3,397 results match your criteria Esophageal Diverticula


Endoscopic treatment of Zenker's diverticulum by complete septotomy: initial experience in 19 patients.

Endosc Int Open 2020 Jul 16;8(7):E885-E890. Epub 2020 Jun 16.

Department of Gastroenterology, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.

Endoscopic treatment of Zenker's Diverticulum (ZD) using a flexible endoscope and a diverticuloscope consists of myotomy of the cricopharyngeus muscle, sparing the lower part of the diverticular septum. However, recurrence occurs in up to 54 % of patients at 4 years. We assessed the feasibility and safety of a complete septotomy in endoscopic treatment of ZD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1153-8985DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297605PMC

Pharyngo-esophageal complications of Ryle tube insertion in neonates: management and fate.

Eur Arch Otorhinolaryngol 2020 Jun 29. Epub 2020 Jun 29.

Phoniatrics Unit, Otorhinoloryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Introduction: The following provides clinical reporting of seven neonates with iatrogenic pharyngeal trauma due to forceful untrained use of nasogastric feeding tube. A range of symptoms were observed beginning with excessive frothy secretions culminating in more severe pneumothorax in some. These cases are presented in the context of an exhaustive literature review producing only 50 similar cases worldwide. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-020-06160-yDOI Listing

Laparoscopic transhiatal surgery for an epiphrenic esophageal diverticulum derived from a jackhammer esophagus: a case report.

Surg Case Rep 2020 Jun 29;6(1):151. Epub 2020 Jun 29.

Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Idaigaoka 1-1, Hasama-machi, Oita, 879-5593, Japan.

Background: An esophageal diverticulum is rare and is frequently associated with esophageal motility disorders. Jackhammer esophagus is also rare, is characterized by esophageal hypercontraction, and comprises 4.1% of esophageal motility disorders. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-00900-2DOI Listing

Congenital esophageal diverticulum in a very low birth weight infant: case report and review of literature.

Turk J Pediatr 2020 ;62(3):520-524

Departments of Neonatology, Kanuni Sultan Suleyman Training and Research Hospital, İstanbul, Turkey.

Background: A diverticulum is an outpouching of a tubular organ that is classified as congenital and acquired according to the involved layers of the gastrointestinal wall. Congenital true diverticulum has been very rarely seen in neonatal period and it is very difficult to diagnose it especially in premature infants.

Case: A male infant was born with birth weight of 1000 g at 28th gestational week, was hospitalized for prematurity and respiratory distress. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.24953/turkjped.2020.03.026DOI Listing
January 2020

Endoscopic pedicle flap grafting in the treatment of esophageal fistulas: A case report.

World J Clin Cases 2020 Jun;8(11):2359-2363

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Fistulization is a rare complication of esophageal diverticula. Patients with this condition often require surgery, which unfortunately can be invasive and traumatic. Endoscopic therapy is an alternative method for treating esophageal fistula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12998/wjcc.v8.i11.2359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281058PMC

Peroral endoscopic myotomy for management of gastrointestinal motility disorder.

World J Clin Cases 2020 Jun;8(11):2116-2126

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Achalasia is a type of esophageal motility disorder, consisting of relaxation dysfunction of the lower esophagus and disturbed esophageal peristalsis. Related clinical symptoms include dysphagia, regurgitation, chest pain, and weight loss. Traditional treatment options include endoscopic botulinum toxin injection, endoscopic pneumatic dilation, and laparoscopic Heller's myotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12998/wjcc.v8.i11.2116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281049PMC

Current possibilities of minimally invasive therapy of oesophageal diverticula.

Rozhl Chir 2020 ;99(4):152-158

Oesophageal diverticula represent a relatively rare pathology of the oesophagus requiring a specific diagnostic and therapeutic approach. Interventional therapy is indicated for symptomatic diverticula, diverticula with other pathologies (tumour in the diverticulum, gastroesophageal reflux disease, low-malignancy gastroesophageal junction tumours). The open surgical approach is being increasingly replaced by minimally invasive surgical, endoscopic and combined methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.33699/PIS.2020.99.4.152-158DOI Listing
January 2020

Clinical utility of cricopharyngeal distensibility measurements during endoscopic myotomy for Zenker's diverticulum.

