Abstract

Abstract Background Epiphrenic diverticula are a rare form of diverticulum located in the distal oesophagus. Symptoms are varied as patients may be asymptomatic or present acutely with dysphagia and regurgitation. This video presentation is a case report and discussion of a patient requiring laparoscopic resection of an epiphrenic diverticulum and Hellers cardiomyotomy for concurrent achalasia. Methods The case of a 58 year old man is presented, who attended as an emergency with severe malnutrition and aspiration pneumonia secondary to dysphagia. Initial investigations included an upper GI endoscopy, barium swallow and CT scan which demonstrated a large oesophageal diverticulum and undiagnosed achalasia. Results The video presentation explores the operative technique used during this case in order to resect the epiphrenic diverticulum and perform a subsequent Hellers cardiomyotomy for achalasia. Conclusions Operative intervention was successful and the patient was discharged on day 2 post-operatively with no further complications. This video presentation stimulates further discussion regarding the management and operative technique utilised in epiphrenic diverticulae.

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.