FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2914462851> ?p ?o ?g. }

• W2914462851 endingPage "S952" @default.
• W2914462851 startingPage "S952" @default.
• W2914462851 abstract "Esophageal diverticulae are classified according to their location: proximal (pharyngoesophageal or Zenker), middle, and distal (epiphrenic). Middle and distal diverticulae are subdivided as pulsion and traction types. Traction types arise from chronic mediastinal diseases causing scar formation. Pulsion diverticula occur with a distal esophageal motility disorder, forming an epiphrenic diverticulum. The majority of patients are asymptomatic, or may present with severe dysphagia, gastroesophageal reflux disease, weight loss, cardiac arrthythmias, halitosis, or recurrent episodes of aspiration pneumonia. We present a case of epiphrenic diverticulum that highlights the importance of high clinical suspicion and the difficulty diagnosing this disease. A 64-year-old man with a history of 10-pound weight loss in previous 2 months was referred for EGD for further work up for dysphagia, after chest CT found middle and lower esophageal wall thickening and distension with air and fluid at the level of the lower third of the esophagus. EGD revealed moderately dilated esophagus with stasis esophagitis in the entire esophagus. A diverticulum with a large opening and no stigmata of recent bleeding was found in the lower third of the esophagus several cm proximal to the lower esophageal sphincter (LES) area. In addition, a hypertonic LES was found. There was moderate resistance to endoscope advancement into the stomach. The Z-line was regular. The gastroesophageal junction and cardia were normal on retroflexed view. A through-the-scope (TTS) dilator was passed through the scope. Dilation with a 15-16.5-18 mm x 5.5 cm CRE balloon (to a maximum balloon size of 18 mm) dilator was performed. Motility study showed occasional simultaneous contraction, hypertensive LES with incomplete relaxation, suggestive of evolving type 3 achalasia. We prescribed fluconazole for esophagitis, and preprandial sublingual nitroglycerin as needed for LES relaxation. Two months following endoscopy the patient reports improved dysphagia and weight gain. Epiphrenic diverticulum continues to be a rare diagnosis despite improvements in diagnostic studies such as manometry and imaging. Diverticulae can present with variety of symptoms that can mimic more common diseases, or may be asymptomatic in as many as 40% of patients. Undiagnosed, epiphrenic diverticulae can lead to or further worsen regurgitation, gastrointestinal bleeding, aspiration, and cancer." @default.
• W2914462851 created "2019-02-21" @default.
• W2914462851 creator A5002241137 @default.
• W2914462851 creator A5034893026 @default.
• W2914462851 creator A5049729710 @default.
• W2914462851 date "2017-10-01" @default.
• W2914462851 modified "2023-10-17" @default.
• W2914462851 title "Epiphrenic Diverticulum: A Case Report" @default.
• W2914462851 doi "https://doi.org/10.14309/00000434-201710001-01749" @default.
• W2914462851 hasPublicationYear "2017" @default.
• W2914462851 type Work @default.
• W2914462851 sameAs 2914462851 @default.
• W2914462851 citedByCount "0" @default.
• W2914462851 crossrefType "journal-article" @default.
• W2914462851 hasAuthorship W2914462851A5002241137 @default.
• W2914462851 hasAuthorship W2914462851A5034893026 @default.
• W2914462851 hasAuthorship W2914462851A5049729710 @default.
• W2914462851 hasConcept C126322002 @default.
• W2914462851 hasConcept C139059822 @default.
• W2914462851 hasConcept C141071460 @default.
• W2914462851 hasConcept C2777819096 @default.
• W2914462851 hasConcept C2779134260 @default.
• W2914462851 hasConcept C2779958274 @default.
• W2914462851 hasConcept C2780323790 @default.
• W2914462851 hasConcept C2780596822 @default.
• W2914462851 hasConcept C2780942740 @default.
• W2914462851 hasConcept C2909576783 @default.
• W2914462851 hasConcept C2993045827 @default.
• W2914462851 hasConcept C43270747 @default.
• W2914462851 hasConcept C71924100 @default.
• W2914462851 hasConceptScore W2914462851C126322002 @default.
• W2914462851 hasConceptScore W2914462851C139059822 @default.
• W2914462851 hasConceptScore W2914462851C141071460 @default.
• W2914462851 hasConceptScore W2914462851C2777819096 @default.
• W2914462851 hasConceptScore W2914462851C2779134260 @default.
• W2914462851 hasConceptScore W2914462851C2779958274 @default.
• W2914462851 hasConceptScore W2914462851C2780323790 @default.
• W2914462851 hasConceptScore W2914462851C2780596822 @default.
• W2914462851 hasConceptScore W2914462851C2780942740 @default.
• W2914462851 hasConceptScore W2914462851C2909576783 @default.
• W2914462851 hasConceptScore W2914462851C2993045827 @default.
• W2914462851 hasConceptScore W2914462851C43270747 @default.
• W2914462851 hasConceptScore W2914462851C71924100 @default.
• W2914462851 hasLocation W29144628511 @default.
• W2914462851 hasOpenAccess W2914462851 @default.
• W2914462851 hasPrimaryLocation W29144628511 @default.
• W2914462851 hasRelatedWork W1970590385 @default.
• W2914462851 hasRelatedWork W1991685983 @default.
• W2914462851 hasRelatedWork W2001722030 @default.
• W2914462851 hasRelatedWork W2022721324 @default.
• W2914462851 hasRelatedWork W2067374937 @default.
• W2914462851 hasRelatedWork W2389430251 @default.
• W2914462851 hasRelatedWork W2401187391 @default.
• W2914462851 hasRelatedWork W2419226649 @default.
• W2914462851 hasRelatedWork W2978185652 @default.
• W2914462851 hasRelatedWork W2978595794 @default.
• W2914462851 hasVolume "112" @default.
• W2914462851 isParatext "false" @default.
• W2914462851 isRetracted "false" @default.
• W2914462851 magId "2914462851" @default.
• W2914462851 workType "article" @default.