Gastrointest Endosc 2020 Jun 11. Epub 2020 Jun 11.

Department of Gastroenterology & Hepatology, St George Hospital, NSW, Australia; University of New South Wales, Australia.

Background And Aims: Flexible endoscopic cricopharyngeal myotomy (FECM) allows minimally invasive treatment of patients with Zenker's diverticulum (ZD); however, retreatment rates are substantial. We hypothesized that the functional lumen imaging probe (FLIP) may provide insight into ZD pathophysiology and serve as an intraprocedural guide to adequacy of myotomy.

Methods: We prospectively evaluated 11 ZD patients undergoing FECM and compared the baseline cricopharyngeal distensibility with 16 controls. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2020.05.064DOI Listing

[Epiphrenic diverticulum of the lower third of the esophagus after previous antireflux surgery].

Khirurgiia (Mosk) 2020 (5):76-80

Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), Moscow, Russia.

In this article is described a rare postoperative complication: epiphrenal diverticulum of the esophagus of the lower third of the esophagus in patient after antireflux surgery. Brief description of the main stages of surgical treatment. 96 patients with cardiofundal, subtotal or total hiatal hernias underwent operation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia202005176DOI Listing

A dilemma of a case of Zenker diverticulum; leak or Acinetobacter baumannii?! A case report.

Int J Surg Case Rep 2020 29;71:274-276. Epub 2020 May 29.

Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.

Introduction: Zenker's diverticulum is an acquired mucosal pulsion of the upper esophagus. The aim of this paper is to report a case of Zenker's diverticulum with a complicated postoperative course including infection by Acinetobacter baumannii causing diagnostic as well as management dilemma.

Case Report: A 43-year-old male complained from dysphagia for three months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264014PMC

[Total Arch Replacement with Open Stent Grafting Technique for an Aberrant Subclavian Artery Cousing Dysphagia;Report of a Case].

Kyobu Geka 2020 Jun;73(6):445-448

Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.

An aberrant right subclavian artery (ARSCA) is a relatively rare congenital anomaly of the aortic arch branches. A 63-year-old man suffered from dysphagia, and was referred to our hospital. Computed tomography (CT) revealed an aortic aneurysm (Kommerell's diverticulum) and ARSCA which routed behind the esophagus. Read More

View Article

Download full-text PDF

Source

Gastric diverticula as a diagnostic and therapeutic challenge: Case report and review of literature.

Int J Surg Case Rep 2020 11;70:93-95. Epub 2020 May 11.

Department of Digestive Surgery, Farhat Hached Hospital, Faculty of Medicine of Sousse, University of Sousse, 4000, Sousse, Tunisia.

Introduction: Gastric diverticula are a rare condition characterized by a pouch protruding from the gastric wall. It is commonly asymptomatic and managed without surgery. Gastric diverticulotomy is indicated in the case of symptomatic or complicated diverticula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.04.053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229412PMC

Feasibility of Early Discharge after Open Hypopharyngeal Surgery for Dysphagia.

Ann Otol Rhinol Laryngol 2020 May 14:3489420916216. Epub 2020 May 14.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA, USA.

Objective: To determine the rate of surgical complications, unplanned readmission, and functional status after open hypopharyngeal surgery for dysphagia with early return to oral diet and hospital discharge.

Methods: Retrospective chart review of patients who underwent open hypopharyngeal surgery for management of dysphagia from March 2013 to June 2018 at a single academic institution. A clear liquid diet is restarted the day of surgery and is advanced to a soft diet on postoperative day one. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0003489420916216DOI Listing

Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China.

Surg Endosc 2020 Apr 28. Epub 2020 Apr 28.

Department of Gastroenterology, West China Hospital, Sichuan University, No. 37, Guo Xue Alley, Wuhou District, Chengdu, China.

