Laparoscopic Management of Esophageal Epiphrenic Diverticulum.
Autor: | Navgale SS; General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Mumbai, IND., Dharap SB; General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Mumbai, IND., Wankhede S; General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Mumbai, IND., Guvvala P; General Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, Mumbai, IND. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2024 Aug 12; Vol. 16 (8), pp. e66663. Date of Electronic Publication: 2024 Aug 12 (Print Publication: 2024). |
DOI: | 10.7759/cureus.66663 |
Abstrakt: | A 45-year-old man who presented with progressive dysphagia of five months duration was diagnosed as a case of oesophageal epiphrenic diverticulum after endoscopic and imaging investigations. He underwent laparoscopic cardiomyotomy with Dor's fundoplication. Myotomy was done from the base of the diverticulum up to 2 cm distal to the gastroesophageal junction. Intraoperative endoscopy was done to check the adequacy of myotomy. Diverticulectomy was not done. Yet the patient had complete relief of symptoms and is well and asymptomatic after two years. Cardiomyotomy with anti-reflux procedures is effective in treating the epiphrenic diverticulum without the need for resection of the diverticulum, which also provides a better prognosis and less morbidity to the patient. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Navgale et al.) |
Databáze: | MEDLINE |
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