Giant esophageal epiphrenic diverticulum: presentation and treatment.

Marcelo Protásio Dos Santos,Paulo Vicente Dos Santos Filho,Caio Pasquali Dias Dos Santos,José Eduardo Gonçalves,Fernando Bray Beraldo,Denise Akerman,Marcos Claudio Radtke

doi:10.1590/s1679-45082017rc3954

Marcelo Protásio Dos Santos, Paulo Vicente Dos Santos Filho + Show 5 more

Open Access

https://doi.org/10.1590/s1679-45082017rc3954

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Abstract

ABSTRACTEpiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication.

Highlights

Esophageal diverticula are divided into two form, the traction, and the pulsion diverticulum
The high digestive endoscopy (Figure 1) showed unique large diverticulum ostium, approximately 2cm in diameter, containing food residues that led to cardiac deviation, and was located in the anterior wall of the distal segment of the esophagus, above the gastroesophageal transition
Einstein. 2017;15(4):[486-8] for stapling the level of diverticula colon with load of 45mm associated with 5cm cardiomiotomy and laparoscopic anterior partial fundoplicature to cover the myotomy area and staple line (Figure 4)

Summary

INTRODUCTION

Esophageal diverticula are divided into two form, the traction (pharyngoesophageal), and the pulsion diverticulum (epiphrenic). The patient reported partial improve of symptoms after treatment with inhibitor of proton bomb. The high digestive endoscopy (Figure 1) showed unique large diverticulum ostium, approximately 2cm in diameter, containing food residues that led to cardiac deviation, and was located in the anterior wall of the distal segment of the esophagus, above the gastroesophageal transition. The esophagus, stomach, and duodenum seriography confirmed the epiphrenic diverticulum (Figure 2). 2017;15(4):[486-8] for stapling the level of diverticula colon with load of 45mm associated with 5cm cardiomiotomy and laparoscopic anterior partial fundoplicature (pain) to cover the myotomy area and staple line (Figure 4). We found an esophageal diverticulum of approximately 8x7cm, colon of approximately 3cm, and esophageal-gastric transition measuring 8cm (Figure 3). Subsequently a laparoscopic esophageal diverticulectomy was done

DISCUSSION

Findings

CONCLUSION