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Esophageal intramural pseudodiverticulosis complicated with severe stricture requiring surgical resection

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Abstract

Esophageal intramural pseudodiverticulosis (EIPD) is an uncommon benign disorder leading to esophageal strictures. The etiology remains unknown; however, anti-fungal treatments or endoscopic balloon dilation can improve early esophageal strictures and these rarely require surgical treatment. We report a case of a 46-year-old male with a 6 cm-long esophageal stricture due to EIPD, which did not improve following treatment with an anti-fungal agent, eventually causing aspiration pneumonia. Therefore, we performed a thoraco-laparoscopic esophagectomy, and his symptoms were improved after surgery. This case suggests that a surgical treatment should be considered in patients with extensive, severe strictures attributable to EIPD.

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Correspondence to Yu Sasaki.

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Onozato, Y., Sasaki, Y., Abe, Y. et al. Esophageal intramural pseudodiverticulosis complicated with severe stricture requiring surgical resection. Clin J Gastroenterol 12, 292–295 (2019). https://doi.org/10.1007/s12328-019-00940-8

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  • DOI: https://doi.org/10.1007/s12328-019-00940-8

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