Case 377 Medical History A 59-year-old woman presented with approximately 25 years of progressive dysphagia to liquids and solids, without investigation or previous treatments. History of mild persistent asthma that worsened in the last few months, with loss of weight and frequent crisis of dyspnea and regurgitation, especially after meals. Barium swallow is shown (images 1 and 2). Barium swallow, anteroposterior view, patient in orthostatism.Previous2/2Next Barium swallow, oblique view, patient in orthostatism. Question:Considering the clinical and radiological findings, what is the most likely diagnosis? Sliding hiatus hernia Paraesophageal hernia Megaesophagus Epiphrenic diverticulum Test Question (EBSERH - Antônio Pedro University Hospital HUAP - 2019) Regarding esophageal diverticula (ED), choose the right option. Traction ED typically arise from the distal esophagus. Zenker's diverticula more than 5 centimeters long are treated with cricopharyngeal myotomy. Endoscopic treatment must be discarded for ED between two and five centimeters. Barium swallow is the best diagnostic tool to identify epiphrenic ED. Epiphrenic ED are mainly found in the proximal esophagus. Time is Up! Time's up
