is an outpouching of tissue through the Killian triangle that is believed to be caused by dysfunction of the cricopharyngeal muscle. ZD is a relatively uncommon disorder occurring in the elderly. The predominant symptom of ZD is dysphagia, and the most serious consequence is pulmonary aspiration. Videofluoroscopy confirms the diagnosis. Therapy of symptomatic ZD has e...