Easily Be Confused Epiphrenic Esophageal Diverticulum with Gastroesophageal Reflux Disease: a Report for 2 Misdiagnosed Cases
ZHANG Chao
LI Fei
LIU Dian-gang
WU Ji-min
GAO Xiang
Hu Zhi-wei
Du Xing
WANG Feng
WANG Zhong-gao
Abstract：Objective To investigate clinical characteristics, diagnosis and treatment methods of lower esophageal esophageal diverticulum in order to avoid misdiagnosis.Methods clinical data of 2 patients with epiphrenic diverticulum, who were misdiagnosed as having gastroesophageal reflux disease (GERD), was retrospectively analyzed.Results The 2 female patients with epiphrenic esophageal diverticulum complained sour regurgitation, heartburn, repeated precordium (subdural-chest) pain, bucking or chronic irritable cough and choking in pars laryngea pharyngis, and the patients were misdiagnosed as having GERD in other hospital and were transferred to our hospital for undergoing surgery.DeMeester score was not more than 14.72 points 24 h after admission by esophageal pH monitoring, and fiber gastroscope and upper gastrointestinal angiography showed mucosal inflammation and congestion in the lower esophageal with a visible diverticulum at 38-40 cm position from the incisors.The diverticulum had short segment pedicle which connected with the lower esophagus, and then lower esophageal esophageal diverticulum was confirmed.Surgical and drug treatments were given, and symptoms were partially or completely relieved.Conclusion Lower esophageal esophageal diverticulum is easily confused as GERD.Endoscopy, 24 h esophageal pH monitoring and high-resolution pressure esophageal pressure test are needed for differential diagnosis.Antireflux surgery combined with diverticulectomy may be an effective method in intervention of lower esophageal esophageal diverticulum.
Keywords：DiverticulumesophagealMisdiagnosisGastroesophageal refluxSurgical proceduresoperative
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 51-53 )