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Esophageal Webs
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Thin, ring-like mucosal constriction projecting into lumen, most frequently from anterior wall of proximal cervical esophagus

            IMAGING

            • General Features

              • Radiographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Shah AT et al: Management of a postradiation esophageal web in the setting of a coexisting Zenker's diverticulum. Ann Otol Rhinol Laryngol. 122(12):775-8, 2013
                                    2. Allen JE et al: Posterior cricoid region fluoroscopic findings: the posterior cricoid plication. Dysphagia. 26(3):272-6, 2011
                                    3. King J et al: Eosinophilic Esophagitis: Perspectives of Adult and Pediatric Gastroenterologists. Dig Dis Sci. Epub ahead of print, 2009
                                    4. Itaba S et al: Endoscopic bougienage for a recurrent esophageal web using a small-caliber-tip transparent hood. Endoscopy. 40 Suppl 2:E198, 2008
                                    5. Sinha SK et al: Cervical esophageal web and celiac disease. J Gastroenterol Hepatol. 23(7 Pt 1):1149-52, 2008
                                    6. Ben Gamra O et al: [Plummer Vinson syndrome.] Tunis Med. 85(5):402-4, 2007
                                    7. Rees CJ et al: Upper esophageal web. Ear Nose Throat J. 86(12):732, 2007
                                    8. Taylor AJ et al: The esophageal "jet" phenomenon revisited. AJR Am J Roentgenol. 155(2):289-90, 1990
                                    9. Nosher JL et al: The clinical significance of cervical esophageal and hypopharyngeal webs. Radiology. 117(1):45-7, 1975
                                    10. Clements JL Jr et al: Cervical esophageal webs--a roentgenanatomic correlation. Observations on the pharyngoesophagus. Am J Roentgenol Radium Ther Nucl Med. 121(2):221-31, 1974
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Thin, ring-like mucosal constriction projecting into lumen, most frequently from anterior wall of proximal cervical esophagus

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Shah AT et al: Management of a postradiation esophageal web in the setting of a coexisting Zenker's diverticulum. Ann Otol Rhinol Laryngol. 122(12):775-8, 2013
                                                                      2. Allen JE et al: Posterior cricoid region fluoroscopic findings: the posterior cricoid plication. Dysphagia. 26(3):272-6, 2011
                                                                      3. King J et al: Eosinophilic Esophagitis: Perspectives of Adult and Pediatric Gastroenterologists. Dig Dis Sci. Epub ahead of print, 2009
                                                                      4. Itaba S et al: Endoscopic bougienage for a recurrent esophageal web using a small-caliber-tip transparent hood. Endoscopy. 40 Suppl 2:E198, 2008
                                                                      5. Sinha SK et al: Cervical esophageal web and celiac disease. J Gastroenterol Hepatol. 23(7 Pt 1):1149-52, 2008
                                                                      6. Ben Gamra O et al: [Plummer Vinson syndrome.] Tunis Med. 85(5):402-4, 2007
                                                                      7. Rees CJ et al: Upper esophageal web. Ear Nose Throat J. 86(12):732, 2007
                                                                      8. Taylor AJ et al: The esophageal "jet" phenomenon revisited. AJR Am J Roentgenol. 155(2):289-90, 1990
                                                                      9. Nosher JL et al: The clinical significance of cervical esophageal and hypopharyngeal webs. Radiology. 117(1):45-7, 1975
                                                                      10. Clements JL Jr et al: Cervical esophageal webs--a roentgenanatomic correlation. Observations on the pharyngoesophagus. Am J Roentgenol Radium Ther Nucl Med. 121(2):221-31, 1974