3,516 results match your criteria Esophageal Diverticula


Tailoring Therapy for Achalasia.

Authors:
Joel E Richter

Gastroenterol Hepatol (N Y) 2020 May;16(5):249-257

Dr Richter is a professor of medicine, Hugh F. Culverhouse Chair for Esophageal Disorders, director of the Division of Digestive Diseases and Nutrition, and director of the Joy McCann Culverhouse Center for Esophageal and Swallowing Disorders at the University of South Florida Morsani College of Medicine in Tampa, Florida.

Achalasia is a rare esophageal motility disorder with impaired lower esophageal sphincter (LES) opening and aperistalsis. The disease cannot be cured and aperistalsis cannot be corrected, but good long-term symptom relief results from some degree of destruction to the obstruction of the LES. The presence of multiple treatment options with excellent scientific efficacy now offers the opportunity to tailor therapy for patients with achalasia. Read More

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Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs.

Vet Surg 2021 May 24. Epub 2021 May 24.

Clinical Sciences Department, Veterinary Teaching Hospital, Colorado State University, Fort Collins, Colorado, USA.

Objective: To describe the treatment of persistent right aortic arch (PRAA) in dogs with combined ligamentum arteriosum (LA) transection and esophageal diverticulum resection.

Animals: Three client owned dogs.

Study Design: Short case series. Read More

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Thoracoscopy for Esophageal Diverticula After Esophageal Atresia With Tracheo-Esophageal Fistula.

Front Pediatr 2021 4;9:663705. Epub 2021 May 4.

Department of Neonatal Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, China.

Esophageal diverticulum (ED) is an extremely rare complication of congenital esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) surgery. We aimed to investigate feasible methods for the treatment of this rare complication. We retrospectively reviewed all patients with EA/TEF at Beijing Children's Hospital from January 2015 to September 2019. Read More

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Variants and Pitfalls in PET/CT Imaging of Gastrointestinal Cancers.

Semin Nucl Med 2021 May 5. Epub 2021 May 5.

Molecular Imaging and Therapy Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address:

In the past two decades, PET/CT has become an essential modality in oncology increasingly used in the management of gastrointestinal (GI) cancers. Most PET/CT tracers used in clinical practice show some degree of GI uptake. This uptake is quite variable and knowledge of common patterns of biodistribution of various radiotracers is helpful in clinical practice. Read More

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[Endoscopic tunneling procedures in achalasia and gastroparesis].

Dtsch Med Wochenschr 2021 Apr 30;146(9):608-612. Epub 2021 Apr 30.

Klinik für Gastroenterologie, Gastroenterologische Tumortherapie und Diabetologie, Gemeinschaftsklinikum Mittelrhein, Kemperhof, Koblenz.

Since the first publication of peroral endoscopic myotomy (POEM) by Haruhiro Inoue et al. in 2008 in Japan, various novel endoscopic procedures have been established, which are performed after iatrogenic creation of a submucosal tunnel as a "new space" 1. Through the artificially formed access in the tela submucosa, interventions in the muscular layer of the esophagus and stomach can be performed while carefully sparing the mucosal layer 2. Read More

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Diverticular per oral endoscopic myotomy (DPOEM) for esophageal diverticular disease: a systematic review and meta-analysis.

Esophagus 2021 Jul 20;18(3):436-450. Epub 2021 Apr 20.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

The traditional way to tackle Zenker's diverticulum (ZD) has been flexible endoscopic septum division (FESD). Recently, the concept of per oral endoscopic myotomy has been found useful for managing diverticular diseases of the esophagus and has been termed DPOEM. We performed a systematic review and meta-analysis to evaluate the efficacy and safety of D-POEM in diverticular disease of the esophagus and to compare it with FESD. Read More

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Robotic video-assisted thoracoscopic surgery using multiport triangular trocar configuration: initial experience at a single center.

J Cardiothorac Surg 2021 Apr 13;16(1):77. Epub 2021 Apr 13.

