Achalasia and Epiphrenic Diverticulum

Fisichella, P. Marco; Dobrowolsky, Adrian

doi:10.1007/978-3-319-13569-4_12

Cited by 3 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Asymptomatic diverticula do not require treatment. However, patients with symptomatic dysphagia, regurgitation, or aspiration require therapy …”

Section: Discussionmentioning

confidence: 99%

“…If fundoplication is not added, postoperative reflux incidence can be as high as 48%. Surgical risk is generally related to staple line leakage after diverticulectomy, which can result in sepsis, pneumonia, empyema, or abscess formation . The overall mortality rate for surgical management of epiphrenic diverticula is around 5%, with morbidity rate as high as 20% …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Epiphrenic diverticula: An added source of complexity in achalasia management

Holmes

Kouanda

et al. 2019

Neurogastroenterology Motil

View full text Add to dashboard Cite

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. However, therapeutic options for epiphrenic diverticula are evolving as peroral endoscopic myotomy (POEM) becomes more commonplace. We review two cases of achalasia complicated by epiphrenic diverticula at our institution. In the first case, type II achalasia was identified and the patient underwent laparoscopic myotomy. In the second case, type III achalasia was present and the patient underwent successful POEM. We discuss the presentation, pathophysiology, and management of epiphrenic diverticula as well as the expanding role for POEM in diverticula.

show abstract

“…Asymptomatic diverticula do not require treatment. However, patients with symptomatic dysphagia, regurgitation, or aspiration require therapy …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Epiphrenic diverticula: An added source of complexity in achalasia management

Holmes

Kouanda

et al. 2019

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…Epiphrenic diverticula are located in the distal 10 cm of the esophagus and are associated with a high prevalence of motility disorders (e.g., achalasia, hypertensive LES, diffuse esophageal spasm, nonspecific motor disorder) . They may also result from other causes of increased pressure within the esophagus, such as esophageal outflow obstruction after a fundoplication operation .…”

Section: Epiphrenic Diverticulummentioning

confidence: 99%

What is the role of radiological testing of lower esophageal sphincter function?

Scharitzer¹,

Pokieser

2016

Annals of the New York Academy of Sciences

View full text Add to dashboard Cite

Radiological fluoroscopic evaluation remains the primary imaging modality of choice to evaluate patients with swallowing disorders, despite the increasing availability and technical advantages of nonradiological techniques and the current radiological focus on cross-sectional imaging studies, such as computed tomography and magnetic resonance imaging. The radiological swallowing evaluation should be tailored to assess the entire upper gastrointestinal tract, including the lower esophageal sphincter. Fluoroscopy enables the simultaneous assessment of esophageal motility disorders, as well as structural pathologies, including strictures, webs, rings, diverticula, and tumors. Mono- and double-contrast esophagrams and solid bolus tests together allow assessment of lower esophageal sphincter function and complement other methods, such as endoscopy, manometry, or impedance planimetry. Here we review the role of radiological studies for correct assessment of structural and functional pathologies at the level of the lower esophageal sphincter.

show abstract

Foregut Diverticula

Roh

2021

Korean J Fam Med

View full text Add to dashboard Cite

Diverticular disease can present anywhere along the gastrointestinal (GI) tract. It can result from various pathologies such as abnormal contraction within the GI tract or inflammation causing scar tissue and the resulting forces surrounding the GI tract. Its clinical presentation can vary from asymptomatic to severe symptoms, with significant decrease in quality of life. The treatment for various diverticula along the GI tract can also vary, depending on the severity of symptoms. This article describes diverticular disease occurring within the foregut, with emphasis on pathophysiology, clinical presentation, and treatment.

show abstract

Achalasia and Epiphrenic Diverticulum

Cited by 3 publications

References 23 publications

Epiphrenic diverticula: An added source of complexity in achalasia management

Epiphrenic diverticula: An added source of complexity in achalasia management

What is the role of radiological testing of lower esophageal sphincter function?

Foregut Diverticula

Contact Info

Product

Resources

About