An uncommon source of upper gastrointestinal bleeding: epiphrenic esophageal diverticulum

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An uncommon source of upper gastrointestinal bleeding: epiphrenic esophageal diverticulum

Esophageal diverticula are rare findings that have an estimated incidence of 1 per 500 000 people per year, even though acute upper gastrointestinal bleeding is a relatively common medical emergency with an incidence of up to 150 per 100 000 people per year and a mortality rate of 7-14%. An 83-year-old man presented with hematemesis and melena. Urgent upper endoscopy revealed an esophageal dive...

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Incomplete esophageal myotomy and early recurrence of an epiphrenic diverticulum.

The established management of epiphrenic diverticula combines diverticulectomy with myotomy of the distal esophagus including the lower esophageal sphincter. We report a patient with prompt recurrence of an epiphrenic diverticulum after laparoscopic transhiatal diverticulectomy associated with esophagomyotomy and partial posterior fundoplication due to an incomplete myotomy.

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Downhill varices: an uncommon cause of upper gastrointestinal bleeding.

BACKGROUND Upper gastrointestinal bleeding (UGIB) is a common condition in gastroenterology, but "Downhill Varices" (DHV) or varices of the upper oesophagus are an uncommon cause of UGIB, with different aetiology from lower third oesophageal varices and different therapeutic implications. CASE REPORT A 28-year-old male patient, with a history of chronic kidney failure secondary undergoing hae...

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Giant esophageal epiphrenic diverticulum: presentation and treatment

Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was...

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Esophageal bezoar in a patient with esophageal epiphrenic diverticulum.

A 57-year-old woman presented with dysphagia and postprandial epigastric fullness for about two years. Esophagogastroduodenoscopy (EGD) showed a esophageal diverticulum at the lower portion of the esophagus, and barium swallow esophagography showed a focal outpouching space (measured about 5cm in size) at the distal third of the esophagus near the esophagogastric junction (●" Fig.1). The patien...

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ژورنال

عنوان ژورنال: Gastroenterology Report

سال: 2015

ISSN: 2052-0034

DOI: 10.1093/gastro/gov043