Background: With the development of minimally invasive endoscopic approaches for the esophagus in recent years, peroral endoscopic myotomy (POEM) in the treatment of esophageal diverticulum has been described recently in some reports due to its successful outcomes. The aim of this study is to report our experience with the use of diverticular POEM (D-POEM) technique in the management of esophageal diverticulum.

Methods: This retrospective study included consecutive patients with symptomatic esophageal diverticulum who visited our endoscopy center between April 2014 and January 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-020-07593-6DOI Listing

Treatment of Epiphrenic Diverticulum: How I Do It.

J Laparoendosc Adv Surg Tech A 2020 Jun 21;30(6):653-658. Epub 2020 Apr 21.

Department of Surgery, San Raffaele Hospital, Milan, Italy.

Epiphrenic diverticulum is a rare esophageal disorder occurring as an outpouching of mucosa and submucosa through the muscular layers, within 10 cm above the cardia. As the majority of epiphrenic diverticula are asymptomatic, the real incidence varies because of a considerable number of cases detected incidentally during radiographic or endoscopic evaluation. Traditionally, the operation was performed through a left thoracotomy approach and the diverticulectomy was completed with esophago-cardial myotomy and a Belsey Mark IV fundoplication. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/lap.2020.0165DOI Listing

S-POEM in treatment of achalasia and esophageal epiphrenic diverticula - single center experience.

Scand J Gastroenterol 2020 Apr 6;55(4):509-514. Epub 2020 Apr 6.

Gastroenterology Clinic - Jessenius Faculty of Medicine, Comenius University in Bratislava (JFM CU), Martin, Slovakia.

Standard treatment for esophageal epiphrenic diverticula associated with achalasia includes surgical diverticulectomy, myotomy and anterior fundoplication. However, several case reports published recently suggest that endoscopic approach using per oral endoscopic myotomy is a safe and effective alternative. This is a retrospective review of a single center case series of patients with achalasia and epiphrenic diverticula. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00365521.2020.1745881DOI Listing

Oesophageal traction diverticulum resulting from pulmonary tuberculosis.

BMJ Case Rep 2020 Mar 31;13(3). Epub 2020 Mar 31.

Department of Surgery, Division of Thoracic and Esophageal Surgery, Georgetown University School of Medicine, Medstar Washington Hospital Center, Washington, DC, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2020-234836DOI Listing

Laparoscopic surgery for ventrally located epiphrenic diverticulum with esophageal achalasia.

Clin J Gastroenterol 2020 Mar 30. Epub 2020 Mar 30.

Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Kawara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Epiphrenic diverticulum is frequently associated with esophageal motility disorder, including esophageal achalasia. Heller's myotomy should accompany diverticulectomy to reduce the bulging pressure in surgery for epiphrenic diverticulum with esophageal achalasia. In such cases, designing myotomy is sometimes difficult, depending on the size and location of the diverticulum. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12328-020-01118-3DOI Listing

Thoracoscopic esophagectomy with left recurrent laryngeal nerve monitoring for thoracic esophageal cancer in a patient with a right aortic arch: a case report.

Surg Case Rep 2020 Mar 30;6(1):62. Epub 2020 Mar 30.

Department of Gastroenterological Surgery, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.

Background: Surgery for cases of thoracic esophageal cancer with a right aortic arch is rare, and the anatomic abnormalities in such patients necessitate a different surgical approach. Since the position of the recurrent laryngeal nerve often differs from the usual in these cases, the lymph node dissection around the recurrent laryngeal nerve, which is an important step in surgery for thoracic esophageal cancer, requires careful attention. There are some reports on the usefulness of intraoperative recurrent laryngeal nerve monitoring during esophageal cancer surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-00819-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7105558PMC

Clinical analysis of surgery for type III esophageal atresia via thoracoscopy: a study of a Chinese single-center experience.

J Cardiothorac Surg 2020 Mar 30;15(1):55. Epub 2020 Mar 30.

Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, 350001, P. R. China.

