Laparoscopic Approach for Esophageal Achalasia With Epiphrenic Diverticulum

Feo, Carlo V.; Zamboni, Paolo; Zerbinati, A; Pansini, Giancarlo; Liboni, A

doi:10.1097/00129689-200104000-00009

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Esophageal damage was the only complication observed in one of the reported cases. 7,8,[19][20][21][22][23] There appear to be no reports of the performance of the same technique so a comparison cannot be made, but the postoperative course of the present patient has been very good, thus indicating this technique to be effective.…”

Section: Discussionmentioning

confidence: 77%

Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case

et al. 2010

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A 41-year-old woman was admitted due to dysphagia and weight loss of 6 kg. An upper gastrointestinal radiographic contrast study demonstrated an S-shaped lower esophagus with a peak transverse diameter of 65 mm. Moreover, an epiphrenic diverticulum was also detected in the lower part of the esophagus (50 x 40 mm). The measurement of intraesophageal pressure showed a lower esophageal sphincter pressure of 80 mmHg and a lower esophageal sphincter length of 31 mm. Esophageal clearance assessment via a timed barium esophagogram demonstrated impaired contrast clearance, with a rate of 26% at 5 min. A laparoscopic Heller myotomy, Dor fundoplication, and diverticular introversion suturing were performed. The postoperative course was uneventful and the patient was discharged on day 4. At the 2-year follow-up, no dysphagia was present. This is the first report of a laparoscopic diverticuloplasty using an introversion buried suture with a Heller myotomy and Dor fundoplication for achalasia complicated by an epiphrenic diverticulum.

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Section: Discussionmentioning

confidence: 77%

Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case

et al. 2010

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“…The patient was then taken to the operating room and underwent a laparoscopic distal esophageal myotomy with Dor's fundoplication. 1 The postoperative course was uneventful. On the third postoperative day, a barium esophagogram showed regular emptying of the esophagus and no leaks; the nasogastric tube was then discontinued and a soft diet was resumed.…”

Section: Esophageal Achalasia With Recurrent Aspiration Pneumoniae Treated By Laparoscopic Heller Myotomymentioning

confidence: 96%

Esophageal Achalasia with Recurrent Aspiration Pneumoniae Treated by Laparoscopic Heller Myotomy

Feo

Caramori

Conti

et al. 2012

The American Surgeon™

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Heller myotomy with esophageal diverticulectomy: an operation in need of improvement

et al. 2015

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Laparoscopic Heller myotomy, anterior fundoplication, and diverticulectomy well palliate the symptoms of achalasia with accompanying esophageal diverticulum. The operations are generally longer than those without diverticulectomy and are accompanied by a relatively longer LOS. Complications are relatively frequent and severe (e.g., leaks and pneumonia). In particular, leaks at the diverticulectomy site are unpredictable, occur after discharge, and remain vexing. Nevertheless, for this advanced form of achalasia, long-term symptom relief and patient satisfaction are high after anterior fundoplication with concomitant diverticulectomy. New and innovative techniques are needed to decrease the frequency of leaks at the diverticulectomy site.

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Laparoscopic Approach for Esophageal Achalasia With Epiphrenic Diverticulum

Cited by 7 publications

References 10 publications

Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case

Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case

Esophageal Achalasia with Recurrent Aspiration Pneumoniae Treated by Laparoscopic Heller Myotomy

Heller myotomy with esophageal diverticulectomy: an operation in need of improvement

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