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Ann Thorac Surg 1987;44:135-138
© 1987 The Society of Thoracic Surgeons

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Articles

Congenital Esophageal Cysts in Adults

Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Helsinki, Finland

Accepted for publication December 16, 1986.

^* Address reprint requests to Dr. Salo, Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, SF-00290 Helsinki, Finland

Sixteen adult patients with congenital esophageal cysts were operated on between 1957 and 1979. Pre-operatively, 7 patients (44%) were asymptomatic and the cyst was found incidentally on a routine chest roentgenogram. Esophageal symptoms were present in only 3 patients (19%), whereas most symptomatic patients had precordial sensations or arrhythmias. A correct preoperative diagnosis was made in only 1 patient. After enucleation of the cyst, preoperative symptoms were alleviated in all patients and short-term results were excellent. However, long-term follow-up 13.2 ± 5.6 (± standard deviation) years later revealed moderate reflux in 9 (64%) of the surviving 14 patients. During esophagoscopy, macroscopic esophagitis was found in 12 (92%) of 13 patients. On histological examination of specimens obtained by forceps biopsy, esophagitis was present in 10 (77%) of 13 patients and included Barrett esophagus in 2. We conclude that, despite excellent early results, long-term follow-up of patients who undergo operation for congenital esophageal cysts is indicated because of the increased incidence of reflux esophagitis.

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