Epiphrenic diverticulum and associated hypokalemia

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Epiphrenic diverticulum and associated hypokalemia.

Fig. 1. Barium swallow depicting an epiphrenic diverticulum. Preoperative manometry revealed significant tertiary contractions with intact primary peristalsis. The lower esophageal sphincter relaxed normally which excluded the diagnosis of achalasia. Fig. 2. Resected diverticular sac demonstrating retained potassium supplementation pills. The patient had undergone a successful diverticulectomy,...

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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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Delayed Primary Repair of Perforated Epiphrenic Diverticulum

A 68-yr-old man complaining of sudden, postprandial chest pain visited the emergency room. His symptom had been aggravated during the preceding two days. Upper gastrointestinal contrast study with gastrographin showed leakage of dye from the epiphrenic diverticulum in the lower third of the esophagus. The primary repair was urgently carried out. Upper gastrointestinal contrast study 14 days aft...

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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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Physiologic basis for the treatment of epiphrenic diverticulum.

OBJECTIVE To quantitate and characterize the motility abnormalities present in patients with epiphrenic diverticula and to assess the outcome of surgical treatment undertaken according to these abnormalities. SUMMARY BACKGROUND DATA The concept that epiphrenic diverticula are complications of esophageal motility disorders rather than primary anatomic abnormalities is gradually becoming accept...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2009

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2008.09.023