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...

BackgroundAchalasia is a primary esophageal motility disorder in which there incomplete relaxation of the lower sphincter and absence peristalsis two thirds esophagus. A favored treatment laparoscopic modified Heller myotomy with Dor fundoplication (LHMDor) more than 90% immediate beneficial effect. The short-term outcomes LHMDor are well documented, but stability durability postoperative sympt...

HYPOTHESIS Laparoscopic Heller myotomy with anterior hemifundoplication is the surgical procedure of choice for the treatment of esophageal achalasia. Specific factors, eg, severity of esophageal body deformity, might affect postoperative outcome. DESIGN Prospective case-control study. SETTING Academic referral center for gastrointestinal tract motility disorders. PATIENTS Twenty-nine pat...

BACKGROUND All available treatments for achalasia are palliative and aimed to eliminate the flow resistance caused by a hypertensive lower esophageal sphincter. AIM To analyze the positive and negative prognostic factors in the improvement of dysphagia and to evaluate quality of life in patients undergoing surgery to treat esophageal achalasia by comparing findings before, immediately after, ...

PURPOSE Although laparoscopic Heller myotomy and Dor fundoplication (LHD) is widely performed to address achalasia, little is known about the learning curve for this technique. We assessed the learning curve for performing LHD. METHODS Of the 514 cases with LHD performed between August 1994 and March 2016, the surgical outcomes of 463 cases were evaluated after excluding 50 cases with reduced...