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Pediatric Surgery pp 1–14Cite as

Esophageal Duplication Cyst

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Abstract

Esophageal duplications and bronchogenic cysts are aberrations of primitive foregut development. Duplications can be found along the entire length of the esophagus with varying presentation depending on its location and pressure effects on neighboring structures. Although duplications can remain asymptomatic, they may get discovered incidentally during unrelated investigations. The complicated duplications can present with life-threatening symptoms.

Differential diagnosis of posterior mediastinal rounded opacity on radiological investigation should include esophageal duplication cyst. Investigations such as an upper gastrointestinal contrast study and computed tomography of the chest are not diagnostic but can suggest duplication cyst. Once identified and investigated, the duplications should be resected.

Thoracoscopic surgery is recommended for resection of all uncomplicated and some complicated cysts. Thoracoscopic surgery reduces the hospital stay, postoperative analgesia requirement, and morbidity compared to open surgery. Although thoracotomy can achieve resection, it should be reserved for the complicated cysts. The outcome after complete resection is excellent. Surgical complications can be avoided by optical magnification and careful dissection close to the cyst. Incomplete resection results in recurrence. Surgical complications are related to inadvertent accidental injury to the surrounding vessels, nerves, thoracic duct, esophagus, and neighboring trachea. This chapter attempts to give an overview of the esophageal duplication and its current management.

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References

  • Arbona JL, Fazzi JG, Mayoral J. Congenital esophageal cysts: case report and review of literature. Am J Gastroenterol. 1984;79:177–82.

    CAS  PubMed  Google Scholar 

  • Beardmore HE, Wiglesworth FW. Vertebral anomalies and alimentary duplications; clinical and embryological aspects. Pediatr Clin N Am. 1958:457–74.

    Google Scholar 

  • Benedict LA, Bairdain S, Paulus JK, Jackson CC, Chen C, Kelleher C. Esophageal duplication cysts and closure of the muscle layer. J Surg Res. 2016;206(1):231–4.

    Article  PubMed  Google Scholar 

  • Bratu I, et al. Foregut duplications: is there an advantage to thoracoscopic resection? J Pediatr Surg. 2005;40(1):138–41.

    Article  PubMed  Google Scholar 

  • Carachi R, Azmy A. Foregut duplications. Pediatr Surg Int. 2002;18(5–6):371–4.

    Article  PubMed  Google Scholar 

  • Chuang MT, Barba FA, Kaneko M, Trirstein AS. Adenocarcinoma arising in an intrathoracic duplication cyst of foregut origin. Cancer. 1981;47:1887.

    Article  CAS  PubMed  Google Scholar 

  • Cocker DM, Parikh D, Brown R. Multiple antenatally diagnosed foregut duplication cysts excised and the value of thoracoscopy in diagnosing small concurrent cysts. Ann R Coll Surg Engl. 2006;88(6):8–10.

    Article  Google Scholar 

  • Dresler CM, Patterson GA, Taylor BR, Moote DJ. Complete foregut duplication. Ann Thorac Surg. 1990;50:306.

    Article  CAS  PubMed  Google Scholar 

  • Hemalatha V, Betcup G, Brereton RJ, Spitz L. Intrathoracic foregut cyst (foregut duplication) associated with esophageal atresia. J Pediatr Surg. 1980;15:178.

    Article  CAS  PubMed  Google Scholar 

  • Holcomb III GW, Gheissari A, O’Neill JA. Surgical management of alimentary tract duplications. Ann Surg. 1989;209(2):167–74.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kawashima S, Segawa O, Kimura S. A case of cervical esophageal duplication cyst in a newborn infant. Surg Case Rep. 2016;2(1):30.

    Article  PubMed  PubMed Central  Google Scholar 

  • Merry C, Spurbeck W, Lobe TE. Resection of foregut-derived duplications by minimal-access surgery. Pediatr Surg Int. 1999;15(3–4):224–6.

    Article  CAS  PubMed  Google Scholar 

  • Michel JL, et al. Thoracoscopic treatment of mediastinal cysts in children. J Pediatr Surg. 1998;33(12):1745–8.