Purpose: The purpose of this study was to investigate the effectiveness and safety of the operation for type III esophageal atresia using a thoracoscope.

Methods: The clinical data for 92 patients with type III esophageal atresia in our hospital from January 2015 to December 2018 were analyzed retrospectively. There were 49 patients in group A who underwent thoracoscopic surgery and 43 patients in group B who underwent conventional surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13019-020-01097-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106587PMC

Transmucosal diverticular myotomy for the treatment of oesophageal diverticula associated with spastic motility disorders.

Gut 2020 Mar 26. Epub 2020 Mar 26.

Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, New South Wales, Australia.

Thoracic oesophageal diverticula are often associated with spastic motility disorders. Despite correction of the underlying motility disorder, in a subgroup of patients, symptoms persist, primarily regurgitation. Surgical diverticulectomy is then proposed; however, as the approach is thoracoscopic or via thoracotomy, it is associated with significant morbidity and cost. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/gutjnl-2019-320481DOI Listing

[Severe pneumonia and delirium in a 90-year-old male patient with postdeglutition regurgitation].

Internist (Berl) 2020 Apr;61(4):411-415

Abteilung für Geriatrie, Zentrum für Allgemeinmedizin und Geriatrie, Universitätsmedizin Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland.

Pneumonia and in particular aspiration pneumonia, is a common disease in geriatrics. These aspirations are often due to dysphagia, which is frequently first noticed in the context of a geriatric assessment. The reasons for dysphagia are manifold. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00108-020-00771-7DOI Listing

Robotic Foregut Surgery.

Surg Clin North Am 2020 Apr 11;100(2):249-264. Epub 2020 Feb 11.

NYU Grossman School of Medicine, New York, NY, USA.

Robotic-assisted surgery for benign esophageal disease is described for treatment of achalasia, gastroesophageal reflux, paraesophageal hernias, epiphrenic diverticula, and benign esophageal masses. Robotic Heller myotomy has operative times, relief of dysphagia, and conversion rates comparable to laparoscopic approach, with lower incidence of intraoperative esophageal perforation. The use of robotic platform for primary antireflux surgery is under evaluation, due to prolonged operative time and increased operative costs, with no differences in postoperative outcomes or hospital stay. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.suc.2019.11.002DOI Listing

Endoscopic Transversal Incision and Longitudinal Septostomy (TILS): An updated Technique for Treating Esophageal Diverticulum (with video).

Dig Dis 2020 Mar 11. Epub 2020 Mar 11.

The esophageal diverticulum is a protruding pouch in a weak portion of the esophageal lining. Previously, our team has reported an endoscopic tunneling technique (STESD) for diverticulum treatment. However, it does not perform well for the diverticulum located in the upper esophagus, where most diverticulum locates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000507077DOI Listing

Per-oral endoscopic myotomy with septotomy for the treatment of distal esophageal diverticula (D-POEM).

Surg Endosc 2020 May 6;34(5):2321-2325. Epub 2020 Mar 6.

Digestive Endoscopy Unit, Gastroenterology Department, Hopital Nord, APHM, Marseille, France.

Background And Aims: Epinephric diverticula are frequently associated with esophageal motility disorder. Their management implies surgery, with 15% morbidity and 3% mortality rates. Flexible endoscopy could be an effective and safer approach for treating esophageal diverticulum with motility disorder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-019-07354-0DOI Listing

Visualization of Killian-Jamieson bilateral diverticulum in gastro-esophageal reflux scintigraphy with [Tc]Tc-nanocolloid.

Rev Esp Med Nucl Imagen Mol 2020 Mar 3. Epub 2020 Mar 3.

SPECT Medicina Nuclear S.A.S., Universidad Autónoma de Bucaramanga (UNAB), Bucaramanga, Santander, Colombia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.remn.2020.01.009DOI Listing

Esophageal Ulcer Due to Ectopic Pancreatic Tissue: A Case Report.

Middle East J Dig Dis 2020 Jan;12(1):45-47

Fellow of Gastroenterology, Ahvaz Jundishapur University of Medical Science Ahvaz, Iran.

