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A case of esophageal achalasia with giant epiphrenic diverticulum treated by laparoscopic surgery Akiyoshi NOMURA 1 , Masakazu TAKAGI 1 , Tomohiro MATSUMOTO 1 , Shinsuke SATO 1 , Masaya WATANABE 1 , Noriyuki OBA 1 1Department of Surgery, Shizuoka General Hospital Keyword: 横隔膜上憩室 , 食道アカラシア , 腹腔鏡 pp.95-100
Published Date 2015/1/15
DOI https://doi.org/10.11477/mf.4426200067
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 A 43-year-old female had been aware of a feeling of something stuck in her throat since 2010. She visited a local hospital, was diagnosed with reflux esophagitis, and treated by oral drug administration, but showed no improvement. In 2011, upper gastrointestinal endoscopy revealed an esophageal diverticulum, and she was referred to our hospital. Esophagography showed a diverticulum(50mm) 3 cm oral to the cardia, dilation of the oral side esophagus(transverse axis, 30mm), and delayed barium excretion. A diagnosis of esophageal achalasia with a large epiphrenic diverticulum was made, and surgery was planned. Under laparoscopy, the esophageal diverticulum was pulled into the abdominal cavity and resected in the esophageal long-axis direction using an automatic suturing device. Subsequently, the Heller-Dor technique was performed for the esophageal achalasia. She was uneventfully discharged 7 days after the operation. She received pneumatic dilation only once, but up until the present, no recurrence has been observed for 24 months after the operation. There have been only a few reported cases of esophageal achalasia with a large epiphrenic diverticulum treated by laparoscopic surgery. This case is reported with a review of the literature.


Copyright © 2015, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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