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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1993-2-25
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pubmed:abstractText |
Recent manometric and radiological studies suggest that the upper oesophageal sphincter has poor compliance in patients with a pharyngeal (Zenker's) diverticulum. To test the hypothesis that this phenomenon is related to structural changes within the cricopharyngeus muscle we examined, histologically, muscle strips from 14 patients with a Zenker's diverticulum and compared them with control tissue obtained at autopsy from 10 non-dysphagic individuals. The cricopharyngeus muscle from patients and controls differed from inferior constrictor muscle by virtue of type 1 fibre predominance and greater fibre size variability. Ragged red fibres and nemaline bodies are a normal finding in the cricopharyngeus. Marked differences were observed in the cricopharyngeus muscle of Zenker's patients which demonstrated fibro-adipose tissue replacement and fibre degeneration. It is concluded that these structural changes may account for the observed diminished upper oesophageal sphincter opening and dysphagia in patients with Zenker's diverticulum.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0815-9319
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
556-62
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1283083-Aged,
pubmed-meshheading:1283083-Deglutition Disorders,
pubmed-meshheading:1283083-Esophagogastric Junction,
pubmed-meshheading:1283083-Female,
pubmed-meshheading:1283083-Humans,
pubmed-meshheading:1283083-Male,
pubmed-meshheading:1283083-Muscle Contraction,
pubmed-meshheading:1283083-Pharyngeal Muscles,
pubmed-meshheading:1283083-Staining and Labeling,
pubmed-meshheading:1283083-Zenker Diverticulum
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pubmed:articleTitle |
Structural abnormalities of the cricopharyngeus muscle in patients with pharyngeal (Zenker's) diverticulum.
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pubmed:affiliation |
Department of Medicine, University of Adelaide, Australia.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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