Incomplete esophageal myotomy and early recurrence of an epiphrenic diverticulum.
نویسندگان
چکیده
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.
منابع مشابه
Surgical Management of Two Simultaneously Occurring Epiphrenic Esophageal Diverticula
Among all diverticula of the esophagus, epiphrenic diverticula occur less frequently than those in the pharyngo-esophageal segment. Two simultaneously occurring diverticula in the epiphrenic esophagus are very rarely reported in the English literature. A 52-year-old woman had a 3-year history of troublesome dysphagia, heartburn, chest pain and cough. Initial investigation included a physical ex...
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Purpose: Clinical presentation and surgical results of the esophageal diverticula were analyzed. Methods: Ten patients who underwent esophageal diverticulectomy with myotomy from May 1999 to May 2008 were reviewed retrospectively. Results: Three pharyngoesophageal, one midesophageal and six epiphrenic diverticula were observed and transcervical, right transthoracic and left transthoracic surgic...
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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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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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Diverticulum of the abdominal esophagus is an extremely rare disease. We present a patient with diverticulum of the abdominal esophagus who could be treated successfully by a laparoscopic diverticulectomy with supporting intra-operative endoscopy. In patient with epiphrenic diverticulum, diverticulectomy with myotomy and partial fundoplication is recommended as surgical treatment. This procedur...
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ورودعنوان ژورنال:
- Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
دوره 18 1 شماره
صفحات -
تاریخ انتشار 2005