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Previous Topic | Next Topic  pulsion and traction diverticula 




 
Kaplan Qbank USMLE



Author4 Posts
  #1

can someone tell the difference b/w pulsion and traction diverticula

is zenkers diverticula, a pulsion or a traction diverticula, or none of these???


  #2

i got it

posted on the web

Finally, acquired diverticula of the esophagus and hypopharynx also may be classified according to their pathogenesis as pulsion diverticula or traction diverticula. Pulsion diverticula form as a result of high intraluminal pressures against weaknesses in the GI tract wall. Zenker diverticulum occurs due to increased pressure in the oropharynx during swallowing against a closed upper esophageal sphincter. An epiphrenic diverticulum occurs from increased pressure during esophageal propulsive contractions against a closed lower esophageal sphincter. In contrast, traction diverticula occur as a consequence of pulling forces on the outside of the esophagus from an adjacent inflammatory process (eg, involvement of inflamed mediastinal lymph nodes in tuberculosis or histoplasmosis).


  #3

Thanks Sturge!

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #4

pulsion diverticulum -----FALSE DIVERTICULUM-------only mucosal herniation

traction diverticulum------TRUE DIV---------Inv all layers of oesophagus








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