Mucosal bridge, endoscopically observed, is a cord-like mucosal connection across the lumen. The bridge is very elastic and stretches easily, unlike granulation tissue. Mucosal bridges of the esophagus have been occasionally described in various circumstances, particularly in congenital or acquired origin as the inflammatory diseases. The occurrence of mucosal bridges due to inflammatory process may arise anywhere from the esophagus to the colon. It has been more frequently reported in the colon than in the esophagus, stomach, and duodenum. We experienced four cases of esophageal mucosal bridges and three of them were accompanied by esophageal diverticulum. We report these cases with a review of relevant literatures.
Colon ; Diverticulum ; Diverticulum, Esophageal ; Duodenum ; Esophagus* ; Granulation Tissue ; Stomach

Mucosal bridge, endoscopically observed, is a cord-like mucosal connection across the lumen. The bridge is very elastic and stretches easily, unlike granulation tissue. Mucosal bridges of the esophagus have been occasionally described in various circumstances, particularly in congenital or acquired origin as the inflammatory diseases. The occurrence of mucosal bridges due to inflammatory process may arise anywhere from the esophagus to the colon. It has been more frequently reported in the colon than in the esophagus, stomach, and duodenum. We experienced four cases of esophageal mucosal bridges and three of them were accompanied by esophageal diverticulum. We report these cases with a review of relevant literatures.
Colon ; Diverticulum ; Diverticulum, Esophageal ; Duodenum ; Esophagus* ; Granulation Tissue ; Stomach

Endoscopic submucosal dissection (ESD) is a standard treatment for early gastric cancer (EGC) that does not have any risk of lymph node or distant metastases. Here, we report a case of EGC resembling a diverticulum. Diverticular formation makes it difficult for endoscopists to determine the depth of invasion and to subsequently perform ESD. Because the false diverticulum does not have a muscular layer, this lesion can be treated with ESD. Our case was successfully treated with ESD. After ESD, the EGC was confined to the submucosal layer without vertical and lateral margin involvement. This is the first case in which ESD was successfully performed for a case of EGC that coexisted with a false gastric diverticulum. An additional, larger study is needed to determine the efficacy of ESD in various types of EGC, such as a false gastric diverticulum.
Diverticulum ; Diverticulum, Stomach* ; Endoscopy, Digestive System ; Lymph Nodes ; Neoplasm Metastasis ; Stomach Neoplasms

Gastric diverticula have been considered to be rave when compored with diverticula in other sites of the gastrointestinal tract. It's prevalence is 0.043% of routine gastrointestinal radiologic examination by Palmer's extensive review. Gastric diverticula almost always occur as a single lesion and approximately 75% of gastric diverticula occur in the juxtacardiac region, high on the posterior wall of the stomach, about 2 cm below the esophagogastric junction and 3 cm from the lesser curvature. We report a case of 75-year-old male patient with multiple gastric diverlicula which was first encountered by endoscopy and confirmed by upper gastrointestinal radiologic examination.
Aged ; Diverticulum ; Diverticulum, Stomach* ; Endoscopy ; Esophagogastric Junction ; Gastrointestinal Tract ; Humans ; Male ; Prevalence ; Stomach

Mucosal bridge, endoscopically observed as a cord-like mucosal connection across the lumen, looking like a bridge, may infrequently arise anywhere from the esophagus to the colon. Mucosal bridges have been more frequently reported in the colon than in the esophagus, stomach, and duodenum. The causes of the mucosal bridge are congenital origin or acquired origin as the inflammatory diseases. We experienced a 49-year-old male patient who had multiple esophageal diverticula with mucosal bridges. We report this case with a review of relevant literatures.
Colon ; Diverticulum ; Diverticulum, Esophageal* ; Duodenum ; Endoscopy ; Esophagus ; Humans ; Male ; Middle Aged ; Stomach

Adrenal incidentalomas are increasingly diagnosed with the widespread escalation in the use of high-tech imaging modalities and marked improvements in image resolution. However, several conditions can simulate a left adrenal mass as a result of the proximity of the left adrenal gland to the gastric fundus, spleen, first loops of the jejunum, and tail of the pancreas. We report a patient with a diverticulum of the gastric cardia that simulated a left adrenal mass. To the best of our knowledge, this is the first report of such a case in Korean literature. Typical radiologic findings and clinical course are presented with reviews of the literature.
Adrenal Cortex Neoplasms ; Adrenal Glands ; Cardia ; Diverticulum ; Diverticulum, Stomach* ; Gastric Fundus ; Humans ; Jejunum ; Pancreas ; Spleen