Department of Thoracic Surgery, Choray Hospital, 202B Nguyen Chi Thanh Street, District No. 5, Hochiminh City, Vietnam.

Background: Recent developments in robotic technology have brought significant changes in robotic video-assisted thoracoscopic surgery (r-VATS) worldwide, particularly including the treatment in the thorax for the mediastinal, esophagus, and pulmonary lesions. Currently, there are only a few reports describing the procedural experience and outcomes with r-VATS. The objective of this study is to provide our initial experience using r-VATS at a single center, with specific attention to safety, efficacy, and procedural details. Read More

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Epiphrenic pulsion diverticulum: an uncommon cause of dysphagia and heartburn.

BMJ Case Rep 2021 Apr 7;14(4). Epub 2021 Apr 7.

Medicine, University of Malaya Faculty of Medicine, Kuala Lumpur, Malaysia

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Mid-oesophageal traction diverticulum in a patient with systemic lupus erythematosus.

BMJ Case Rep 2021 Apr 7;14(4). Epub 2021 Apr 7.

General Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

In this report, a case of a large mid-oesophageal traction diverticulum in a 66-year-old woman with systemic lupus erythematosus has been presented. She was initially managed conservatively with active surveillance for 6 years. When her symptoms progressed, she had repeat endoscopy and CT scan which showed an increase in size of the diverticulum to 6 cm in diameter. Read More

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Killian Jamieson Diverticulum: A Rare Cause of Dysphagia.

Cureus 2021 Mar 2;13(3):e13654. Epub 2021 Mar 2.

Department of Gastroenterology, Ascension Providence Hospital, Michigan State University/College of Human Medicine, Southfield, USA.

Killian-Jamieson diverticula (KJD) and Zenker's diverticula (more common) share similar pathophysiology but are considered to be different types of phrenoesophageal diverticula. A 55-year-old female presented to the clinic with chronic dysphagia, halitosis, and regurgitation. Imaging modalities confirmed a Killian-Jamieson diverticulum, explaining her symptoms. Read More

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Ultrasonographic characteristics of Killian-Jamieson diverticula.

J Clin Ultrasound 2021 Jul 31;49(6):527-532. Epub 2021 Mar 31.

Department of Medical Ultrasound, Affiliated Hospital to Nantong University, Nantong, China.

Purpose: A Killian-Jamieson diverticulum (KJD) may be mistaken for a thyroid nodule on ultrasound (US). The purpose of this retrospective study was to search for specific US features that would help differentiate between KJD and thyroid nodules.

Methods: A total of 12 patients with KJD who had undergone an US examination of the neck were identified. Read More

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Hybrid Repair of Kommerell Diverticulum and Aberrant Subclavian Artery with Compressive Symptoms and a New Strategy: Case Report.

Ann Vasc Dis 2021 Mar;14(1):60-63

Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.

Surgical indication and treatment for patients with Kommerell diverticulum and aberrant subclavian artery are still not well established. A patient with esophageal and tracheal compression resulting from these anatomical abnormalities was successfully treated with a hybrid approach of total arch replacement, frozen elephant trunk technique, aberrant left subclavian artery transection, and left subclavian artery reconstruction through median sternotomy. Compressive symptoms were relieved without resecting the enlarged diverticulum. Read More

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Reply to Dr. Mandavdhare.

Endoscopy 2021 04 29;53(4):456. Epub 2021 Mar 29.

Division of Gastroenterology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

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Submucosal dissection of the septum or submucosal tunneling endoscopic septum division: should we wander the free path or follow the tunnel?

Endoscopy 2021 04 29;53(4):455. Epub 2021 Mar 29.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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Flexible endoscopic Zenker's diverticulum treatments - too many in the tool box?

Authors:
Norio Fukami

Endoscopy 2021 04 29;53(4):354-356. Epub 2021 Mar 29.

Division of Gastroenterology and Hepatology, Mayo Clinic Arizona, Scottsdale, Arizona, United States.

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Cut and Tied: Esophageal Dysmotility and Epiphrenic Diverticulum Treated with Peroral Endoscopic Myotomy (POEM) and Septotomy.

