Skip to main content
SpringerLink
Log in

Common Structural Lesions

  • Chapter
Normal and Abnormal Swallowing

Abstract

Webs are mucosal folds that are usually thin, but occasionally thick; they most commonly occur on the anterior wall of the cervical esophagus (1–4). These may be incidental and nonobstructive or deeper and circumferential, causing narrowing of the lumen. Radiographi-cally they are seen as discrete, shelflike defects 1 to 2mm thick (Figure 7.1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Clements JL, Cox GW, Torres WE, Weens HS. Cervical esophageal webs—a roentgen-anatomic correlation. AJRAm J Roentgenol 1974; 121: 221–231.

    Google Scholar 

  2. Nosher JL, Campbell WL, Seaman WB. The clinical significance of cervical esophageal and hypopharyngeal webs. Radiology 1975; 117: 45–47.

    PubMed  CAS  Google Scholar 

  3. Ekberg O. Cervical oesophageal webs in patients with dysphagia. Clin Radiol 1981; 32: 633–641.

    Article  PubMed  CAS  Google Scholar 

  4. Ekberg O, Nylander G. Webs and web-like formations in the pharynx and cervical esophagus. Diagn Imaging 1983; 52: 10–18.

    PubMed  CAS  Google Scholar 

  5. Shauffer IA, Phillips HE, Sequeira J. The jet phenomenon: a manifestation of esophageal web. AJR Am J Roentgenol 1977; 129: 747–748.

    PubMed  CAS  Google Scholar 

  6. Taylor AJ, Stewart ET, Dodds WJ. The esophageal “jet” phenomenon revisited. AJR Am J Roentgenol 1990; 155 (2): 289–290.

    PubMed  CAS  Google Scholar 

  7. Pitman RG, Fraser GM. The post-cricoid impression on the esophagus. Clin Radiol 1965; 16: 34–39.

    Article  PubMed  CAS  Google Scholar 

  8. Ekberg O, Birch-Iensen M, Lindstrom C. Mucosal folds in the valleculae. Dysphagia 1986; 1: 68–72.

    Article  Google Scholar 

  9. Vinson PO. Hysterical dysphagia. Minn Med 1921; 5: 107–108.

    Google Scholar 

  10. Kelly AB. Spasm of entrance to oesophagus. J Laryngol 1919; 34: 285–289.

    Google Scholar 

  11. Paterson DR. Clinical type of dysphagia. J Laryngol 1919; 32: 289–291.

    Google Scholar 

  12. Waldenstrom J, Kjellberg SR. The roentgenological diagnosis of sideropenic dysphagia (Plummer-Vinson’s syndrome). Acta Radiol (Stockh) 1939; 20: 618–638.

    Article  Google Scholar 

  13. McNab Jones RF. The Paterson-Brown-Kelly syndrome: its relationship to iron deficiency and postcricoid carcinoma. J Laryngol Otol 1961; 71: 529–561.

    Article  Google Scholar 

  14. Agha FP, Francis IR, Ellis CN. Esophageal involvement in epidermolysis bullosa dystrophia: clinical and roentgenographic manifestations. Gastrointest Radiol 1983; 8: 111–117.

    Article  PubMed  CAS  Google Scholar 

  15. Sharon P, Greene ML, Rachmilewitz D. Esophageal involvement in bullous pemphigoid. Gastrointest Endosc 1978; 24: 122–123.

    Article  PubMed  CAS  Google Scholar 

  16. Agha FP, Raji MR. Esophageal involvement in pemphigoid: clinical and roentgen manifestations. Gastrointest Radiol 1982; 7: 109–112.

    Article  PubMed  CAS  Google Scholar 

  17. Harty RF, Boharski MG, Harned RK, Agha FP. Psoriasis, dysphagia, and esophageal webs or rings. Dysphagia 1988; 2: 136–139.

    Article  PubMed  CAS  Google Scholar 

  18. McDonald GB, Sullivan KM, Schuffler MD, Shulman HM, Thomas ED. Esophageal abnormalities in chronic graft-versus-host disease in humans. Gastroenterology 1981; 80: 914–921.

