RADIODIAGNOSIS OF ESOPHAGEAL AND GASTRIC DIVERTICULA

Abstract

The study aims to analyze the possibilities of common multiaxial polypositional X-ray examination in the diagnosis of esophageal and gastric diverticula, as well as their complications. Materials and methods. 112 patients with esophageal (108) and gastric (4) diverticula got their chest,
esophageal and stomach examined using the common multiaxial polypositional X-ray barium swallow examination. Results. The examination found pulsatile diverticula in 93 patients, tractional diverticula in 5 patients, and mixed ones (tractional and pulsatile) in 10 patients. 7 patients had pharyngealesophageal diverticula, 64 patients had mid-esophageal diverticula, and 37 patients – epiphrenic diverticula. During the examination, the shape and size of diverticula was changing depending on the degree of their filling with a contrast medium. In 47 cases, diverticula were complicated by diverticulitis and esophagitis. In clinical picture, these complications manifested as neck and retrosteral pain, pain radiation to the occiput, scapula, lateral sides of thoracic cavity depending on the localization of diverticula. Single diverticula were found in 98 patients, and multiple ones – in 14 patients. One case presented the malignancy of the pulsatile diverticulum. The size of diverticula ranged from small to very large, compressing the esophagus itself. Clinical cases of 2 patients with enormous Zenker’s diverticula are presented. Examination of single and multiple gastric diverticula are also described.