Dig Dis Sci 2021 Mar 25. Epub 2021 Mar 25.

Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, USA.

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The incidence of reintervention and reoperation following Heller myotomy across multiple indications.

Surg Endosc 2021 Mar 17. Epub 2021 Mar 17.

Division of Bariatric, Foregut, and Advanced Gastrointestinal Surgery, Department of Surgery, Health Sciences Center, T19-053, Stony Brook Medicine, Stony Brook, NY, 11794-8191, USA.

Introduction: Achalasia is a debilitating primary esophageal motility disorder. Heller myotomy (HM) is a first-line therapy for the treatment of achalasia patients who have failed other modalities. Other indications for HM include diverticulum, diffuse esophageal spasm, and esophageal strictures. Read More

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[Transaxillary minimally invasive Zenker's diverticulectomy].

Khirurgiia (Mosk) 2021 (3):57-61

Petrovsky National Research Center of Surgery, Moscow, Russia.

We evaluated the possibility and effectiveness of transaxillary gas-free approach for minimally invasive Zenker's diverticulectomy. A 64-year-old patient with large Zenker's diverticulum (6 cm) and pathognomonic symptoms is presented. Transaxillary gas-free minimally invasive diverticulectomy was performed using an endoscopic linear stapler. Read More

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Per-oral Endoscopic Myotomy and Other Applications of Third Space Endoscopy: Current Status and Future Perspectives.

Surg Laparosc Endosc Percutan Tech 2021 Mar 12. Epub 2021 Mar 12.

Departments of Gastroenterology Radiodiagnosis Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Introduction: The modification of NOTES (natural orifice transluminal endoscopic surgery) by mucosal safety flap has introduced us to the world of third space endoscopy (TSE). POEM (per-oral endoscopic myotomy) for achalasia cardia being its first vista, the realm expanded so that we can now remove en bloc a subepithelial/intramural tumor by POET (per-oral endoscopic tumor resection), perform G-POEM (gastric per-oral endoscopic myotomy) for refractory gastroparesis, restore esophageal continuity in complete obstruction by performing POETRE (per-oral endoscopic tunneling for the restoration of the esophagus), divide the septum in Zenker diverticulum completely with negligible risk of perforation by Z-POEM (Zenker per-oral endoscopic myotomy) and relieve constipation in Hirschsprung disease by PREM (per-rectal endoscopic myotomy). However, the real potential of TSE became evident with the introduction of POEM with fundoplication. Read More

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Evaluating esophageal motility beyond primary peristalsis: Assessing esophagogastric junction opening mechanics and secondary peristalsis in patients with normal manometry.

Neurogastroenterol Motil 2021 Mar 11:e14116. Epub 2021 Mar 11.

Department of Medicine, Division of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Background: Functional luminal imaging probe (FLIP) Panometry assesses the esophageal response to distention and may complement the assessment of primary peristalsis on high-resolution manometry (HRM). We aimed to investigate whether FLIP Panometry provides complementary information in patients with normal esophageal motility on HRM.

Methods: Adult patients that completed FLIP and had an HRM classification of normal motility were retrospectively identified for inclusion. Read More

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[Arteria lusoria causing dyspnea: about a case].

Pan Afr Med J 2020 7;37:318. Epub 2020 Dec 7.

Service d´Anesthésie et Réanimation, Centre Hospitalo-Universitaire la Renaissance, N´Djamena, Tchad.

Arteria lusoria or retroesophageal right subclavian artery is the most common aortic arch malformation, accounting for 0.5-2.5% of cases. Read More

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Flexible endoscopic treatment for Zenker's diverticulum: from the lumen to the third space.

Ann Gastroenterol 2021 16;34(2):149-154. Epub 2021 Jan 16.

Endoscopy Unit, Humanitas Clinical and Research Center -IRCCS-, Rozzano, Italy (Roberta Maselli, Marco Spadaccini, Edoardo Vespa, Milena Di Leo, Alessandro Fugazza, Gaia Pellegatta, Piera Alessia Galtieri, Elisa Chiara Ferrara, Andrea Anderloni, Silvia Carrara, Alessandro Repici).