    PubMed  CAS  Google Scholar 

  19. Weaver JW, Kaude JV, Hamlin DJ. Webs of the lower esophagus: a complication of gastroesophageal reflux? AJR Am J Roentgenol 1984; 142: 289–292.

    PubMed  CAS  Google Scholar 

  20. Bachman AL, Seaman WB, Macken KL. Lateral pharyngeal diverticula. Radiology 1968; 91: 774–782.

    PubMed  CAS  Google Scholar 

  21. Curtis DJ, Cruess DF, Crain M, Sivit C, Winters Jr. C, Dachman AH. Lateral pharyngeal out-pouchings: a comparison of dysphagic and asymptomatic patients. Dysphagia 1988; 2: 156–161.

    Article  PubMed  CAS  Google Scholar 

  22. Ludlow A. A case of obstructed deglutition from a preternatural dilatation of and bag formed in the pharynx. Med Observ Inq 1769; 3: 85–101.

    Google Scholar 

  23. Perrott JW. Anatomical aspects of hypopharyngeal diverticula. Aust NZ Surg 1962; 31: 307–317.

    Article  CAS  Google Scholar 

  24. Dohlman G, Mattsson O. The role of the cricopharyngeal muscle in cases of hypopharyngeal diverticula. AJR Am J Roentgenol 1959; 81: 561–569.

    CAS  Google Scholar 

  25. Knuff TE, Benjamin SB, Castell DO. Pharyn-goesophageal (Zenker’s) diverticulum: a reappraisal. Gastroenterology 1982; 82: 734–736.

    PubMed  CAS  Google Scholar 

  26. Cook IJ, Gabb M, Panagopoulos V, Jamieson GG, Hains JD, Dodds WJ, Dent J, Shearman DJ. Zenker’s diverticulum: a defect in upper esophageal sphincter compliance. Gastroenterology 1989; 96: A98.

    Google Scholar 

  27. Shaw DW, Cook IJ, Simula ME, Jamieson GG, Holloway RH, Gabb M, Dent J. Restoration of normal upper esophageal sphincter compliance following cricopharyngeal myotomy in patients with Zenker’s diverticulum. Gastroenterology 1990; 95: A122.

    Google Scholar 

  28. Smiley TB, Caves PK, Porter DC. Relationship between posterior pharyngeal pouch and hiatus hernia. Thorax 1970; 25: 725–731.

    Article  PubMed  CAS  Google Scholar 

  29. Delahunty JE, Margulies SE, Alonso UA, Knudson DH. The relationship of reflux esophagitis to pharyngeal pouch (Zenker’s diverticulum). Laryngoscope 1971; 81: 570–577.

    Article  PubMed  CAS  Google Scholar 

  30. van Overbeek JJM. The Hypopharyngeal Diverticulum. Endoscopic Treatment and Manometry. Thesis; Assen; 1977.

    Google Scholar 

  31. Ravich W, Neumann S, Jones B. Dilatation as treatment of pharyngo-esophageal segment (PES) prominence with hypo-pharyngeal (Zenker’s) diverticulum. Dysphagia 2000; 15 (2): 103.

    Google Scholar 

  32. Ekberg O, Nylander G. Lateral diverticula from the pharyngoesophageal junction area. Radiology 1983; 146: 117–122.

    PubMed  CAS  Google Scholar 

  33. Semenkovick JW, Balfe DM, Weyman PJ, Heiken JP, Lee JKT. Barium pharyngography: comparison of single and double contrast. AJR Am J Roentgenol 1985; 144: 715–720.

    Google Scholar 

  34. Goldstein HM, Zornoza J. Association of squamous cell carcinoma of the head and neck with cancer of the esophagus. AJR Am J Roentgenol 1978; 131: 791–794.

    PubMed  CAS  Google Scholar 

  35. Thompson WM, Oddson TA, Kelvin F, et al. Synchronous and metachronous squamous cell carcinomas of the head, neck, and esophagus. Gastrointest Radiol 1978; 3: 123–127.

