Epiphrenic esophageal diverticula
نویسندگان
چکیده
Epiphrenic esophageal diverticula (EED) are rare. The estimated incidence is about 1:500,000/year. EED usually result from a combination of esophageal obstruction, functional or mechanical and a point of weakness of the muscularis propria. Most of the symptoms are unspecific, but dysphagia is most common. Chest radiograph, barium esophagogram, endoscopy and manometry are diagnostic tools. The treatment methods are conservative medical therapy, myotomy, diverticulectomy and fundoplication. In addition, endoscopic pneumatic dilation and botulinum toxin injection are a good alternative for symptomatic patients with motility disorders who are unfit for or unwilling to undergo surgery.
منابع مشابه
Multiple huge epiphrenic esophageal diverticula with motility disease treated with video-assisted thoracoscopic and hand-assisted laparoscopic esophagectomy: a case report
BACKGROUND Epiphrenic esophageal diverticulum is a rare condition that is often associated with a concomitant esophageal motor disorder. Some patients have the chief complaints of swallowing difficulty and gastroesophageal reflux; traditionally, such diverticula have been resected via right thoracotomy. Here, we describe a case with huge multiple epiphrenic diverticula with motility disorder, w...
متن کاملSurgical 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...
متن کاملSurgical Management of Epiphrenic Diverticula in the Minimally Invasive Era
BACKGROUND Epiphrenic diverticula are rare outpouchings of the distal esophagus that infrequently require surgical intervention for the treatment of symptoms. In cases where surgical therapy is indicated, the traditional approach is through a thoracotomy. Advances in minimally invasive techniques have led to thoracoscopic and more recently laparoscopic management of epiphrenic diverticula. The ...
متن کاملAchalasia associated with two epiphrenic diverticula
Here, we present the case of a 63-year-old, previously healthy, female patient who sought treatment at a general surgery outpatient clinic complaining of an approximate one-year history of dysphagia for solids. An upper gastrointestinal series showed achalasia and two diverticula in the distal esophagus (Figure 1). Those findings were also documented by computed tomography (Figure 2) and upper ...
متن کاملPhysiologic 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...
متن کاملForeign body in the bronchus of a child: the importance of making the correct diagnosis
Here, we present the case of a 63-year-old, previously healthy, female patient who sought treatment at a general surgery outpatient clinic complaining of an approximate one-year history of dysphagia for solids. An upper gastrointestinal series showed achalasia and two diverticula in the distal esophagus (Figure 1). Those findings were also documented by computed tomography (Figure 2) and upper ...
متن کامل