Skip to main content

15. Laparoscopic or Endoscopic Management of Esophageal Diverticula

  • Chapter
  • First Online:
  • 2067 Accesses

Abstract

Esophageal diverticula represent a challenging problem for the practicing gastrointestinal surgeon. They can be found in the proximal, mid, and distal esophagus. Their treatment has evolved radically over the past 20 years. Zenker’s diverticulum remains the most common in patients from the western hemisphere, followed by epiphrenic diverticulum. The treatment of each now centers upon not only treating well-formed diverticula, but the underlying cause as well. A brief outline of the underlying pathophysiology and indications for the treatment of Zenker’s, mid-esophageal, and epiphrenic diverticulum is provided. This is followed by a description of operative considerations and techniques. Operative techniques are focused upon the application of laparoscopic and endoscopic techniques as they are currently applied. A review of potential complications as well as subsequent management of morbidity is also included. Finally, a carefully selected list of contemporary readings is provided at the conclusion of the manuscript.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Selected References

  • Bloom JD, Bleier BS, Mirza N, Chalian AA, Thaler ER. Factors predicting endoscopic exposure of Zenker’s diverticulum. Ann Otol Rhinol Laryngol. 2010;119(11):736–41.

    PubMed  Google Scholar 

  • Del Genio A, Rossetti G, Maffetton V, et al. Laparoscopic approach in the treatment of epiphrenic diverticula: long-term results. Surg Endosc. 2004;18(5):741–5.

    Article  PubMed  Google Scholar 

  • Jamieson GG. Other esophageal motility disorders and diverticula. In: Soper NJ, editor. Mastery of endoscopic and laparoscopic surgery. Third Editionth ed. Philadelphia, PA: Lipincott Williams & Williams; 2009. p. 142–7.

    Google Scholar 

  • Kilic A, Schuchert MJ, Awais O, Luketich JD, Landreneau RJ. Surgical management of epiphrenic diverticula in the minimally invasive era. JSLS. 2009;13(2):160–4.

    PubMed  Google Scholar 

  • Melman L, Quinlan J, Robertson B, et al. Esophageal manometric characteristics and ­outcomes for laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication for epiphrenic diverticula. Surg Endosc. 2009;23(6):1337–41.

    Article  PubMed  Google Scholar 

  • Nehra D, Lord RV, DeMeester TR, et al. Physiologic basis for the treatment of epiphrenic diverticulum. Ann Surg. 2002;235(3):346–54.

    Article  PubMed  Google Scholar 

  • Palanivelu C, Rangarajan M, Maheshkumaar GS, Senthilkumar R. Minimally invasive surgery combined with peroperative endoscopy for symptomatic middle and lower esophageal diverticula: a single institute’s experience. Surg Laparosc Endosc Percutan Tech. 2008a;18(2):133–8.

    Article  PubMed  Google Scholar 

  • Palanivelu C, Rangarajan M, Senthilkumar R, Velusamy M. Combined thoracoscopic and endoscopic management of mid-esophageal benign lesions: use of the prone patient position: thoracoscopic surgery for mid-esophageal benign tumors and diverticula. Surg Endosc. 2008b;22(1):250–4.

    Article  PubMed  Google Scholar 

  • Rosati R, Fumagalli U, Elmore U, de Pascale S, Massaron S, Peracchia A. Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum. Am J Surg. 2011;201(1):132–5.

    Article  PubMed  Google Scholar 

  • Soares R, Herbella FA, Prachand VN, Ferguson MK, Patti MG. Epiphrenic diverticulum of the esophagus From pathophysiology to treatment. J Gastrointest Surg. 2010;14(12):2009–15.

    Article  PubMed  Google Scholar 

  • Tedesco P, Fisichella PM, Way LW, Patti MG. Cause and treatment of epiphrenic diverticula. Am J Surg. 2005;190(6):891–4.

    Article  PubMed  Google Scholar 

  • Varghese Jr TK, Marshall B, Chang AC, Pickens A, Lau CL, Orringer MB. Surgical treatment of epiphrenic diverticula: a 30-year experience. Ann Thorac Surg. 2007;84(6):1801–9. discussion 1801–09.

    Article  PubMed  Google Scholar 

  • Verhaegen VJ, Feuth T, van den Hoogen FJ, Marres HA, Takes RP. Endoscopic carbon dioxide laser diverticulostomy versus endoscopic staple-assisted diverticulostomy to treat Zenker’s diverticulum. Head Neck. 2011;33(2):154–9.

    Article  PubMed  Google Scholar 

  • Wasserzug O, Zikk D, Raziel A, Cavel O, Fleece D, Szold A. Endoscopically stapled diverticulostomy for Zenker’s diverticulum: results of a multidisciplinary team approach. Surg Endosc. 2010;24(3):637–41.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Garth R. Jacobsen M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Jacobsen, G.R., Talamini, M.A. (2012). 15. Laparoscopic or Endoscopic Management of Esophageal Diverticula. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-2347-8_15

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-2346-1

  • Online ISBN: 978-1-4614-2347-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics