Laparoscopic Treatment of a Huge Epiphrenic Esophageal Diverticulum: A Case Report and Literature Review.

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2025-01-01 DOI:10.62713/aic.3802

Agostino Fernicola, Giuseppe Palomba, Marianna Capuano, Giovanni Domenico De Palma, Giovanni Aprea

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引用次数: 0

Abstract

Aim: Epiphrenic diverticulum (ED) is a rare benign esophageal disorder commonly associated with esophageal motility conditions, such as achalasia. Esophagogastroduodenoscopy (EGDS), barium esophagography, and esophageal high-resolution manometry (HRM) are essential for accurate diagnosis. Surgical intervention is the standard treatment for symptomatic patients.

Case presentation: We present the case of a 61-year-old man with a large epiphrenic diverticulum presenting with dysphagia and chest pain. Medical therapy was ineffective; therefore, the patient underwent laparoscopic diverticulectomy, hiatoplasty, Heller myotomy, and Dor fundoplication.

Results: Complete resolution of symptoms was achieved, significantly improving the patient's quality of life, with no perioperative complications.

Conclusions: The diagnosis and management of epiphrenic diverticula require a multidisciplinary approach. Abdominal laparoscopic surgery is a safe and effective option, with a low risk of complications and good symptom resolution.

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巨大虹膜外食管憩室的腹腔镜治疗：病例报告和文献综述。

目的：表肾性憩室（ED）是一种罕见的良性食道疾病，通常与食道运动障碍（如贲门失弛缓症）有关。食管胃十二指肠镜检查（EGDS），钡食管造影和食管高分辨率测压（HRM）是准确诊断的必要条件。手术干预是有症状患者的标准治疗方法。病例介绍：我们提出的情况下，一个61岁的男子与一个大的肾盂憩室表现吞咽困难和胸痛。药物治疗无效；因此，患者接受了腹腔镜憩室切除术、裂孔成形术、Heller肌切开术和Dor基底复制术。结果：症状完全缓解，患者生活质量明显改善，无围手术期并发症发生。结论：肾外憩室的诊断和治疗需要多学科联合治疗。腹腔腹腔镜手术是一种安全有效的选择，并发症风险低，症状缓解好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.