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Такое образование накапливает остатки пищи, вызывает застой, воспаление и другие осложнения [2](https://mc21.ru/articles/divertikul-pishchevoda/). \n\n**Классификация**: \n- По происхождению — врождённые или приобретённые [2](https://mc21.ru/articles/divertikul-pishchevoda/)[4](https://polyclinika.ru/tech/divertikul-pishchevoda-simptomy-i-lechenie/). \n- По механизму формирования — тракционные (вытягивающие), образующиеся за счёт сращения пищевода с окружающими воспалёнными тканями, и пульсионные (выталкивающие), возникающие из-за повышения внутрипищеводного давления [2](https://mc21.ru/articles/divertikul-pishchevoda/). \n- По строению — истинные дивертикулы, содержащие все слои стенки пищевода, и ложные, в которых выпячивается только слизистая оболочка [2](https://mc21.ru/articles/divertikul-pishchevoda/).\n\n\n\n## Причины\n**Врождённые дивертикулы** формируются из-за слабости мышечной стенки пищевода [4](https://polyclinika.ru/tech/divertikul-pishchevoda-simptomy-i-lechenie/). **Приобретённые** возникают на фоне длительно протекающего воспалительного процесса в верхних отделах желудочно-кишечного тракта, органов грудной клетки [4](https://polyclinika.ru/tech/divertikul-pishchevoda-simptomy-i-lechenie/). Некоторые провоцирующие факторы: \n* бактериальный или грибковый эзофагит (воспаление слизистой пищевода) [4](https://polyclinika.ru/tech/divertikul-pishchevoda-simptomy-i-lechenie/); \n* гастроэзофагеальная рефлюксная болезнь, при которой кислое содержимое желудка регулярно попадает в нижние отделы пищевода, вызывая воспаление и структурные изменения стенки [2](https://mc21.ru/articles/divertikul-pishchevoda/); \n* травма или ожог пищевода [4](https://polyclinika.ru/tech/divertikul-pishchevoda-simptomy-i-lechenie/).\n\n## Симптомы\n**Проявления дивертикула пищевода варьируются в зависимости от его размеров, локализации, а также наличия воспаления или других осложнений** [2](https://mc21.ru/articles/divertikul-pishchevoda/). На ранних этапах заболевание нередко остаётся незамеченным: небольшие дивертикулы не вызывают выраженных симптомов и обнаруживаются случайно при обследовании [2](https://mc21.ru/articles/divertikul-pishchevoda/). \n\n**Некоторые признаки**: \n* дисфагия — нарушение глотания [2](https://mc21.ru/articles/divertikul-pishchevoda/); \n* ощущение задержки пищи в области шеи или за грудиной, особенно при приёме твёрдой еды [2](https://mc21.ru/articles/divertikul-pishchevoda/); \n* срыгивание непереваренной пищи, которая застревает в дивертикуле [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html); \n* неприятный запах изо рта [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html).\n\n## Диагностика\n**Для выявления дивертикула пищевода, определения его размера и локализации** выполняют ряд диагностических процедур [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html): \n* рентгенография с контрастированием [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html); \n* компьютерная томография [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html); \n* эндоскопическое исследование пищевода [3](https://medcentr-Endomedlab.ru/gastroehnterologiya/divertikuly-pishchevoda.html).\n\n## Лечение\n**Небольшие образования с малосимптомным течением** лечатся консервативно под наблюдением гастроэнтеролога [10](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-diverticulum). Рекомендуется соблюдение диеты, основанной на принципах термического, химического и механического щажения пищевода [10](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-diverticulum). После еды целесообразно проведение мероприятий, направленных на лучшее опорожнение дивертикула: употребление воды, натуживание, принятие дренирующей позы, промывание полости слабым раствором антисептика [10](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-diverticulum). \n\n**Хирургическое лечение** проводится при больших дефектах, сопровождающихся выраженной дисфагией, болями или осложнённым течением (перфорацией, пенетрацией, стенозом пищевода, кровотечением и т. д.) [10](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/esophageal-diverticulum). 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