    Article  CAS  PubMed  Google Scholar 

  • Nakhara K, Fujii Y, Miyoshi S, et al. Acute symptoms due to huge duplication cysts ruptured into the esophagus. Ann Thorac Surg. 1990;50:309–11.

    Article  Google Scholar 

  • Olsen JW, Clemmensen O, Anderson K. Adenocarcinoma arising in a foregut cyst of the mediastinum. Ann Thorac Surg. 1991;51:497.

    Article  CAS  PubMed  Google Scholar 

  • Parikh D, Samuel M. Congenital lung lesions: is surgical resection necessary. Pediatr Pulmonol. 2005;40:533–7.

    Article  PubMed  Google Scholar 

  • Parikh D, Singh M. Esophageal duplication cysts. In: Puri P, editor. Newborn surgery, 3rd ed. Hodder Arnold; 2011. p. 406–12.

    Google Scholar 

  • Partrick DA, Rothenberg SS. Thoracoscopic resection of mediastinal masses in infants and children: an evaluation of technique and results. J Pediatr Surg. 2001;36(8):1165–7.

    Article  CAS  PubMed  Google Scholar 

  • Piramoon AM, Abbassioun K. Mediastinal enterogenic cyst with spinal cord compression. J Pediatr Surg. 1974;9:543.

    Article  CAS  PubMed  Google Scholar 

  • Pokorny WJ, Goldstein IR. Enteric thoracoabdominal duplications in children. J Thorac Cardiovasc Surg. 1984;87:821.

    CAS  PubMed  Google Scholar 

  • Ponsky TA, Rothenberg SS. Foregut duplication cysts. In: Parikh DH, Crabbe DCG, Auldist AW, Rothenberg SS, editors. Pediatric thoracic surgery. London: Springer; 2009. p. 383–90.

    Chapter  Google Scholar 

  • Rhaney K, Barclay GPT. Enterogenous cysts and congenital diverticula of the alimentary canal with abnormalities of the vertebral column and spinal cord. J Pathol Bacteriol. 1959;77:457.

    Article  CAS  PubMed  Google Scholar 

  • Shepherd MP. Thoracic, thoraco-abdominal and abdominal duplication. Thorax. 1965;20:82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Snyder CL, Bickler SW, Gittes GK, Ramachandran V, Ashcraft KW. Esophageal duplication cyst with esophageal Web and tracheoesophageal fistula. J Pediatr Surg. 1996;31(7):968–9.

    Article  CAS  PubMed  Google Scholar 

  • Stringer MD, et al. Management of alimentary tract duplication in children. Br J Surg. 1995;82(1):74–8.

    Article  CAS  PubMed  Google Scholar 

  • Sundararajan L, Parikh DH. Evolving experience with video-assisted thoracic surgery in congenital cystic lung lesions in a British pediatric center. J Pediatr Surg. 2007;42(7):1243–50.

    Article  PubMed  Google Scholar 

  • Tapia RH, White VA. Squamous cell carcinoma arising in a duplication cyst of the esophagus. Am J Gastroenterol. 1985;80(5):325–9.

    CAS  PubMed  Google Scholar 

  • Veeneklass GMH. Pathogenesis of intrathoracic gastrogenic cysts. Am J Dis Child. 1952;83:500.

    Google Scholar 

  • Whitaker JA, Deffenbaugh LD, Cooke AR. Esophageal duplication cyst. Am J Gastroenterol. 1980;73:329.

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Birmingham Children’s Hospital NHS FT, Steelhouse Lane, Birmingham, B4 6NH, UK

    Dakshesh Parikh

  2. Department of Paediatric Surgery, Birmingham Children’s Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, UK

    Melissa Short

Authors
  1. Dakshesh Parikh
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  2. Melissa Short
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Correspondence to Dakshesh Parikh .

Editor information

Editors and Affiliations

  1. Our Lady’s Children's Hospital, National Children’s Research Centre, Dublin, Ireland

    Prem Puri

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Parikh, D., Short, M. (2017). Esophageal Duplication Cyst. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_50-1

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  • DOI: https://doi.org/10.1007/978-3-642-38482-0_50-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-38482-0

  • Online ISBN: 978-3-642-38482-0

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