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- blindly ending process or protrusion of the organ.
- localized along the back wall of the pharynx and esophagus.
Classification of diverticulums of the esophagus, diverticulitis (according to Yusbasic, 1961)
1. Pharyngo-esophagic (Tsenker), 2. Bifurcation. 3. Epiphrenal.
The largest diverticulum:
Stage I - protrusion of the mucous membrane of the esophagus through weak areas of the muscle membrane,
Stage II - the formation of a diverticular sac extending downward and posteriorly between the esophagus and spine;
Stage III - an increase in the size of the diverticulum, as a result of which it descends into the mediastinum.
1) Sore throat, awkwardness when swallowing, belching, regurgitation; 2) tension of the muscles of the neck and head movement during meals, a sense of stopping food; 3) periodic pain behind the sternum, in the epigastric region, 4) dysphagia, 5) bad breath; 6) night cough; 7) emaciation; 8) subfebrile condition.
Esophagus diverticulum (pharyngo-esophageal), stage I.
2. Diverticulum of the esophagus (bifurcation), stage II
3. Diverticulum of the esophagus (epiphrenal), stage III
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Diverticulitis is an inflammation of the diverticulum, or small sack-like protrusion of the intestinal wall. Symptoms of this inflammation are lower abdominal pain and fever. Bleeding is also possible. This disease is more susceptible to men. Symptoms of diverticulitis are very similar to symptoms of appendicitis, so they sometimes make the wrong diagnosis. See the article GUT (PROBLEMS) so
- Barrett's esophagus, adenocarcinoma of the esophagus
There is no reliable data on the incidence of adenocarcinoma with Barrett's esophagus, but it is proved that the risk of the disease increases in this case by 20-40 times. Presumably, the mechanisms of carcinogenesis are similar to those in colon cancer - chronic damage to the epithelium and cell proliferation lead to genetic rearrangements and, ultimately, to the neoplastic process.
- INTESTINAL DIVERTICULES
- blindly ending bag-shaped protrusions of a limited area of any part of the intestine, communicating with its lumen. Classification of colon diverticulosis (adopted at the All-Union Symposium on the problem of colon diverticulosis, Saratov, 1979) 1. According to the clinical course: a) without clinical manifestations; b) with clinical manifestations (pain, impaired bowel function)
- MARSUPIALIZATION OF A SUBURETRAL DIVERTICULE BY SPENCE
Suburethral diverticulum in the distal third of the urethra can be eliminated by simple marsupialization. Given its localization, it is not at all necessary to carry out all the stages of the classical operation described in Section 2, page 108. The operation of marsupialization does not cause stenosis, which is possible after the classical operation. The physiological consequences. This operation eliminates the source of persistent infection and
Diverticulitis, the result of inflammation of the pseudodiverculus, is noted in at least 10% of all cases of abdominal pain in elderly patients. Although diverticulitis is referred to as “left-sided appendicitis,” the pain it causes is not typical. Nausea, fever and constipation are common, but vomiting is completely uncharacteristic. Physical examination often reveals
(not requiring surgical intervention) Selection of antimicrobial agents. Drugs of choice: amoxicillin / clavulanate, ampicillin / sulbactam; 3rd generation cephalosporins (ceftriaxone, cefotaxime or cefoperazone) + metronidazole; fluoroquinolones (ciprofloxacin, ofloxacin or pefloxacin) + metronidazole. Alternative drugs: ampicillin + aminoglycosides (gentamicin, tobramycin or
- Diverticulum hemorrhage
The two main causes of bleeding from the lower gastrointestinal tract are diverticulosis and angiodysplasia (Table 9-3). As with bleeding from the upper gastrointestinal tract, in 80% of cases, bleeding from the lower gastrointestinal tract stops on its own, but relapses are observed in 25% of cases. Usually bleeding from the lower parts
- REMOVAL OF A SUBURETRAL DIVERTICULE BY A DUAL CLOSING METHOD OF A DEFECT
Suburethral diverticulums can be found in patients suffering from chronic or recurrent inflammation of the urinary tract. Diverticulums can be congenital or acquired as a result of an injury to the urethra. The purpose of the operation is to remove the diverticulum without narrowing the urethra. This operation can be performed with diverticula located in the middle and proximal third of the urethra. Diverticulums
- Esophageal stricture
- narrowing of the esophagus associated with congenital or acquired factors Classification of cicatricial narrowing of the esophagus (G. L. Ratner, VI Belokonev, 1982) By etiology: burns with acids, alkalis, other burns By the time of obstruction: early (3-4 weeks), late (later than 1 month) According to the mechanism of development and clinical manifestations: A. Functional obstruction of the esophagus 1.
- Esophageal diseases
1. What symptom is most often observed in diseases of the esophagus? Regurgitation. 2. What is the difference between regurgitation and reflux? Regurgitation is the passive, retrograde movement of swallowed food to the upper sphincter of the esophagus; as a rule, food does not have time to get into the stomach. Most often, regurgitation occurs as a result of a violation of the motility of the esophagus, esophageal obstruction, or asynchronous
- Esophagus (problems)
The esophagus is the part of the digestive tract between the larynx and the stomach. The esophagus passes through the neck, chest and diaphragm. The following diseases are characteristic of it; DIVERTICULITIS, HERNIA, OR CONGENITAL DEFECTS. Pain in the esophagus can be caused by a foreign object in it or the sensation that a foreign object is in it. Since the esophagus is the beginning of the digestive tract,
- Esophagus research methods
Along with the well-known subjective research methods (clarifying the circumstances of the development of a pathological condition, analyzing complaints, etc.), two methods of objective research are the most significant in the study of the esophagus: radiation (X-ray) and esophagoscopic. The main indication for the study of the esophagus is a violation of its function - i.e. certain violations
The esophagus (esophagus) is a cylindrical tube 25-30 cm long that connects the pharynx to the stomach. It begins at the level of the VI cervical vertebra, passes through the chest cavity, diaphragm and flows into the stomach to the left of the X-XI thoracic vertebra. There are three parts of the esophagus: cervical, thoracic and abdominal. The cervical part is located between the trachea and the spine at the level of the VI cervical and up to the II chest