Gastric diverticulum is an uncommon form of diverticular disease that can occur at all ages but is generally encountered between the ages of 20 to 60 years. Only 4% of gastric diverticula occur in patients younger than 20 years old. Apart from Meckel's diverticulum, gastrointestinal tract diverticula are extremely rare, particularly during infancy and childhood with the stomach being the least common site of occurrence. We report a case of gastric diverticulum in a 40-day-old infant who presented with frequent vomiting and a failure to thrive. An upper gastrointestinal contrast study revealed a diverticulum on the posterior wall of the stomach located approximately 2 cm below the esophagogastric junction. The same lesion was also identified by esophagogastroduodenoscopy. Congenital gastric divertilulum should be considered in a differential diagnosis of vomiting and/or a failure to thrive in infancy.
Diagnosis, Differential ; Diverticulum ; Diverticulum, Stomach* ; Endoscopy, Digestive System ; Esophagogastric Junction ; Failure to Thrive ; Gastrointestinal Tract ; Humans ; Infant* ; Meckel Diverticulum ; Stomach ; Vomiting ; Young Adult

We reviewed 887 cases of esohagogram, 8863 cases of UGI series, 174 cases of small bowel series and 1926 casesof double contrast barium enema performed at the department of Radiology, Wonju College of Medicine from Jan. 1982 to Dec. 1984 to analyzed diverticula disease pattern of the GI tract in Korean. The results were as follows: 1.Esophageal diverticula The incidence was 3.27% and the sex ratio of male to female was 2.22:1 Age distribution wasrelatively even and most common in 5th decade. Most of them showed single in number, above 6mm sized and common inmiddle one third of both lateral side of esophagus. 2. Stomach diverticula The incidence was 0.07% and the sexratio of male to female was equal. Multiplicity was single in all cases. Most of them were above 11mm sized andcommon in gastric fundic area of greater curvature site of stomach. 3. Duodenal diverticula The incidence was1.51% and relatively even distribution in sex and age and common in after 5th decade. Most of them showed singlein number, 11-30mm sized and common in medial margin of 2nd portion of duodenum. 4. Colonic diverticula Theincidence was 2.34% and predominant in male and common in 5th. and 6th. decade. Most of them showed single innumber, below 5mm sized and common in right sided colon.
Age Distribution ; Barium ; Colon ; Diverticulum ; Diverticulum, Colon ; Diverticulum, Stomach ; Duodenum ; Enema ; Esophagus ; Female ; Gangwon-do ; Gastrointestinal Tract ; Humans ; Incidence ; Male ; Sex Ratio ; Stomach

Bezoars are persistent concretions of indigestible material, usually seen in the stomach. Esophageal bezoars are very rare and generally occur in elderly patients with anatomic defects such as diverticulum or stricture, or with esophageal motility disorders. However, it is quite unusual that a gastric bezoar would be regurgitated into a normal esophagus during forceful vomiting. Endoscopic removal of a bezoar is safe and successful in most cases. A case of a gastric bezoar regurgitated into the esophagus was recently experienced and removed by an endoscopic polypectomy snare and bezoar (lithotripsy) basket.
Aged ; Bezoars* ; Constriction, Pathologic ; Diverticulum ; Esophageal Motility Disorders ; Esophagus* ; Humans ; SNARE Proteins ; Stomach* ; Vomiting

A 69-year old man presented with severe epigastric pain for 1 day. He had early gastric cancer at the antrum and underwent a distal subtotal gastrectomy and Billorth II gastrojejunostomy one month later without any post-operative complications. Radiologic examination revealed a large amount of retroperitoneal free air formation. Because of unremitting pain and unstable vital sign, exploratory laparotomy was followed. During the operation, a perforated duodenal diverticulum at the posterior wall of the 2nd portion of the duodenum was identified. He underwent diverticulectomy and primary closure. He was discharged on the 18th post operative day and has been followed up without any evidence of comlpication for several months.
Aged ; Diverticulum* ; Duodenum ; Gastrectomy* ; Gastric Bypass* ; Humans ; Laparotomy ; Stomach Neoplasms ; Vital Signs