A case of giant esophageal epiphrenic diverticulum resected laparoscopically, followed by Heller myotomy and Dor fundoplication
A 66-year-old male patient visited our hospital with the chief complaints of difficulty in swallowing and vomiting. The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal end...
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| Veröffentlicht in: | Esophagus : official journal of the Japan Esophageal Society 2008-06, Vol.5 (2), p.111-115 |
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| container_title | Esophagus : official journal of the Japan Esophageal Society |
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| creator | Atsuta, Koji Ozawa, Soji Yoshida, Rie Arakawa, Satoshi Kawase, Jin Oshima, Hisanori Nagata, Hidetoshi Shiraishi, Tenzou Kawabe, Norihiko Umemoto, Shunji |
| description | A 66-year-old male patient visited our hospital with the chief complaints of difficulty in swallowing and vomiting. The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal endoscopy revealed the inlet of the diverticulum on the right wall of the esophagus at a distance of 44–46 cm from the incisors. The patient was diagnosed as having a giant epiphrenic esophageal diverticulum with obstruction; dysfunction of the lower esophageal sphincter was also considered. Therefore, he was treated by laparoscopic resection of the diverticulum, followed by Heller myotomy and Dor fundoplication. The postoperative course was satisfactory, and the patient showed substantial improvement in his dysphagia. He was discharged from our hospital on the 9th postoperative day. At present, 2 years after the operation, he remains well without any recurrence of the symptoms. |
| doi_str_mv | 10.1007/s10388-008-0156-x |
| format | Article |
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The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal endoscopy revealed the inlet of the diverticulum on the right wall of the esophagus at a distance of 44–46 cm from the incisors. The patient was diagnosed as having a giant epiphrenic esophageal diverticulum with obstruction; dysfunction of the lower esophageal sphincter was also considered. Therefore, he was treated by laparoscopic resection of the diverticulum, followed by Heller myotomy and Dor fundoplication. The postoperative course was satisfactory, and the patient showed substantial improvement in his dysphagia. He was discharged from our hospital on the 9th postoperative day. At present, 2 years after the operation, he remains well without any recurrence of the symptoms.</description><identifier>ISSN: 1612-9059</identifier><identifier>EISSN: 1612-9067</identifier><identifier>DOI: 10.1007/s10388-008-0156-x</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Case Report ; Case reports ; Dysphagia ; Endoscopy ; Esophagus ; Gastroenterology ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Surgical Oncology ; Thoracic Surgery</subject><ispartof>Esophagus : official journal of the Japan Esophageal Society, 2008-06, Vol.5 (2), p.111-115</ispartof><rights>Japan Esophageal Soceity and Springer Japan 2008</rights><rights>Japan Esophageal Soceity and Springer Japan 2008.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c321x-dc553d803ebba10f8c81d6170710643aa0dd515609aca4b75afba5ea05ac713c3</citedby><cites>FETCH-LOGICAL-c321x-dc553d803ebba10f8c81d6170710643aa0dd515609aca4b75afba5ea05ac713c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10388-008-0156-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10388-008-0156-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Atsuta, Koji</creatorcontrib><creatorcontrib>Ozawa, Soji</creatorcontrib><creatorcontrib>Yoshida, Rie</creatorcontrib><creatorcontrib>Arakawa, Satoshi</creatorcontrib><creatorcontrib>Kawase, Jin</creatorcontrib><creatorcontrib>Oshima, Hisanori</creatorcontrib><creatorcontrib>Nagata, Hidetoshi</creatorcontrib><creatorcontrib>Shiraishi, Tenzou</creatorcontrib><creatorcontrib>Kawabe, Norihiko</creatorcontrib><creatorcontrib>Umemoto, Shunji</creatorcontrib><title>A