What are the surgical precautions of esophageal diverticulum?

summary

The diverticulum of middle esophagus refers to the blind bag with epithelium covering connecting with esophagus. Among them, the pharyngeal and esophageal asphyxia room is the most common one, and the supradiaphragmatic diverticulum is also the more common one. Whether the esophageal diverticulum has symptoms last night is related to the size of the diverticulum, the location of the opening, whether there is food and secretion, and most of the symptoms are mild and not typical. What are the surgical precautions of esophageal diverticulum? Now let me tell you something.

What are the surgical precautions of esophageal diverticulum?

The diagnosis of middle esophageal diverticulum is mainly based on X-ray examination. Sometimes esophagoscopy is performed to exclude canceration. Esophagography is to take the patient's head low, feet high or prone position, it may also be to take the left lying position, diverticulum position and contour is easy to show. If diverticulum bronchial fistula is suspected, bronchography with lipiodol should be performed.

The use of bronchoscopy for diagnosis, endoscopic examination is helpful to find the fistula. It's a common inspection method. If methylene blue is found in sputum, it can be confirmed that there is esophagobronchial fistula. It's easy to diagnose.

Of course, some other diagnostic methods can also be used. When necessary, esophageal CT examination and esophageal function test should be done to exclude other serious diseases. If the patient has symptoms of chronic pulmonary suppurations, bronchoscopy and lung CT scan must be performed to determine the extent of lung lesions.

matters needing attention

The diverticulum of middle esophagus refers to the blind bag with epithelium covering connecting with esophagus. Among them, pharyngeal and esophageal asphyxia room is the most common one, and there is supradiaphragmatic diverticulum, which is also a more common one.