Zenker's diverticulum (ZD) is a rare outpouching of the esophageal mucosa herniating posteriorly through Killian's triangle. Treatments of ZD aim to dissect the cricopharyngeal muscle to remove the underlying dysfunctional condition. In the last decade, a septotomy performed utilizing a flexible endoscope has been reported as a safe and effective alternative to both open surgery and rigid endoscopic diverticulotomy. Read More

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January 2021

The Clinical Spectrum of Kommerell's Diverticulum in Adults with a Right-Sided Aortic Arch: A Case Series and Literature Overview.

J Cardiovasc Dev Dis 2021 Feb 26;8(3). Epub 2021 Feb 26.

Center for Congenital Heart Disease Amsterdam-Leiden (CAHAL), Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.

Background: Kommerell's diverticulum is a rare vascular anomaly characterized as an outpouch at the onset of an aberrant subclavian artery. In the variant of a right-sided aortic arch, the trachea and esophagus are enclosed dorsally by the arch. In the configuration of an aberrant left subclavian artery, a Kommerell's diverticulum and persisting ductus arteriosus or ductal ligament enclose the lateral side, forming a vascular ring which may result in (symptomatic) esophageal or tracheal compression. Read More

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February 2021

Letter to the Editors regarding 'A multi-centre analysis of a decade of endoscopic pharyngeal pouch surgery in Cheshire and Merseyside'.

J Laryngol Otol 2021 03 1;135(3):280. Epub 2021 Mar 1.

Department of Gastroenterology, Dudley Group NHS Foundation Trust, West Midlands, UK.

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Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review.

J Int Med Res 2021 Feb;49(2):300060521992234

Department of Geriatrics, 26447Peking University First Hospital, Beijing, China.

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature. Read More

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February 2021

[Diverticula in the gastrointestinal tract].

Authors:
Thomas Frieling

Internist (Berl) 2021 Mar 9;62(3):277-287. Epub 2021 Feb 9.

Medizinische Klinik II, Klinik für Innere Medizin mit Gastroenterologie, Hepatologie, Infektiologie, Neurogastroenterologie, Gastrointestinaler Onkologie, Hämatoonkologie und Palliativmedizin, Helios Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Deutschland.

The prevalence of diverticula varies depending on the location within the gastrointestinal tract. Diverticula of the esophagus, stomach and small intestine are rare, more frequent are peripapillary diverticula and colonic diverticula. Meckel diverticula can also be of relevance in adults. Read More

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Per Oral Endoscopic Myotomy for the Management of Large Esophageal Diverticula (D-POEM): Safe and Effective Modality for Complete Septotomy.

Dysphagia 2021 Feb 3. Epub 2021 Feb 3.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India.

With the advent of the technique of sub-mucosal tunnelling, peroral endoscopic myotomy (POEM) has been used for the treatment of esophageal diverticulum, which otherwise is a recurring problem with conventional flexible endoscopic treatment due to incompleteness of septotomy. This study reports our experience of the use of diverticular POEM (D-POEM) technique in the management of large esophageal diverticulum. This is a retrospective study of prospectively maintained database including all consecutive patients with symptomatic esophageal diverticulum presenting at a tertiary care academic center. Read More

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February 2021

Aberrant Left Subclavian Artery-Esophageal Fistula in a Patient with a Prolonged Use of Nasogastric Tube: A Case Report and Literature Review.

Diagnostics (Basel) 2021 Jan 28;11(2). Epub 2021 Jan 28.

Department of Radiology, Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju 52727, Korea.

Arterial-esophageal fistula is a rare but potentially fatal complication. Right aortic arch with aberrant left subclavian artery is a rare congenital vascular anomaly that can cause esophageal compression, particularly when the proximal portion of the aberrant subclavian artery forms a Kommerell's diverticulum. Prolonged use of a nasogastric tube can cause pressure necrosis of the esophagus. Read More

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January 2021