Congenital esophageal cysts in adults.

Abstract

Sixteen adult patients with congenital esophageal cysts were operated on between 1957 and 1979. Preoperatively, 7 patients (44%) were asymptomatic and the cyst was found incidentally on a routine chest roentgenogram. Esophageal symptoms were present in only 3 patients (19%), whereas most symptomatic patients had precordial sensations or arrhythmias. A correct preoperative diagnosis was made in only 1 patient. After enucleation of the cyst, preoperative symptoms were alleviated in all patients and short-term results were excellent. However, long-term follow-up 13.2 +/- 5.6 (+/- standard deviation) years later revealed moderate reflux in 9 (64%) of the surviving 14 patients. During esophagoscopy, macroscopic esophagitis was found in 12 (92%) of 13 patients. On histological examination of specimens obtained by forceps biopsy, esophagitis was present in 10 (77%) of 13 patients and included Barrett esophagus in 2. We conclude that, despite excellent early results, long-term follow-up of patients who undergo operation for congenital esophageal cysts is indicated because of the increased incidence of reflux esophagitis.

• Authors: J A Salo, K V Ala-Kulju
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 44 Issue 2 Pg. 135-8 (Aug 1987) ISSN: 0003-4975 [Print] Netherlands
• PMID: 3619537 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Esophageal Cyst (congenital, surgery)
• Esophagitis, Peptic (epidemiology)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Postoperative Complications (epidemiology)
• Prognosis
• Time Factors