Treatment of an epiphrenic diverticulum

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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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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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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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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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Laparoscopic approach in the treatment of large epiphrenic esophageal diverticulum

Epiphrenic diverticulum of the lower third of the esophagus is a relatively rare disorder. We present the case of a large, 7.5 cm diameter esophageal epiphrenic diverticulum treated by the laparoscopic approach. Surgery was indicated by the severity of the patient's symptoms and size of the diverticulum. A laparoscopic transhiatal diverticulectomy with a myotomy and Dor fundoplication was carri...

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ژورنال

عنوان ژورنال: VideoGIE

سال: 2019

ISSN: 2468-4481

DOI: 10.1016/j.vgie.2018.10.009