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Case Reports
. 2006 Oct-Dec;10(4):525-7.

Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution

S C Donkervoort  1 , L C Baak, J L G Blaauwgeers, M F Gerhards
Affiliations
Case Reports

Laparoscopic resection of a symptomatic gastric diverticulum: a minimally invasive solution

S C Donkervoort et al. JSLS. 2006 Oct-Dec.

Abstract

Gastric diverticula are rare and occasionally symptomatic. A sensation of fullness in the upper abdomen immediately after meals is the most common symptom. Dyspepsia and vomiting are less common. Ulceration with hemorrhage or perforation has been reported. If it is thought that complaints can be ascribed to the diverticulum and if proton pump inhibitors do not relieve symptoms, surgical resection is an option. Knowledge of the pitfalls in diagnosis and treatment of a gastric diverticulum are essential for successful and complete relief of symptoms. We report a successful laparoscopic approach as a minimally invasive solution to a symptomatic gastric diverticulum.

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Figures

Figure 1.
Figure 1.
A barium study reveals a posteriorly located gastric diverticulum 2cm from the gastroesophageal junction (GOJ).
Figure 2.
Figure 2.
The gastric diverticulum dissected from its vascular adhesions to the retro peritoneum and its resection at the neck with the EndoGIA (Universal, Surgical Corporation, Norwalk, CO).
Figure 3.
Figure 3.
Histology showed a gastric diverticulum of 5.5×4×2.5 cm.
See this image and copyright information in PMC

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