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TRACTION DIVERTICULUM OF THE ESOPHAGUS: ROENTGENOGRAPHIC DEMONSTRATION; SYMPTOMS NOTED IN A SERIES OF TWENTY-SIX PATIENTS

TRACTION DIVERTICULUM OF THE ESOPHAGUS: ROENTGENOGRAPHIC DEMONSTRATION; SYMPTOMS NOTED IN A... Abstract Traction diverticulum of the esophagus, noted with relative frequency in adults at necropsy1 and demonstrable to some degree roentgenographically2 has been generally thought to be without symptoms and of minor clinical importance.3 Among ten patients reported on in 19322 and among sixteen additional patients in whom the condition was discovered under the conditions and method outlined in that report, symptoms recurred with such frequency as to cast doubt on the theory of absence of symptoms with this lesion. This paper will present an analysis of the symptomatology and certain findings in twenty-six cases of traction diverticulum situated in the midthird of the thoracic portion of the esophagus, in close proximity to the bifurcation of the trachea and to the hilus of the left lung. ANALYSIS OF COMPLAINTS Symptoms were attributed to the diverticulum by ten (38.5 per cent) of the twenty-six patients. In eight cases these References 1. Starck, H.: Die Divertikel der Speiseröhre , Leipzig, F. C. W. Vogel, 1900. 2. Heinen, W.: Ein Beitrag zur Kenntnis der an der Bifurkation der Trachea gelegenen Divertikel des Oesophagus , Frankfurt. Ztschr. f. Path. 1:176-186, 1907. 3. Kragh, J.: Diverticules tuberculeux, dits diverticules de traction, l'oesophage d'un boeuf , Compt. rend. Soc. de biol. 85:755-757, 1921. 4. Sturtevant, M.; Shapiro, L. L., and Wallace, R. P.: Traction Diverticulum of the Esophagus , Am. J. Roentgenol. 27:187-192 ( (Feb.) ) 1932. 5. Barrett, N. R.: Diverticula of the Thoracic Esophagus , Lancet 1:1009-1011 ( (May 13) ) 1933.Crossref 6. Heacock, C. H.: Diverticula of the Thoracic Portion of the Esophagus , South. M. J. 23:517-520 ( (June) ) 1930.Crossref 7. Hill, W.: Pharyngeal and Esophageal Diverticula , Brit. M. J. 2:1163-1169 ( (Dec. 18) ) 1926.Crossref 8. Lahey, F. H.: Surgical Management of Pharyngo-Oesophageal Diverticulum , Surg., Gynec. & Obst. 51:227-236 ( (Aug.) ) 1930. 9. Carmen, R. D.: The Roentgen Diagnosis of Diseases of the Alimentary Canal , ed. 2, Philadelphia, W. B. Saunders Company, 1921. 10. Vinson, P. P.: Diverticula of the Thoracic Portion of the Esophagus , Arch. Otolaryng. 19:508-513 ( (April) ) 1934. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

TRACTION DIVERTICULUM OF THE ESOPHAGUS: ROENTGENOGRAPHIC DEMONSTRATION; SYMPTOMS NOTED IN A SERIES OF TWENTY-SIX PATIENTS

WALLACE, ROBERT P.
Archives of Internal Medicine , Volume 60 (3) – Sep 1, 1937
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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1937 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1937.00180030071007
Publisher site
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Abstract

Abstract Traction diverticulum of the esophagus, noted with relative frequency in adults at necropsy1 and demonstrable to some degree roentgenographically2 has been generally thought to be without symptoms and of minor clinical importance.3 Among ten patients reported on in 19322 and among sixteen additional patients in whom the condition was discovered under the conditions and method outlined in that report, symptoms recurred with such frequency as to cast doubt on the theory of absence of symptoms with this lesion. This paper will present an analysis of the symptomatology and certain findings in twenty-six cases of traction diverticulum situated in the midthird of the thoracic portion of the esophagus, in close proximity to the bifurcation of the trachea and to the hilus of the left lung. ANALYSIS OF COMPLAINTS Symptoms were attributed to the diverticulum by ten (38.5 per cent) of the twenty-six patients. In eight cases these References 1. Starck, H.: Die Divertikel der Speiseröhre , Leipzig, F. C. W. Vogel, 1900. 2. Heinen, W.: Ein Beitrag zur Kenntnis der an der Bifurkation der Trachea gelegenen Divertikel des Oesophagus , Frankfurt. Ztschr. f. Path. 1:176-186, 1907. 3. Kragh, J.: Diverticules tuberculeux, dits diverticules de traction, l'oesophage d'un boeuf , Compt. rend. Soc. de biol. 85:755-757, 1921. 4. Sturtevant, M.; Shapiro, L. L., and Wallace, R. P.: Traction Diverticulum of the Esophagus , Am. J. Roentgenol. 27:187-192 ( (Feb.) ) 1932. 5. Barrett, N. R.: Diverticula of the Thoracic Esophagus , Lancet 1:1009-1011 ( (May 13) ) 1933.Crossref 6. Heacock, C. H.: Diverticula of the Thoracic Portion of the Esophagus , South. M. J. 23:517-520 ( (June) ) 1930.Crossref 7. Hill, W.: Pharyngeal and Esophageal Diverticula , Brit. M. J. 2:1163-1169 ( (Dec. 18) ) 1926.Crossref 8. Lahey, F. H.: Surgical Management of Pharyngo-Oesophageal Diverticulum , Surg., Gynec. & Obst. 51:227-236 ( (Aug.) ) 1930. 9. Carmen, R. D.: The Roentgen Diagnosis of Diseases of the Alimentary Canal , ed. 2, Philadelphia, W. B. Saunders Company, 1921. 10. Vinson, P. P.: Diverticula of the Thoracic Portion of the Esophagus , Arch. Otolaryng. 19:508-513 ( (April) ) 1934.

Journal

Archives of Internal Medicine – American Medical Association

Published: Sep 1, 1937

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