INTRODUCTION: Esophageal diverticula are rare, accounting for less than 5% of dysphagia cases. Midesophageal and epiphrenic esophageal diverticula account for about 30% of all esophageal diverticula. Traditionally, thoracotomy or laparotomy were the preferred approaches for surgical therapy. Recently, minimally invasive therapies have been described. MATERIALS AND METHODS: We present our experiences of 12 patients with diverticula of the distal two-thirds of the esophagus. Thoracoscopic approach was used to treat midesophageal diverticula and a transhiatal approach was used for the epiphrenic diverticula. Peroperative endoscopy was used in all cases. Underlying causes were also simultaneously dealt with. DISCUSSION: According to our series, epiphrenic diverticula were more common; lateral wall being the most common location. Myotomy and fundoplication were done depending on the underlying disorder. We highlight the importance of peroperative endoscopy to accurately localize and determine extent of diverticulectomy. RESULTS: Males were more common than females and most patients were elderly. Postoperatively, 2 cases had complications and 1 patient had leak. The length of hospital stay was 3 to 23 days. CONCLUSIONS: Esophageal diverticula are rare conditions, and minimally invasive surgery is certainly feasible and effective in terms of reduced morbidity.
INTRODUCTION:Esophageal diverticula are rare, accounting for less than 5% of dysphagia cases. Midesophageal and epiphrenic esophageal diverticula account for about 30% of all esophageal diverticula. Traditionally, thoracotomy or laparotomy were the preferred approaches for surgical therapy. Recently, minimally invasive therapies have been described. MATERIALS AND METHODS: We present our experiences of 12 patients with diverticula of the distal two-thirds of the esophagus. Thoracoscopic approach was used to treat midesophageal diverticula and a transhiatal approach was used for the epiphrenic diverticula. Peroperative endoscopy was used in all cases. Underlying causes were also simultaneously dealt with. DISCUSSION: According to our series, epiphrenic diverticula were more common; lateral wall being the most common location. Myotomy and fundoplication were done depending on the underlying disorder. We highlight the importance of peroperative endoscopy to accurately localize and determine extent of diverticulectomy. RESULTS: Males were more common than females and most patients were elderly. Postoperatively, 2 cases had complications and 1 patient had leak. The length of hospital stay was 3 to 23 days. CONCLUSIONS:Esophageal diverticula are rare conditions, and minimally invasive surgery is certainly feasible and effective in terms of reduced morbidity.
Authors: Alfonso Fiorelli; Anna Cecilia Izzo; Ettore Arrigo; Francesco Sgalambro; Maria Antonietta Lepore; Massimo Cajozzo; Sergio Castorina; Attilio Ignazio Lo Monte; Mario Santini; Francesco Paolo Caronia Journal: Ann Transl Med Date: 2018-05
Authors: Tilman Laubert; P Hildebrand; U J Roblick; M Kraus; H Esnaashari; P Wellhöner; H P Bruch Journal: Eur J Med Res Date: 2010-09-24 Impact factor: 2.175