[Dilemmas arising from surgical treatment of epiphrenic diverticulum].

Introduction: Epiphrenic diverticulum cannot be considered a primary anatomical alteration, there is a manometrically verifiable motility disturbance in the background.

Objectives: To determine the place, type and time of surgical solution in the treatment.

Patients: Between 1999 and 2004 seven patients were treated for epiphrenic diverticulum causing complaints.

Synchronous electrogastrographic and manometric study of the stomach as an esophageal substitute.

Aim: To investigate the electric and contractile mechanisms involved in the deranged function of the transposed stomach in relation to the course of the symptoms and the changes in contractile and electrical parameters over time.

Methods: Twenty-one patients after subtotal esophagectomy and 18 healthy volunteers were studied. Complaints were compiled by using a questionnaire, and a symptom score was formed.