Laparoscopic approach for esophageal achalasia with epiphrenic diverticulum
| Autor: | Gian Carlo Pansini, Alberto Liboni, Paolo Zamboni, Antonio Zerbinati, Carlo V. Feo |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Myotomy
medicine.medical_specialty medicine.medical_treatment Achalasia Fundoplication Asymptomatic otorhinolaryngologic diseases medicine Humans Esophagus Laparoscopy Aged medicine.diagnostic_test business.industry medicine.disease Dysphagia digestive system diseases Surgery Esophageal Achalasia medicine.anatomical_structure Regurgitation (digestion) Diverticulum Esophageal Female medicine.symptom business Deglutition Disorders Diverticulum |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 11(2) |
| ISSN: | 1530-4515 |
| Popis: | We report the case of a 65-year-old woman with a 10-year history of dysphagia, regurgitation, cough, and 10-kg weight loss caused by an epiphrenic diverticulum associated with esophageal achalasia managed with a laparoscopic approach. A preoperative barium swallow showed a dilated sigmoid esophagus with a 6-cm epiphrenic diverticulum. Esophageal manometry confirmed the absence of peristalsis in the esophageal body. We performed a laparoscopic diverticulectomy and a 7-cm distal esophageal myotomy with a Dor fundoplication. The postoperative course was uneventful. On the third postoperative day a barium swallow showed no leak, and the patient started oral intake. She was discharged home 5 days after the operation free of symptoms and tolerating a soft diet. Sixteen months after surgery, she was asymptomatic and had gained 8 kg. A barium swallow showed a normal-size esophagus with regular emptying. We reaffirm the feasibility, safety, and efficacy of the laparoscopic diverticulectomy and distal myotomy with Dor fundoplication to manage epiphrenic diverticula resulting from esophageal achalasia. |
| Databáze: | OpenAIRE |
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