Diverticulectomy of epiphrenic diverticula of the esophagus is conventionally performed via left thoracotomy. We report the case of a 57-year-old man who presented with an epiphrenic diverticulum that was resected using a transperitoneal laparoscopic technique.
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Laparoscopic transhiatal surgery based on high-resolution manometric evaluation of epiphrenic esophageal diverticulum.
Clin J Gastroenterol
October 2024
Department of Gastroenterological and Pediatric Surgery, Faculty of Medicine, Oita University, Idaigaoka 1-1, Hasama-Machi, Oita, 879-5593, Japan.
Epiphrenic esophageal diverticulum is rare and often associated with abnormalities of esophageal motility. Here, we report a case of a patient diagnosed with high-resolution manometry as having epiphrenic esophageal diverticulum with esophagogastric junction outflow obstruction, which were successfully treated with laparoscopic transhiatal surgery. A 59-year-old woman presented to our hospital for treatment of a symptomatic epiphrenic esophageal diverticulum.
View Article and Find Full Text PDFRobotic-Assisted Laparoscopic Epiphrenic Esophageal Diverticulectomy with Myotomy.
CRSLS
October 2024
Department of Surgery, Central Michigan University, Saginaw, MI. (Drs. Farooqi, Lossia, Pacheco, Shaheen, and Ghanem).
Introduction: A large epiphrenic esophageal diverticulum can cause troublesome symptoms for patients, including dysphagia and reflux, ultimately, leading to debilitating weight loss.
Case Description/technique Description: We present a case of a 68-year-old female with a history of systemic lupus erythematosus presented with a large epiphrenic esophageal diverticulum with dysphagia, gastroesophageal reflux disease, and associated weight loss. The patient underwent a robotic-assisted laparoscopic epiphrenic diverticulectomy with esophageal myotomy.
Laparoscopic Transhiatal Resection of an Esophageal Diverticulum in a Patient With Systemic Lupus Erythematosus: A Case Report.
Cureus
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First Department of Surgery, University of Yamanashi, Yamanashi, JPN.
Article Synopsis
- Esophageal diverticula are rare, particularly those above the diaphragm, and while they usually require only observation, large or symptomatic cases may need surgery.
- The report highlights a case of a 63-year-old woman with a history of systemic lupus erythematosus who developed a large diverticulum, leading to aspiration pneumonia, prompting surgery after a year of observation.
- The laparoscopic surgery successfully removed the diverticulum, which was confirmed to be a pseudodiverticulum, but the patient later experienced a hematoma infection post-discharge.
Epiphrenic diverticulum: is diverticular peroral endoscopic myotomy (D-POEM) enough or do we need to go one step forward?
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Gastroenterology, Hospital de Sant Joan Despí Moisès Broggi.
Article Synopsis
- A study reviews 9 patients (44.4% women, average age 67.7 years) who underwent diverticular peroral endoscopic myotomy (D-POEM) for symptomatic epiphrenic diverticula between July 2020 and April 2024.
- Most patients experienced symptoms like dysphagia and regurgitation, with an average Eckardt Score of 6, indicating severe symptoms.
- Notably, 88.9% of the patients also had a co-existing esophageal motility disorder, and one patient had prior surgical treatment for their condition.
Laparoscopic Management of Esophageal Epiphrenic Diverticulum.
Cureus
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General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Mumbai, IND.
A 45-year-old man who presented with progressive dysphagia of five months duration was diagnosed as a case of oesophageal epiphrenic diverticulum after endoscopic and imaging investigations. He underwent laparoscopic cardiomyotomy with Dor's fundoplication. Myotomy was done from the base of the diverticulum up to 2 cm distal to the gastroesophageal junction.
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