Heterotopic pancreatic tissue, known as pancreatic rest, is a pancreatic tissue that lacks anatomic and vascular continuity with the main body of the pancreas. Common locations for this tissue include the stomach, duodenum, jejunum, Meckel diverticulum, and ileum. In this report, we present a case of a patient whose pancreatic rest was diagnosed primarily during the investigation of dysphagia with solid foods and it was located in the mid esophagus as an unusual location. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.15171/mejdd.2020.163DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023651PMC
January 2020

Incidental 18F-Fluorocholine Uptake in an Esophageal Diverticulum: 18F-FCH in an Esophageal Diverticulum.

Clin Nucl Med 2020 Apr;45(4):e190-e191

From the Nuclear Medicine Department.

F-fluorocholine has recently emerged as a very sensitive agent for seeking parathyroid adenomas. We represent a case with esophageal diverticulum incidentally detected on F-fuorocholine PET/CT, which should be kept in mind as a reason of false positivity in primary hyperparathyroidism. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/RLU.0000000000002947DOI Listing

Zenker's diverticulum treated with submucosal tunneling endoscopic septum division surgery: Two case reports.

Medicine (Baltimore) 2020 Jan;99(5):e18659

Department of Gastroenterology, Ningbo First Hospital, Ningbo.

Introduction: Zenker's diverticulum (ZD) refers to a pouch-like structure similar to the esophageal lumen formed from the herniation of the esophageal mucosa; this structure makes it difficult for food to pass through the esophagus to the stomach. The development of endoscopic technology has made minimally invasive surgical treatments for ZD possible.

Patient Concerns: A female 72-year-old patient was admitted to our hospital due to recurrent dysphagia for more than 5 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000018659DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004738PMC
January 2020

Peroral endoscopic myotomy alone is effective for esophageal motility disorders and esophageal epiphrenic diverticulum: a retrospective single-center study.

Surg Endosc 2020 Jan 28. Epub 2020 Jan 28.

Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Chu-o-ku, Kusunoki-cho, Kobe, Hyogo, 650-0017, Japan.

Background: Esophageal epiphrenic diverticulum (ED) is associated with esophageal motility disorder (EMD). If a diverticulum associated with EMD is enlarging with worsening symptoms, surgical intervention, including laparoscopic epiphrenic diverticulectomy with myotomy and fundoplication, is indicated. However, some studies suggest that myotomy alone, with less adverse events, is sufficient to improve symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-019-07340-6DOI Listing
January 2020

Reply to Jacobs et al.

Endoscopy 2020 02 28;52(2):154. Epub 2020 Jan 28.

Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1026-6084DOI Listing
February 2020

Two birds, one scope: peroral endoscopic myotomy as a treatment for achalasia and esophageal diverticula.

Endoscopy 2020 02 28;52(2):153. Epub 2020 Jan 28.

Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, United States.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1024-4062DOI Listing
February 2020

Advanced squamous cell carcinoma in an asymptomatic, large, epiphrenic esophageal diverticulum.

Clin J Gastroenterol 2020 Jan 27. Epub 2020 Jan 27.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachi-dori, Chuo-ku, Niigata , Niigata, 951-8510, Japan.

An asymptomatic epiphrenic diverticulum (ED) was diagnosed in a man undergoing annual esophagogastroduodenoscopy (EGD) at another hospital 40 years before he presented to our hospital at age 63 years for his annual EGD. However, because substantial food retention was found in the ED, we could not confirm a lesion. After the retained food was removed endoscopically, a second EGD showed a reddish, flat lesion with an elevated mass within the ED. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12328-020-01098-4DOI Listing
January 2020

Dissected aberrant right subclavian artery with Kommerell diverticulum.

Rev Port Cardiol 2019 Oct 20;38(10):737.e1-737.e4. Epub 2020 Jan 20.

Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain.

