Caitlin Houghton, MD, Ran B Luo, MD, Shanglei Liu, MD, Bryan J Sandler, MD, Jonathan C DeLong, MD, Alisa M Coker, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UCSD
Patient is a 77year old female who presented to the Surgery clinic with chronic cough and dysphagia. The work-up included an EGD, manometry and upper GI study. The patient's manometry study results were consistent with achalasia. Interestingly, the EGD and Upper GI demonstrated a massive epiphrenic diverticulum. Surgical management utilized a multi-modal approach using endoscopy, laparoscopy and robotics.