Resection of Mid and Distal Esophageal Diverticulum

  • Sebastian F. SchoppmannEmail author
  • Johannes Zacherl


Mid and distal diverticula of the esophagus are very rare entities with a prevalence of approximately 0.015% [1]. Traditionally, patients with symptomatic mid and distal esophageal diverticula have been treated surgically via laparotomy or thoracotomy including resection of the diverticulum, myotomy, and anti-reflux procedure. The amount of myotomy and the need of additional anti-reflux procedure are continuously discussed in this topic [2].


Lower Esophageal Sphincter Distal Esophagus Esophageal Body Thoracoscopic Approach Diffuse Esophageal Spasm 
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  1. 1.
    Wheeler D (1947) Diverticula of the foregut. Radiology 49(4):476–482PubMedGoogle Scholar
  2. 2.
    Benacci JC, Deschamps C, Trastek VF et al (1993) Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 55(5):1109–1113; discussion 1114PubMedCrossRefGoogle Scholar
  3. 3.
    Jordan PH Jr, Kinner BM (1999) New look at epiphrenic diverticula. World J Surg 23(2):147–152PubMedCrossRefGoogle Scholar
  4. 4.
    Melman L, Quinlan JA, Hall BL et al (2009) Clinical utility of routine barium esophagram after laparoscopic anterior esophageal myotomy for achalasia. Surg Endosc 23(3):606–610PubMedCrossRefGoogle Scholar
  5. 5.
    Tedesco P, Fisichella PM, Way LW, Patti MG (2005) Cause and treatment of epiphrenic diverticula. Am J Surg 190(6):891–894PubMedCrossRefGoogle Scholar
  6. 6.
    Melman L, Quinlan J, Robertson B et al (2009) Esophageal manometric characteristics and outcomes for laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication for epiphrenic diverticula. Surg Endosc 23(6):1337–1341PubMedCrossRefGoogle Scholar
  7. 7.
    Fernando HC, Luketich JD, Samphire J et al (2005) Minimally invasive operation for esophageal diverticula. Ann Thorac Surg 80(6):2076–2080PubMedCrossRefGoogle Scholar
  8. 8.
    Melman L, Azar R, Beddow K et al (2009) Primary and overall success rates for clinical outcomes after laparoscopic, endoscopic, and open pancreatic cystgastrostomy for pancreatic pseudocysts. Surg Endosc 23(2):267–271PubMedCrossRefGoogle Scholar
  9. 9.
    Palanivelu C, Rangarajan M, John SJ et al (2008) Laparoscopic transhiatal approach for benign supra-diaphragmatic lesions of the esophagus: a replacement for thoracoscopy? Dis Esophagus 21(2):176–180PubMedCrossRefGoogle Scholar
  10. 10.
    van der Peet DL, Klinkenberg-Knol EC, Berends FJ, Cuesta MA (2001) Epiphrenic diverticula: minimal invasive approach and repair in five patients. Dis Esophagus 14(1):60–62PubMedCrossRefGoogle Scholar
  11. 11.
    Varghese TK Jr, Marshall B, Chang AC et al (2007) Surgical treatment of epiphrenic diverticula: a 30-year experience. Ann Thorac Surg 84(6):1801–1809; discussion 1801–1809PubMedCrossRefGoogle Scholar
  12. 12.
    Richards WO, Torquati A, Holzman MD et al (2004) Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg 240(3):405–412PubMedCrossRefGoogle Scholar
  13. 13.
    Rebecchi F, Giaccone C, Farinella E et al (2008) Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus nissen fundoplication for achalasia: long-term results. Ann Surg 248(6):1023–1030PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of General SurgeryMedical University of ViennaViennaAustria

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