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...

Abstract Background Epiphrenic diverticula are a rare form of diverticulum located in the distal oesophagus. Symptoms varied as patients may be asymptomatic or present acutely with dysphagia and regurgitation. This video presentation is case report discussion patient requiring laparoscopic resection an epiphrenic Hellers cardiomyotomy for concurrent achalasia. Methods The 58 year old man presen...

BACKGROUND AND OBJECTIVES To describe the technique and results of laparoscopic Heller myotomy and Toupet fundoplication combined with epiphrenic diverticulectomy. CASE REPORT A 75-year-old man presented to our institution complaining of dysphagia to solid foods and liquids. The preoperative preparation included a barium swallow, esophagoscopy, and esophageal manometry. Three months earlier, ...

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...

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...

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...

We report the laparoscopic resection of an extraesophageal leiomyoma and an epiphrenic traction diverticulum; in addition, myotomy and fundoplication were performed. This has not been reported previously as a laparoscopic combination. No complications were encountered.

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophago-gastro-duodenoscopy, esophageal manometry, 3D computed tomography scan showed right-sided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hyperte...

Esophageal diverticula are rare findings that have an estimated incidence of 1 per 500 000 people per year, even though acute upper gastrointestinal bleeding is a relatively common medical emergency with an incidence of up to 150 per 100 000 people per year and a mortality rate of 7-14%. An 83-year-old man presented with hematemesis and melena. Urgent upper endoscopy revealed an esophageal dive...