Advertisement

Resection of Mid and Distal Esophageal Diverticulum

  • Sebastian F. SchoppmannEmail author
  • Johannes Zacherl
Chapter
  • 2.2k Downloads

Abstract

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].

Keywords

Lower Esophageal Sphincter Distal Esophagus Esophageal Body Thoracoscopic Approach Diffuse Esophageal Spasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  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

Personalised recommendations