Aberrant right subclavian artery is the most frequent anomaly of the aortic arch, and in 60% of cases is associated with Kommerell diverticulum. It is usually asymptomatic but may present with dysphagia or asthma due to esophageal and tracheal compression. Indications for surgical repair have not been established; however, when Kommerell diverticulum is complicated by aortic dissection the treatment is surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.repc.2017.07.023DOI Listing
October 2019

A Rare Case of Bleeding Epiphrenic Esophageal Diverticulum From Arteriovenous Malformations.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620901942

Temple University Hospital, Philadelphia, PA, USA.

Epiphrenic esophageal diverticula (EED) is a rare condition that usually presents with dysphagia in patients with a known motility disorder. In this article, we present a unique case of EED presenting with hemoptysis with clinical workup negative for any pulmonary pathology. Esophagogastroduodenoscopy revealed arteriovenous malformations within the EED successfully managed with argon plasma coagulation (APC), leading to a resolution of the patient's symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2324709620901942DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6978818PMC
January 2020

Peroral Endoscopic Myotomy for Achalasia Combined with Submucosal Marsupialization of an Epiphrenic Diverticulum.

GE Port J Gastroenterol 2020 Jan 22;27(1):50-52. Epub 2019 May 22.

Digestive Oncology Unit, Champalimaud Foundation, Lisbon, Portugal.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000499679DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959105PMC
January 2020

Surgery for Killian-Jamieson diverticulum: a report of two cases.

Surg Case Rep 2020 Jan 13;6(1):17. Epub 2020 Jan 13.

Department of Surgery, Kurume University School of Medicine, 67, Asahimachi, Kurume City, Fukuoka Prefecture, 830-0011, Japan.

Background: Killian-Jamieson diverticulum (KJD) is a rare diverticulum arising from a muscular gap in the anterolateral wall of the proximal cervical esophagus. The first choice of treatment for KJD remains controversial due to its rare incidence. Here, we report two cases of KJD for which we performed different surgery: diverticulectomy in one case and diverticulopexy in the other. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s40792-020-0789-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957605PMC
January 2020

Response.

Authors:
Mouen A Khashab

Gastrointest Endosc 2020 01;91(1):205-206

Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2019.08.002DOI Listing
January 2020

Is Z-POEM for Zenker's the same as POEM for achalasia? Or we are barking up the wrong tree?

Gastrointest Endosc 2020 01;91(1):204-205

Department of Interdisciplinary Endoscopy, University Hospital Mainz, Mainz, Germany.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2019.07.028DOI Listing
January 2020

Will there be light at the end of this tunnel?

Gastrointest Endosc 2020 01;91(1):169-171

Division of Gastroenterology and Hepatology, Mayo Clinic Florida, Jacksonville, Florida, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.gie.2019.10.017DOI Listing
January 2020

Third Space Endoscopy: Lessons Learnt From a Decade of Submucosal Endoscopy.

J Clin Gastroenterol 2020 Feb;54(2):114-129

Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, Maharashtra, India.

The field of third space endoscopy (TSE), also called submucosal endoscopy using a mucosal flap valve, allows secure access to the submucosal and deeper layers of the gastrointestinal tract without the risk of a full-thickness perforation. Since the first description of per-oral endoscopic myotomy (POEM) for the treatment of achalasia cardia 10 years ago, this field has expanded rapidly. Several new procedures, submucosal tunneling endoscopic resection, gastric-POEM, Zenker POEM, per-rectal endoscopic myotomy, diverticular POEM, and recanalization for complete esophageal obstruction (per-oral endoscopic tunneling for restoration of the esophagus), have been performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MCG.0000000000001296DOI Listing
February 2020

The oesophageal diverticulum of Dirioxa pornia studied through micro-CT scan, dissection and SEM studies.

BMC Biotechnol 2019 12 18;19(Suppl 2):89. Epub 2019 Dec 18.

School of Agriculture, Food and Wine, The University of Adelaide, Adelaide, SA, Australia.

