Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm

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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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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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Diffuse Esophageal Spasm

An 82-year-old man was admitted to our hospital due to dysphagia. Barium esophagography showed the esophagus to have a corkscrew appearance (Picture 1). Esophagogastroduodenoscopy also showed similar findings (Picture 2). Given these typical imaging findings, he was diagnosed with diffuse esophageal spasm (DES), although esophageal manometry for a definite diagnosis could not be performed due t...

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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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Laparoscopic Transhiatal Treatment of Large Epiphrenic Esophageal Diverticulum

BACKGROUND Epiphrenic diverticulum is an uncommon disorder of the distal third of the esophagus. We report the case of a 73-year-old woman with a large symptomatic esophageal epiphrenic diverticulum, diffuse nonspecific esophageal dysmotility, and a hiatal hernia. METHODS Surgery was indicated by the patient's symptoms, the size of the diverticulum (maximum diameter 10 cm), and the associated...

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ژورنال

عنوان ژورنال: International Journal of Surgery Case Reports

سال: 2015

ISSN: 2210-2612

DOI: 10.1016/j.ijscr.2015.06.018