Abstract
An epiphrenic diverticulum is a herniation of a pouch of esophageal mucosa thought the musculature of the thoracic esophagus within 10 cm of the esophagogastric junction. The pathological process is thought to be the application of pulsion forces to the mucosa above a functionally obstructing region of abnormal esophageal motility. Investigations include endoscopy, contrast esophagogram and esophageal manometry. Operative interventions include laparoscopic, thoracic and thoracoscopic approaches in order to excise the diverticulum with a myotomy to address the underlying motility disorder.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Altorki NK, Sunagawa M, Skinner DB (1993) Thoracic esophageal diverticula. Why is operation necessary? J Thorac Cardiovasc Surg 105:260–264
Chami Z, Fabre JM, Navarro F, Domergue J (1999) Abdominal laparoscopic approach for thoracic epiphrenic diverticulum. Surg Endosc 13:164–165
Dor J, Humbert P, Dor V (1962) L’intérêt de la technique de Nissen modifiée dans le prévention du reflux après cardiomyotomie extrazmuqueuse de Heller. Mem Acad Chir 88:877–884
Feo CV, Zamboni P, Zerbinati A, Pansini GC, Liboni A (2001) Laparoscopic approach for esophageal achalasia with epiphrenic diverticulum. Surg Laparosc Endosc Percutan Tech 11:112–115
Heintz A, Junginger T (2000) Laparoscopic resection of an epiphrenic diverticulum of the esophagus. Surg Endosc 14:501
Jordan PH Jr, Kinner BM (1999) New look at epiphrenic diverticula. World J Surg 23:147–152
Klaus A, Hinder RA, Swain J, Achem SR (2003) Management of epiphrenic diverticula. J Gastrointest Surg 7:906–911
Mainprize KS, Dehn TC (2001) Laparoscopic management of pseudoachalasia, esophageal diverticulum, and benign esophageal stromal tumor. Dis Esophagus 14:73–75
Nehra D, Lord RV, DeMeester TR et al (2002) Physiologic basis for the treatment of epiphrenic diverticulum. Ann Surg 235:346–354
Orringer MB (1993) Epiphrenic diverticula: fact and fable. Ann Thorac Surg 55:1067–1068
Rosati R, Fumagalli U, Bona S, Bonavina L, Peracchia A (1998) Diverticulectomy, myotomy, and fundoplication through laparoscopy: a new option to treat epiphrenic esophageal diverticula? Ann Surg 227:174–178
Tinoco RC, Tinoco AC, El-Kadre L (1999) Perforated epiphrenic diverticulum treated by video laparoscopy. Surg Endosc 13:270–272
van der Peet DL, Klinkenberg-Knol EC, Berends FJ, Cuesta MA (2001) Epiphrenic diverticula: minimal invasive approach and repair in five patients. Dis Esophagus 14:60–62
Zaninotto G, Portale G, Costantini M et al (2008) Long-term outcome of operated and unoperated epiphrenic diverticula. J Gastrointest Surg 12:1485–1490
Zaninotto G, Portale G, Costantini M, Zanatta L, Salvador R, Ruol A (2011) Therapeutic strategies for epiphrenic diverticula: systematic review. World J Surg 35:1447–1453
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Collins, C.G. (2016). Epiphrenic Diverticula. In: CLAVIEN, PA., Sarr, M., Fong, Y., Miyazaki, M. (eds) Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46546-2_17
Download citation
DOI: https://doi.org/10.1007/978-3-662-46546-2_17
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-46545-5
Online ISBN: 978-3-662-46546-2
eBook Packages: MedicineMedicine (R0)