Background: Dirioxa pornia (Diptera, Tephritidae) (Island fly) is an Australian native species related to a number of pestiferous fruit flies but, unlike many of the pest species, has not been studied extensively due to its non-pest status. However, due to D. pornia's apparent reliance on the bacteria for survival it is an ideal species to undertake studies into interaction between Tephritid species and bacteria associated with the intestinal tract. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12896-019-0585-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6918637PMC
December 2019

Multiple Gastric Diverticula.

GE Port J Gastroenterol 2019 Oct 4;26(6):454-455. Epub 2019 Jan 4.

Pediatric Gastroenterology Unity of Centro Materno-Infantil do Norte, Centro Hospitalar e Universitário do Porto, Porto, Portugal.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000495701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876580PMC
October 2019

Long-term outcomes of per-oral endoscopic myotomy in a patient with distal esophageal spasm followed up for 2.5 years: two sides of the same coin - A Case Report and Literature Review.

Z Gastroenterol 2019 Dec 11;57(12):1481-1486. Epub 2019 Dec 11.

Department of Gastroenterology, Ninghe Hospital of Tianjin, Tianjin, China.

Introduction:  Distal esophageal spasm (DES), a relatively rare condition, is characterized by simultaneous contractions of the distal esophagus and manifested by dysphagia and chest pain. Several treatment options are recommended, such as pharmacological therapy, endoscopic interventions, and surgical myotomy. Recently, per-oral endoscopic myotomy (POEM) has been adopted as an effective and less-invasive treatment due to its excellent short-term clinical outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1008-3776DOI Listing
December 2019

Epiphrenic diverticula: An added source of complexity in achalasia management.

Neurogastroenterol Motil 2020 03 27;32(3). Epub 2019 Nov 27.

Division of Gastroenterology and Hepatology, Department of Medicine, University of California - San Francisco, San Francisco, California.

Epiphrenic (pulsion) esophageal diverticula can occur in the setting of underlying esophageal motility disorders such as achalasia and present a unique management challenge to the gastroenterologist. Asymptomatic diverticula do not require treatment, but symptomatic diverticula require therapy targeted to the underlying esophageal motility disorder, or else the diverticula will recur. Generally, laparoscopic or combined laparoscopic/thoracoscopic myotomy, diverticulectomy, and anterior fundoplication are required. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/nmo.13761DOI Listing

Paradigm shift in esophageal diverticulum treatment: is the peroral endoscopic myotomy (POEM) technique the best method?

Authors:
Hiroki Sato

Endoscopy 2019 12 27;51(12):1117-1118. Epub 2019 Nov 27.

Division of Gastroenterology, Niigata University Medical and Dental Hospital, Niigata City, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1012-1977DOI Listing
December 2019

[New combined endoscopic method of Zenker's diverticulum treatment].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2019 Aug;27(Special Issue):721-728

A. S. Loginov City Clinical Scientific Centre, 111123, Moscow, Russia,

Endoscopic treatment methods are currently a priority in the treatment of patients with Zenker's diverticulum. The optimal endoscopy should combine the positive aspects of traditional and tunnel technologies and be fairly simple from technical standpoint, the most radical and safe for the patient. This work evaluates the effectiveness of endoscopic cricopharyngeal esophagomyotomy using combined methods of treating patients with Zenker's diverticulum. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.32687/0869-866X-2019-27-si1-721-728DOI Listing
August 2019
7 Reads

Zenker's diverticulotomy with bipolar tissue sealer: Retrospective review of safety and short-term outcomes.

Am J Otolaryngol 2020 Jan - Feb;41(1):102325. Epub 2019 Oct 25.

Division of Otolaryngology, Department of Surgery, University of California San Diego, La Jolla, CA, United States of America. Electronic address:

Objectives: The objective of this study is to analyze and report the institution's experience using the Enseal bipolar tissue sealing device to perform endoscopic Zenker's diverticulotomy. Safety and early functional outcomes are presented as primary endpoints of the study.

Materials & Methods: This is a retrospective study of consecutive patients with Zenker's diverticulum (ZD) treated via a transoral approach using a rigid endoscope and a bipolar tissue sealer between 2011 and 2019. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjoto.2019.102325DOI Listing