JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

A case of thoracoscopic diverticulectomy for epiphrenic esophageal diverticulum Yudai HOJO 1 , Hironori KAWADA 1 , Hikaru AOKI 1 , Makoto KURIMOTO 1 , Masaaki HIRATA 1 , Yusuke KAWASAKI 1 1Department of Gastroenterological Surgery, Hyogo Prefectural Amagasaki General Medical Center Keyword: 横隔膜上食道憩室 , 胸腔鏡下手術 , 憩室切除術 pp.397-402
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200733
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 A 65-year-old man presented with dysphagia and was diagnosed with an epiphrenic esophageal diverticulum. Chest CT showed a 5×4 cm diverticulum in the left wall of the lower esophagus. Esophagoscopy showed mucosal inflammation in the diverticulum, but there were no findings of esophagitis caused by gastroesophageal reflux. A hypertensive lower esophageal sphincter was not detected by esophageal manometry. Thoracoscopic diverticulectomy was performed, and postoperative course was good. The use of a surgical procedure to treat epiphrenic esophageal diverticulum is controversial ; however, thoracoscopic diverticulectomy has been suggested to be a better treatment for epiphrenic esophageal diverticulum without esophageal motility disorder, hypertensive lower esophageal sphincter or gastroesophageal reflux.


Copyright © 2019, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
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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