    Article  PubMed  CAS  Google Scholar 

  36. Levine MS, Kressel HY, Lauf er I, Herlinger H, Goren R. The tube esophagogram: a technique for obtaining a detailed double-contrast examination of the esophagus. AJR Am J Roentgenol 1984; 142: 293–298.

    PubMed  CAS  Google Scholar 

  37. Larson DL, Lindberg RD, Lane E, Goepfert H. Major complications of radiotherapy in cancer of the oral cavity and oropharynx—a 10 year retrospective stuudy. Am J Surg 1983; 146: 531–536.

    Article  PubMed  CAS  Google Scholar 

  38. Goolden AWG. Pharyngeal malignancy following irradiation of the neck. Br J Radiol 1972; 45: 795.

    PubMed  CAS  Google Scholar 

  39. Ekberg O, Nylander G. Pharyngeal dysfunction after treatment for pharyngeal cancer with surgery and radiotherapy. Gastrointest Radiol 1983; 8: 97–104.

    Article  PubMed  CAS  Google Scholar 

  40. Goldstein HM, Rogers LF, Fletcher GH, Dodd GD. Radiological manifestations of radiation-induced injury to the normal upper gastrointestinal tract. Radiology 1975; 117: 135–140.

    PubMed  CAS  Google Scholar 

  41. Rogers LF, Goldstein HM. Roentgen manifestations of radiation injury to the gastrointestinal tract. Gastrointest Radiol 1977; 2: 281–291.

    Article  PubMed  CAS  Google Scholar 

  42. Chabora BM, Hofan S, Wittes R. Esophageal complications in the treatment of oat cell carcinoma with combined irradiation and chemotherapy. Radiology 1977; 123: 185–187.

    PubMed  CAS  Google Scholar 

  43. Lepke RA, Lipshitz HI. Radiation-induced injury of the esophagus. Radiology 1983; 148: 375–378.

    PubMed  CAS  Google Scholar 

  44. Meyers MA, Ghahremani GG. Complications of fiberoptic endoscopy. Radiology 1975; 115: 293–300.

    PubMed  CAS  Google Scholar 

  45. Wolff AP, Kuhn FA, Ogura JH. Pharyngeal-esophageal perforations associated with rapid oral endotracheal intubation. Ann Otol 1972; 81: 258–261.

    CAS  Google Scholar 

  46. Forer M, Flynn P, Hughes CF, Szasz J. Pneumatic rupture of the posterior pharyngeal wall. Aust NZ J Surg 1986; 56: 89–91.

    Article  CAS  Google Scholar 

  47. Nayak SR, Kirtane MV, Shah AK, Karnik PP. Foreign bodies in the cricopharyngeal region and oesophagus. J Postgrad Med 1984; 30: 214–218.

    PubMed  CAS  Google Scholar 

  48. Chitrov FM, Mumladze RB. Special aspects of injury and surgical treatment of the mouth cavity walls and pharynx following thermal burns. Acta Chir Plast 1983; 25: 34–43.

    PubMed  CAS  Google Scholar 

  49. Hardin JC. Caustic burns of the esophagus; a ten-year analysis. Am J Surg 1956; 91: 742–748.

    Article  PubMed  Google Scholar 

  50. Scott JC, Jones B, Eisele DW, Ravich WJ. Caustic ingestion injuries of the upper aerodigestive tract. Laryngoscope 1992; 102 (1): 1–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Bronwyn Jones
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, 21287, Baltimore, MD, USA

    Bronwyn Jones MD, FRACP, FRCR (Professor of Radiology, Director) (Professor of Radiology, Director)

  2. The Johns Hopkins Swallowing Center, 21287, Baltimore, MD, USA

    Bronwyn Jones MD, FRACP, FRCR (Professor of Radiology, Director) (Professor of Radiology, Director)

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer Science+Business Media New York

About this chapter

Cite this chapter

Jones, B. (2003). Common Structural Lesions. In: Jones, B. (eds) Normal and Abnormal Swallowing. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22434-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-22434-3_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-2904-4

  • Online ISBN: 978-0-387-22434-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation