This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (29)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Surgical Treatment

DONALD B. EFFLER, M.D.; DAVID BARR, M.D.; LAURENCE K. GROVES, M.D.

AMA Arch Surg. 1959;79(3):459-467.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

Epiphrenic diverticulum is an uncommon entity comprising less than 10% of all esophageal diverticula.¹ Occurring in the lower third of the esophagus, usually within the distal 10 cm.,² it is a false diverticulum, as its wall is primarily mucosa. The epiphrenic diverticulum, like Zenker's pharyngoesophageal diverticulum, is classified as a pulsion type. Mondière³ described this lesion in 1833 and suggested that its etiology was related to increased intraluminal pressure. Since that time little has been added that explains the exact cause of this acquired defect. Some related facts have been observed and have been published in the few reports devoted to this entity. In about 65% of cases, associated cardiospasm occurs.⁴ Hiatal hernia and diffuse esophageal spasm² have also been observed in conjunction with epiphrenic diverticulum. Kay⁵ made a significant observation when he described hypertrophy of the inferior constrictor muscle of the terminal . . . [Full Text PDF of this Article]

Author Affiliations
Cleveland

Fellow in the Department of Thoracic Surgery (Dr. Barr).; From the Department of Thoracic Surgery, The Cleveland Clinic Foundation and The Frank E. Bunts Educational Institute.

Footnotes
Submitted for publication Feb. 27, 1959.

Read at the 16th Annual Meeting of the Central Surgical Association, Montreal, Feb. 21, 1959.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?