Physiologic Basis for the Treatment of Epiphrenic Diverticulum

Nehra, D; Lord, Reginald V.; DeMeester, Tom R.; Theisen, Jörg; Peters, Jeffrey H.; Crookes, Peter F.; Bremner, Cedric G.

doi:10.1097/00000658-200203000-00006

Cited by 193 publications

(185 citation statements)

References 27 publications

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“…Besides achalasia, non-specific motility disorders and diffuse esophageal spasm might also be associated with ED [3,4]. They are false lesion without the muscular coating (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

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A Case Report on Large Epiphrenic Diverticula

Atmm¹,

Xue-mei²

2016

J Med Diagn Meth

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Esophageal epiphrenic diverticulum is not common clinical presentation. They result from various pathologies, usually due to the motility disorder that leads to the formation of the pouch through the weakened esophageal wall. Most of such large lesions usually associated with severe aggravating symptoms. Here we present a case of large epiphrenic diverticula with misleading nonspecific features of gastroesophageal reflux disease, where spontaneous recovery of symptoms was achieved with conservative treatment.

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“…Besides achalasia, non-specific motility disorders and diffuse esophageal spasm might also be associated with ED [3,4]. They are false lesion without the muscular coating (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…Treatment mostly requires for the underlying disease condition like achalasia [8]. Treatment for EED includes oesophageal myotomy, diverticulectomy, and fundoplication [3]. Minimally invasive surgery including laparoscopic surgery or video-assisted thoracoscopic surgery (VATS) has been used successfully for treatment of ED [9].…”

Section: Discussionmentioning

confidence: 99%

A Case Report on Large Epiphrenic Diverticula

Atmm¹,

Xue-mei²

2016

J Med Diagn Meth

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“…ED, on the other hand, is largely due to the motility disorder of the oesophageal wall [11,12]. Apparently, normal motility in manometry test in patients with epiphrenic diverticulum might be related to the type of manometric testing used or the intermittent nature of some disorders such as the diffuse oesophageal spasm.…”

Section: Aetiologymentioning

confidence: 99%

Pulsion Diverticulum of the Oesophagus: More than just an Out Pouch

Sonbare

2013

Indian J Surg

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Oesophageal diverticulum is divided into two types based on the aetiology: the pulsion and the traction diverticula. Pulsion diverticulum occurs due to increased intraluminal pressure. This can be of three types based on the location along the oesophagus: the Zenker's diverticulum (ZD), the midoesophageal diverticulum (MD) and the epiphrenic diverticulum (ED). A PubMed search was conducted for the words 'pulsion', 'diverticulum' and 'oesophagus' for all studies published from January 1980 to March 2013 in the English language. A total of 31 studies were identified, and out of which, five were not included in the review. The pulsion diverticulum of the oesophagus is an uncommon disorder. Its aetiology is related to the motility disorders of the oesophagus. Patients usually present with chest-related symptoms or oesophageal symptoms, which are related to the underlying motility disorder. Evaluation includes barium studies, gastrointestinal endoscopy, CT scan and oesophageal manometry. Surgery is the treatment of choice for symptomatic and large diverticula, although the outcome in asymptomatic patients is unknown. The surgical options include diverticulectomy or diverticulopexy with an adequate myotomy. Most patients with ZD are now treated by using endoscopic techniques, although no randomised trial has shown its superiority over the open technique. Minimally invasive surgery has also been used for patients with MD and ED. Although isolated case series has shown good improvement in symptoms and reduction in mortality with minimally invasive techniques in patients with ED, its role in thoracic oesophageal diverticulum is debated.

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“…Gece öksürüğü, pnömoni ve akciğer apsesine kadar değişen akciğer komplikasyonları görülmektedir. Epifrenik divertikül nadiren gö-rülmekte olup olguların yarısında akalazya gibi motilite bozuklukları ile birlikte görülmektedir (50).…”

Section: Pri̇mer Moti̇li̇te Bozukluklari Akalazyaunclassified

Esophageal Motility Disorders

Karaoğlanoğlu¹,

Aydın²

2011

Toraks Cer Bult

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Physiologic Basis for the Treatment of Epiphrenic Diverticulum

Cited by 193 publications

References 27 publications

A Case Report on Large Epiphrenic Diverticula

A Case Report on Large Epiphrenic Diverticula

Pulsion Diverticulum of the Oesophagus: More than just an Out Pouch

Esophageal Motility Disorders

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