علاج رتج المريء الشدي في منتصف الصدر الثانوي للالتهاب المنصفي، بدون اضطراب الحركية

References

1. Midesophageal EDs are usually true, traction diverticula, secondary to mediastinal inflammatory processes (classically, traction diverticula are described at this level, but pulsion diverticula can also be found).
2. Traction diverticula with clear etiopathogenesis (without radiological or especially manometric abnormalities) that suggest or demonstrate the participation of a drive mechanism are rarely indicated for surgery.
3. The indication for surgery is compulsory.
4. The operation is usually performed by thoracotomy, although thoracoscopic solutions are also cited.
5. The operation consists in dissecting the fistulous tract and obturating it, preferably by mechanical suture transection; in order to prevent a recurrence, the anatomical structures in the proximity of the esophagus and the bronchial wall are interposed, unaffected by inflammation (pleural or fascial flap, transposition of pediculated intercostal muscles).