Abstract

OLARTE, Patricia; PADRON, Oscar Luis  and  ARBOLEDA, Diego. Laparoscopic resection of epiphrenic diverticulum. rev. colomb. cir. [online]. 2012, vol.27, n.4, pp.306-313. ISSN 2011-7582.

The epiphrenic diverticulum is a rare pathological entity that generally results from a barrier motility disorder that causes herniation of the mucosa and submucosa through a weak spot in the muscularis. It frequently appears associated with achalasia, concomitant esophageal motility disorders, and a high resting pressure of the lower esophageal sphincter. Main symptoms are dysphagia, regurgitation, and bronchial aspiration. Surgical treatment is recommended only for symptomatic cases. Minimally invasive techniques have been successfully utilized in most cases. The laparoscopic approach is the surgical technique of choice. A long myotomy and an antireflux procedure should be added in order to prevent the development of fistulae at the site of repair of the antireflux procedure. The aim of this article is to review the literature of this infrequent entity. We also present a case of laparoscopic repair of an epiphrenic diverticulum by laparoscopic approach.

Keywords : diverticulum; esophageal; esophageal motility disorders; esophageal achalasia; video-assisted surgery.

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