Jurnalul de Chirurgie
 Jurnalul de chirurgie
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ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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NUMARUL 3, VOL. 1, 2005

CAZURI CLINICE - CASE STUDIES

EPIPHRENIC DIVERTICULUM: A CASE REPORT
E. Târcoveanu, C. Lupascu, C. Bradea, Felicia Crumpei, R. Moldovanu, Alin Vasilescu
First Surgical Clinic "I. Tanasescu - V. Butureanu", "St. Spiridon" Hospital Iasi
Research Center for Laproscopic and Open Surgery
University of Medicine and Pharmacy "Gr.T. Popa" Iasi
Jurnalul de chirurgie 2005; 1 (3):290-296
Full text: Format PDF (Romanian)

Abstract:

Epiphrenic diverticulum is a rare pulsion (pseudodiverticulum) of the distal esophagus that is commonly associated with esophageal motility disorders. The exact prevalence of this condition is unknown because asymptomatic patients are usually not discovered. The most common symptoms are dysphagia, regurgitation, thoracic pain, and pulmonary manifestations related to aspiration. Barium meal and upper endoscopy will help to establish the diagnosis while esophageal manometry may reveal underlying dysmotility. Diverticula should not be treated unless they are symptomatic. Treatment of diverticula of low esophagus must take into account any motor anomalies or associated lesions. We report the case of a 61-year-old male with a 2-year history of retrosternal pain, dysphagia, regurgitation and weight loss caused by an oesophageal epiphrenic diverticulum. The patient underwent barium oesophagography and oesophagogastroduodenoscopy; an oesophageal diverticulum (7 cm) was diagnosed. We performed a diverticulectomy and thoracic Heller myotomy by thoracotomy approach. The evolution was uneventfull. He was discharged, tolerating full liquids, after 8 days. Conclusions: Diverticulectomy with esophageal myotomy and an anti-reflux procedure through a left thoracotomy is the standard treatment for epiphrenic diverticulum; minimally-invasive and endoscopic techniques are possible in the uncomplicated cases.

KEYWORDS: OESOPHAGEAL DIVERTICULA, DIVERTICULECTOY, THORACOTOMY

Correspondence: Prof. Dr. Eugen Târcoveanu, First Surgical Clinic, "St. Spirdon" Hospital Iasi, Independentei Str., no. 1, 700111, Iasi, Romania; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.