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首页> 外文期刊>Surgical Endoscopy >Esophageal hypermotility associated with intramural pseudodiverticulosis. Primary esophageal disease or epiphenomena?
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Esophageal hypermotility associated with intramural pseudodiverticulosis. Primary esophageal disease or epiphenomena?

机译：食管动力亢进伴壁内假憩室病。原发性食道疾病或表观现象？

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摘要

Esophageal intramural pseudodiverticulosis is a very rare disease of unclear etiology. The clinical picture is characterized by progressive dysphagia. Because of its frequent association with alcohol abuse and subsequent weight loss, it must be differentiated reliably from esophageal carcinoma. The diagnosis is established by the characteristic detection of multiple intramural contrast accumulations in the barium esophagogram. Additional endoscopic and endosonographic confirmation and histological examination are required to exclude a malignant tumor. Moreover, associated diseases are almost always present and should also be diagnosed by pH-metry, cytology, and esophageal manometry. Good and long-lasting therapeutic success can be achieved by bouginage of the stenosis with concomitant treatment of the associated esophageal diseases. Based on two case reports of patients with this disease, we discuss the unusual association with esophageal hypermotility as well as the symptoms, clinical course, therapy, and pathogenesis of the disease.
机译：食道壁内假憩室病是一种非常罕见的病因不明的疾病。临床表现为进行性吞咽困难。由于其经常与酗酒和随后的体重减轻有关，因此必须可靠地将其与食道癌区分开。该诊断是通过钡餐食管造影图中多个壁内造影剂累积的特征检测来建立的。为了排除恶性肿瘤，需要进行额外的内窥镜检查和超声检查以及组织学检查。此外，相关疾病几乎总是存在，也应通过pH值测定，细胞学和食管测压法进行诊断。通过狭窄性狭窄并伴有相关的食道疾病的治疗，可以获得良好而持久的治疗成功。基于该病患者的两个病例报告，我们讨论了与食管动力亢进的异常关联以及该病的症状，临床病程，治疗方法和发病机理。

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