Schwegler N, Faust H
Rofo. 1975 Feb;122(2):151-5. doi: 10.1055/s-0029-1230043.
The 9th observation of esophageal intramural diverticulosis is reported. The findings are compared with those of former publications. Clinically dysphagia is a leading symptom. Suction biopsy proved diverticulosis being the correct interpretation for radiological findings. The etiology is discussed. The change between symptom-free intervals with diverticulosis only and episods of dysphagia by secondary inflammation (reflux esophagitis, moniliasis, stenosis) stresses the importance of such secondary complications. These inflammations can hide the real diagnosis for a long time. The radiological findings are the key for diagnosis, however, they can be very small for years. During this period a diagnosis can only be achieved by knowledge of the disease and the skilful search for early symptoms.
报告了第9例食管壁内憩室病观察病例。将这些发现与以前的出版物进行了比较。临床上吞咽困难是主要症状。抽吸活检证实憩室病是对放射学检查结果的正确解释。讨论了病因。仅存在憩室病的无症状期与继发炎症(反流性食管炎、念珠菌病、狭窄)导致的吞咽困难发作之间的变化强调了此类继发性并发症的重要性。这些炎症可能长期掩盖真正的诊断。放射学检查结果是诊断的关键,然而,它们可能多年都非常小。在此期间,只有通过了解该疾病并熟练寻找早期症状才能做出诊断。