case of giant esophageal epiphrenic diverticulum resected laparoscopically, followed by Heller myotomy and Dor fundoplication</title><title>Esophagus : official journal of the Japan Esophageal Society</title><addtitle>Esophagus</addtitle><description>A 66-year-old male patient visited our hospital with the chief complaints of difficulty in swallowing and vomiting. The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal endoscopy revealed the inlet of the diverticulum on the right wall of the esophagus at a distance of 44–46 cm from the incisors. The patient was diagnosed as having a giant epiphrenic esophageal diverticulum with obstruction; dysfunction of the lower esophageal sphincter was also considered. Therefore, he was treated by laparoscopic resection of the diverticulum, followed by Heller myotomy and Dor fundoplication. The postoperative course was satisfactory, and the patient showed substantial improvement in his dysphagia. He was discharged from our hospital on the 9th postoperative day. At present, 2 years after the operation, he remains well without any recurrence of the symptoms.</description><subject>Case Report</subject><subject>Case reports</subject><subject>Dysphagia</subject><subject>Endoscopy</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><issn>1612-9059</issn><issn>1612-9067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UE1P4zAQtRArLZT9AXuzxJXAOI6T9Ij46kpIXOBsTexJG-TGwU6gOe1fX1dFy4nDaEaa96H3GPst4FIAVFdRgKzrDCCNUGW2O2InohR5toSyOv5_q-VPdhrjK4DMi1qesL_X3GAk7lu-7rAfOUU_bHBN6DgN3bAJ1HeG2-6dwtiZyU1bHiiSGclyhwMGH40fOoPOzRe89c75j_RqZr4i5yjw7exHv5059pbf-sDbqbd-cIkxdr4_Yz9adJF-fe4Fe7m_e75ZZY9PD39urh8zI3Oxy6xRStoaJDUNCmhrUwtbigoqAWUhEcFalXLDEg0WTaWwbVARgkJTCWnkgp0fdIfg3yaKo371U-iTpc6LZaGqWiSHBRMHlEmxYqBWD6HbYpi1AL3vWR961qlnve9Z7xInP3BiwvZrCl_K35P-Ab7_g9Q</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>Atsuta, Koji</creator><creator>Ozawa, Soji</creator><creator>Yoshida, Rie</creator><creator>Arakawa, Satoshi</creator><creator>Kawase, Jin</creator><creator>Oshima, Hisanori</creator><creator>Nagata, Hidetoshi</creator><creator>Shiraishi, Tenzou</creator><creator>Kawabe, Norihiko</creator><creator>Umemoto, Shunji</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>200806</creationdate><title>A case of giant esophageal epiphrenic diverticulum resected laparoscopically, followed by Heller myotomy and Dor fundoplication</title><author>Atsuta, Koji ; 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The upper gastrointestinal radiographic contrast study revealed a diverticulum with a diameter of about 10 cm in the diaphragm to the right of the esophagus. Upper gastrointestinal endoscopy revealed the inlet of the diverticulum on the right wall of the esophagus at a distance of 44–46 cm from the incisors. The patient was diagnosed as having a giant epiphrenic esophageal diverticulum with obstruction; dysfunction of the lower esophageal sphincter was also considered. Therefore, he was treated by laparoscopic resection of the diverticulum, followed by Heller myotomy and Dor fundoplication. The postoperative course was satisfactory, and the patient showed substantial improvement in his dysphagia. He was discharged from our hospital on the 9th postoperative day. At present, 2 years after the operation, he remains well without any recurrence of the symptoms.</abstract><cop>Japan</cop><pub>Springer Japan</pub><doi>10.1007/s10388-008-0156-x</doi><tpages>5</tpages></addata></record> |
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| subjects | Case Report Case reports Dysphagia Endoscopy Esophagus Gastroenterology Medical diagnosis Medicine Medicine & Public Health Surgical Oncology Thoracic Surgery |
| title | A case of giant esophageal epiphrenic diverticulum resected laparoscopically, followed by Heller myotomy and Dor fundoplication |
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