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Gastric Diverticulum

KEY FACTS Imaging Most (> 75%) are congenital, juxtacardiac diverticula Near gastroesophageal junction, on posterior aspect of lesser curvature of stomach Usually 1-3 cm, up to 10 cm in diameter On upper GI series Barium-filled diverticulum with air-fluid level CT findings Often in left suprarenal location – Mimics adrenal or pancreatic mass Connection to stomach may be subtle Air-filled, fluid-filled, or contrast-filled mass No enhancement of…

Stomach and Duodenum: Imaging Approach and Differential Diagnosis

Gastric Anatomy and Terminology The stomach is the alimentary reservoir for the mixing, grinding, and enzymatic digestion of food. It is divided into the cardia, fundus, body, antrum, and pylorus; each with its own specific function. The cardia is the portion of the stomach surrounding the esophageal orifice and the site where the lesser and greater curvatures meet. The fundus is the most cephalic part of…

Fibrovascular Polyp

KEY FACTS Terminology Rare, benign, tumor-like lesion of esophagus Originates within cervical esophageal wall but presents as intraluminal polyp or mass You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Fundoplication and Other Antireflux Procedures

KEY FACTS Terminology Nissen fundoplication (FDP) : Complete (360°) FDP Dor FDP : Partial anterior hemi-valve Toupet FDP : Partial (270°) FDP, posterior side Belsey Mark IV repair: 240° FDP wrap around left lateral aspect Nissen-Collis procedure creates "neoesophagus" GE junction (at B ring) will be above diaphragm; intact wrap around proximal stomach (neoesophagus) will be below diaphragm Imaging Preoperative: Identify "short esophagus," hiatal hernia, ulceration,…

Esophagectomy: Ivor Lewis and Other Procedures

KEY FACTS Terminology Surgical resection of a portion of esophagus and replacement by a conduit formed by another portion of alimentary tube Imaging Many surgical options for surgical excision of esophagus Transthoracic esophagectomy: Usually performed through right intercostal approach (Ivor Lewis procedure) Other options include minimally invasive (laparoscopic; thoracoscopic) procedures Stomach is ideal conduit, as it has reliable blood supply and can reach high into thorax…

Zenker Diverticulum

KEY FACTS Terminology Pharyngoesophageal diverticulum or posterior hypopharyngeal diverticulum/outpouching Mucosal herniation through area of anatomic weakness of cricopharyngeal muscle (Killian triangle) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Schatzki Ring

KEY FACTS Terminology Annular, inflammatory, symptomatic narrowing of normal lower esophageal mucosal or B ring You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Esophageal Webs

KEY FACTS Terminology Thin mucosal fold, narrowing esophageal lumen Lacks muscle layer (unlike distal esophageal B or Schatzki ring) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here