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  Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum [Eastern J Med]
Eastern J Med. 2016; 21(3): 141-144 | DOI: 10.5505/ejm.2016.15863  

Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum

Nik Ritza Kosai1, Hardip Singh Gendeh1, Jing Liang Ho1, Yi Rong Chiew1, Mustafa Mohamed Taher1, Paul Anthony Sutton2
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Epiphrenic diverticulum is a rare form of oesophageal diverticulum involving the distal part of the oesophagus. We report the case of a 51 year-old lady who initially presented with nocturnal coughing and volume reflux. Clinical examination was unremarkable as were initial routine blood investigations. A plain chest radiograph, barium swallow, and computed tomography were performed which demonstrated features of a large oesophageal diverticulum. Oesophagogastroduodenoscopy revealed a wide neck, single diverticulum within the lower third of the oesophagus. Oesophageal manometry undertaken revealed normal oesophageal peristalsis and lower oesophageal sphincter pressure. An elective total transhiatal laparoscopic diverticulectomy with Hellerís cardiomyotomy and fundoplication was performed with good symptomatic improvement. The patient made an uneventful recovery and remains symptom free two years post-operatively.

Keywords: Fundoplication, diverticulectomy, endoscopic, cardiomyotomy; epiphrenic


Nik Ritza Kosai, Hardip Singh Gendeh, Jing Liang Ho, Yi Rong Chiew, Mustafa Mohamed Taher, Paul Anthony Sutton. Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum. Eastern J Med. 2016; 21(3): 141-144


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