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Acta Endoscopica

, 13:215 | Cite as

Diaphragme muqueux isolé de l’œsophage cervical: étude de 3 cas Relation avec le syndrome de Kelly-Paterson et Plummer-Vinson

  • A. Papazian
  • P. Descombes
  • J. P. Capron
Observations
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Résumé

Les auteurs rapportent trois cas de diaphragme muqueux de l’œsophage cervical, diagnostiqué chez des femmes âgées respectivement de 74, 61 et 65 ans, se plaignant de dysphagie depuis plusieurs dizaines d’années. Le bilan clinique et biologique était normal, ne retrouvant aucun des éléments classiques du syndrome de Kelly-Paterson et Plummer-Vinson. L’étude radiologique et endoscopique montrait l’existence d’un diaphragme muqueux semi-circulaire implanté sur la face antérieure de l’œsophage cervical. Le passage des olives d’Eder-Puestow a permis d’effondrer ces diaphragmes muqueux. Les patientes ont été soulagées de façon spectaculaire et la surveillance post-thérapeutique n’a pour le moment pas révélé de dégénérescence néoplasique. La littérature internationale faisant état de divers types de diaphragmes muqueux, uniques ou multiples, isolés ou associés, acquis ou congénitaux, est ensuite analysée.

Mots-clés

œsophage diaphragme muqueux endoscopie syndrome de Kelly-Paterson syndrome de Plumer-Vinson 

Upper esophageal webs: report of three cases Relationship with Kelly-Paterson and Plummer-Vinson syndrome

Summary

The authors report 3 cases of mucous diaphragm of the cervical esophagus diagnosed in females aged 74, 61 and 65 years respectively, who complained of dysphagia for years. Both clinical and biologic examinations were normal; none of the classic characteristics of the Kelly-Paterson or Plummer-Vinson syndrome was to be found. Both radiologic and endoscopic study showed the presence of a semi-circular mucous diaphragm on the front wall of the cervical esophagus. Introduction of Eder-Puestow’s olives destroyed these mucous diaphragms, relieving patients’ discomfort dramatically. The follow-up has shown no neoplastic degeneration up-to-now. The international literature about various types of mucous diaphragm, isolated or associated, single or multiple, congenital or acquired, is then analyzed.

Key-words

esophagus upper esophageal webs Kelly-Paterson Plummer-Vinson syndromes 

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Copyright information

© Springer-Verlag 1983

Authors and Affiliations

  • A. Papazian
    • 1
  • P. Descombes
    • 1
  • J. P. Capron
    • 1
  1. 1.Unité d’Endoscopies Digestives, Clinique Médicale ACentre Hospitalier UniversitaireAmiens(France)

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