Gastric Diverticulum: “A Wayside House of Ill Fame” with a Laparoscopic Solution

Abstract

The authors maintain that laparoscopic diverticulectomy is a safe and feasible option that should be offered for patients with symptomatic gastric diverticulum.

Gastric Diverticulum: A Comprehensive Review

“…Conversely, traction diverticula develop as a result of contractile forces – either from an adjacent inflammatory process, or from perigastric adhesions from coexisting illnesses. These include peptic ulcer disease, pancreatitis, cholecystitis, cancer, gastric outlet obstruction, and gastroesophageal reflux disease [9, 16, 17]. In particular, traction diverticula in the stomach have been reported to occur following surgical procedures, including Roux-en-Y gastric bypass surgery [6, 17, 18].…”

“…Occasionally, complications, such as ulceration, upper gastrointestinal bleeding, hemorrhage, perforation, and malignant transformation, can develop that may be life-threatening and are indications for surgical management [9, 10]. The rarity of this disorder, as well as the presence of a vague and nonspecific symptomatology, necessitates a high clinical index of suspicion from the internist, gastroenterologist, or surgeon.…”

“…Although most individuals with GD are asymptomatic, others can present with variable abdominal symptoms, including epigastric pain and discomfort, nausea, vomiting, dyspepsia, early satiety, a vague sensation of postprandial fullness, belching, halitosis, anorexia, and dysphagia [5, 7-9]. Occasionally, complications, such as ulceration, upper gastrointestinal bleeding, hemorrhage, perforation, and malignant transformation, can develop that may be life-threatening and are indications for surgical management [9, 10].…”

Divertículos gástricos subcardiales: un hallazgo endoscópico poco frecuente

“…Si los divertículos continúan con síntomas severos a pesar del tratamiento farmacológico o se complica por su gran tamaño (diámetro superior a 4 cm), se indica la resolución quirúr-gica por vía laparoscópica (22). Esta técnica actualmente es bien aceptada, siendo mínimamente invasiva y altamente efectiva (23,24).…”

Gastric diverticulum simulating a left adrenal mass: A case report and review of the literature

“…Acquired GDs are usually associated with gastrointestinal diseases, such as, peptic ulcers, gastric outlet obstruction or other malignancies (1).Although there is currently no specific treatment for asymptomatic GD, symptomatic GD requires appropriate management, which depends on the underlying pathology and the severity of the presentation. In symptomatic patients, typical symptoms include upper abdominal and epigastric pain, anorexia, nausea and dysphagia (3). The first line therapy includes a comprehensive examination for underlying pathology and medical treatment, such as protein pump inhibitors, antacids, or antispasmodics (4).…”