Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Apr;15(2):352-355.
doi: 10.1111/ases.12993. Epub 2021 Oct 3.

Laparoscopic trans-hiatal approach in a rare case of double giant epiphrenic diverticula: A case report

Piyanun Wangkulangkul  1   2 , Suphawat Laohawiriyakamol  1 , Siripong Chewatanakornkul  1   2
Affiliations
Case Reports

Laparoscopic trans-hiatal approach in a rare case of double giant epiphrenic diverticula: A case report

Piyanun Wangkulangkul et al. Asian J Endosc Surg. 2022 Apr.

Abstract

The transthoracic approach for esophageal diverticulectomy saves dissection but limits the amount of antireflux surgery that can be done. However, the laparoscopic trans-hiatal approach usually limits access to large diverticula located at the mid-thoracic level. We describe a 67-year-old Thai man who had two giant epiphrenic diverticula (ED) (11 × 7.6 cm and 3.2 × 3.4 cm). The highest part of the fundus of the larger ED was 12.6 cm above the hiatus. Preoperative esophageal manometry and an upper gastrointestinal study showed no obvious features of motility disorder. In addition, the clinical evaluation of the esophagogastroduodenoscopy revealed a hiatal hernia. Laparoscopic trans-hiatal esophageal diverticulectomy with intraoperative assessment by endoscopy was carried out. A partial wrap using Dor fundoplication was constructed without myotomy. There were no postoperative related complications. We believe that tailor-made operations in unusual cases can be safe using combined techniques to reduce postoperative morbidity.

Keywords: giant epiphrenic diverticula; laparoscopic trans-hiatal; two epiphrenic diverticula.

PubMed Disclaimer

References

REFERENCES

    1. Yam J, Baldwin D, Ahmad SA. Esophageal Diverticula. StatPearls; 2021.
    1. Herbella FA, Patti MG. Modern pathophysiology and treatment of esophageal diverticula. Langenbecks Arch Surg. 2012;397(1):29-35.
    1. Fisichella PM. Laparoscopic repair of epiphrenic diverticulum. Semin Thorac Cardiovasc Surg. 2012;24(3):223-228.
    1. Thomas ML, Anthony AA, Fosh BG, Finch JG, Maddern GJ. Oesophageal diverticula. Br J Surg. 2001;88(5):629-642.
    1. Fujinaga A, Shibata T, Etoh T, et al. Laparoscopic transhiatal surgery for an epiphrenic esophageal diverticulum derived from a jackhammer esophagus: a case report. Surg Case Rep. 2020;6(1):151.

Publication types

LinkOut - more resources