Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus
Background/Aims: Differentiation of an extraluminal compression from a true subepithelial tumor (SET) in the esophagus by using endoscopy alone is often difficult. EUS is known as the best method for differentiating an extraluminal compression from a true SET. Extraluminal compression in the esophag...
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Korean College of Helicobacter and Upper Gastrointestinal Research
2017-09-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.127 |
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| author | Sung Ik Pyeon Gwang Ha Kim Jung Bin Yoon Hye Kyung Jeon Bong Eun Lee |
| author_facet | Sung Ik Pyeon Gwang Ha Kim Jung Bin Yoon Hye Kyung Jeon Bong Eun Lee |
| author_sort | Sung Ik Pyeon |
| collection | DOAJ |
| description | Background/Aims: Differentiation of an extraluminal compression from a true subepithelial tumor (SET) in the esophagus by using endoscopy alone is often difficult. EUS is known as the best method for differentiating an extraluminal compression from a true SET. Extraluminal compression in the esophagus is occasionally observed, but its clinical significance has been rarely reported. Therefore, we aimed to evaluate the clinical significance of extraluminal compression in the esophagus according to the location of the lesion. Materials and Methods: Sixty-one patients were diagnosed as having an extraluminal compression in the esophagus by using EUS between January 2006 and March 2014. Some patients underwent chest computed tomography for accurate diagnosis. Results: The extraluminal compression was located at the mid-esophagus in 26 cases, lower esophagus in 22 cases, and upper esophagus in 13 cases. Of the 61 cases, 55 were caused by normal structures and 6 were caused by pathological lesions. The causes of the normal structures were the aorta, vertebra, trachea, left main bronchus, azygos vein, and diaphragm. The causes of the pathological lesions were engorged vessels and calcified lymph nodes. The posterior wall was the most frequent location of the extraluminal compression. However, the lesions in the anterior and right walls showed a higher frequency of pathological lesions than those in other sites. Conclusions: If the extraluminal compression is found in the anterior and right walls of the esophagus, more careful evaluation should be performed considering the high frequency of pathological lesions in the site. |
| format | Article |
| id | doaj-art-a37ed6c83e3141d7b83443ca851aaf5d |
| institution | Matheson Library |
| issn | 1738-3331 |
| language | English |
| publishDate | 2017-09-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-a37ed6c83e3141d7b83443ca851aaf5d2025-08-02T15:40:40ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312017-09-0117312713110.7704/kjhugr.2017.17.3.127kjhugr.2017.17.3.127Clinical Significance of Extraluminal Compressions according to the Site of the EsophagusSung Ik Pyeon0Gwang Ha Kim1Jung Bin Yoon2Hye Kyung Jeon3Bong Eun Lee4Department of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaBackground/Aims: Differentiation of an extraluminal compression from a true subepithelial tumor (SET) in the esophagus by using endoscopy alone is often difficult. EUS is known as the best method for differentiating an extraluminal compression from a true SET. Extraluminal compression in the esophagus is occasionally observed, but its clinical significance has been rarely reported. Therefore, we aimed to evaluate the clinical significance of extraluminal compression in the esophagus according to the location of the lesion. Materials and Methods: Sixty-one patients were diagnosed as having an extraluminal compression in the esophagus by using EUS between January 2006 and March 2014. Some patients underwent chest computed tomography for accurate diagnosis. Results: The extraluminal compression was located at the mid-esophagus in 26 cases, lower esophagus in 22 cases, and upper esophagus in 13 cases. Of the 61 cases, 55 were caused by normal structures and 6 were caused by pathological lesions. The causes of the normal structures were the aorta, vertebra, trachea, left main bronchus, azygos vein, and diaphragm. The causes of the pathological lesions were engorged vessels and calcified lymph nodes. The posterior wall was the most frequent location of the extraluminal compression. However, the lesions in the anterior and right walls showed a higher frequency of pathological lesions than those in other sites. Conclusions: If the extraluminal compression is found in the anterior and right walls of the esophagus, more careful evaluation should be performed considering the high frequency of pathological lesions in the site.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.127EndoscopyEndosonographyEsophagus |
| spellingShingle | Sung Ik Pyeon Gwang Ha Kim Jung Bin Yoon Hye Kyung Jeon Bong Eun Lee Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus The Korean Journal of Helicobacter and Upper Gastrointestinal Research Endoscopy Endosonography Esophagus |
| title | Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus |
| title_full | Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus |
| title_fullStr | Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus |
| title_full_unstemmed | Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus |
| title_short | Clinical Significance of Extraluminal Compressions according to the Site of the Esophagus |
| title_sort | clinical significance of extraluminal compressions according to the site of the esophagus |
| topic | Endoscopy Endosonography Esophagus |
| url | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2017.17.3.127 |
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