Version 1
: Received: 7 May 2024 / Approved: 7 May 2024 / Online: 7 May 2024 (23:44:25 CEST)
How to cite:
Okamoto, K.; Kinoshita, J.; Saito, H.; Ninomiya, I.; Inaki, N.; Takamura, H. Simultaneous Laparoscopic Surgery for Esophageal Achalasia Combined with Epiphrenic Diverticulum: A Case Report. Preprints2024, 2024050403. https://doi.org/10.20944/preprints202405.0403.v1
Okamoto, K.; Kinoshita, J.; Saito, H.; Ninomiya, I.; Inaki, N.; Takamura, H. Simultaneous Laparoscopic Surgery for Esophageal Achalasia Combined with Epiphrenic Diverticulum: A Case Report. Preprints 2024, 2024050403. https://doi.org/10.20944/preprints202405.0403.v1
Okamoto, K.; Kinoshita, J.; Saito, H.; Ninomiya, I.; Inaki, N.; Takamura, H. Simultaneous Laparoscopic Surgery for Esophageal Achalasia Combined with Epiphrenic Diverticulum: A Case Report. Preprints2024, 2024050403. https://doi.org/10.20944/preprints202405.0403.v1
APA Style
Okamoto, K., Kinoshita, J., Saito, H., Ninomiya, I., Inaki, N., & Takamura, H. (2024). Simultaneous Laparoscopic Surgery for Esophageal Achalasia Combined with Epiphrenic Diverticulum: A Case Report. Preprints. https://doi.org/10.20944/preprints202405.0403.v1
Chicago/Turabian Style
Okamoto, K., Noriyuki Inaki and Hiroyuki Takamura. 2024 "Simultaneous Laparoscopic Surgery for Esophageal Achalasia Combined with Epiphrenic Diverticulum: A Case Report" Preprints. https://doi.org/10.20944/preprints202405.0403.v1
Abstract
We report a case in which a 74-year-old man suffering from esophageal achalasia complicated with epiphrenic esophageal diverticulum was successfully treated with a simultaneous laparoscopic surgery. The gentleman was referred with symptoms suggestive of a passage disorder in lower esophagus from 5 years. Esophagogastroduodenoscopy demonstrated an epiphrenic diverticulum at the left wall of the lower esophagus, and esophagography led to the suspicion of a combined esophageal achalasia. A simultaneous laparoscopic surgery, with an abdominal approach was performed in which, following the opening of the esophageal hiatus, the diverticular wall was separated from the mediastinal organs and diverticulectomy was performed with linear staplers. After Heller’s myotomy, Dor’s fundoplication was subsequently performed in which both incisional line of muscle layer and the suturing line of diverticulectomy were wrapped by the fornix of stomach to make up for the wall strength and avoid the suture leakage. It was theoretically considered logical and effective to reinforce this vulnerable site with Dor’s fundoplication. He had an uneventful recovery and a rapid relief from symptoms following surgery.
Keywords
achalasia; epiphrenic diverticulum; laparoscopic surgery
Subject
Medicine and Pharmacology, Gastroenterology and Hepatology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
,
,
,
,
