Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health System
Epiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure. Preoperative evaluation can include esophagram, upper endoscopy and/or manometry. The strongest data would suggest that symptomatic diverticula should be treated with a laparoscopic diverticulectomy, esophagomyotomy and partial fundoplication. This case study reports the history of a patient with this pathology and follows their medical and surgical course through initial treatment, recurrence and definitive minimally invasive surgical management. Additionally, the most up to date literature regarding appropriate preoperative management and definitive surgical intervention is discussed.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 92019
Program Number: V141
Presentation Session: Revisional Bariatrics/Foregut Video Session
Presentation Type: Video