1998
DOI: 10.1016/s1010-7940(98)00201-2
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Tailored surgery for esophageal body diverticula1

Abstract: Based upon our experience, we believe that any case of diverticulum of the esophageal body deserves a complete physiopathological evaluation because an underlying functional disorder is associated in most cases. The evidence that the diverticulum per se can be considered as the ultimate phenomenon of an underlying functional disease determined the need for a tailored surgery, planning treatment of the functional disorder as the primary goal, not necessarily associated with a diverticulectomy. In our experience… Show more

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Cited by 47 publications
(45 citation statements)
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“…Diverticula in asymptomatic patients are largely incidental findings. Asymptomatic patients have been followed up to determine outcome; however, these numbers are small [11,[22][23][24][25][26]. Currently, there are insufficient data in the literature to help predict the natural history of asymptomatic patients [5].…”
Section: Indications For Treatmentmentioning
confidence: 99%
“…Diverticula in asymptomatic patients are largely incidental findings. Asymptomatic patients have been followed up to determine outcome; however, these numbers are small [11,[22][23][24][25][26]. Currently, there are insufficient data in the literature to help predict the natural history of asymptomatic patients [5].…”
Section: Indications For Treatmentmentioning
confidence: 99%
“…Midesophageal diverticula have also been reported in cases of anthracosis, sarcoidosis, histoplasmosis, and lymphoma, all with a presumed similar pathogenesis [190]. Over the past 50 years, it has become recognized that the majority of both midesophageal and epiphrenic diverticula are seen in conjunction with esophageal dysmotility [191][192][193][194][195]. They are typically referred to as pulsion-type diverticula, caused by increased intralumenal pressure induced by high-amplitude or simultaneous esophageal body contractions or failed LES relaxation.…”
Section: Midesophageal and Epiphrenic Diverticulamentioning
confidence: 99%
“…[10][11][12][13] Nowadays, there is no consensus on the type of surgical access, the length of the myotomy or the type of antirefl ux technique. [1,7,14,[16][17][18][19][20][21] The conventional surgical procedure that was usually performed consisted a left thoracotomy, di-verticulectomy, myotomy and a Belsey Mark IV procedure, nonetheless, this treatment implicates a non-negligible morbidity rate reaching up to 20-25% of patients, the most important one being suture line leakage and a mortality up 5%.…”
Section: Introductionmentioning
confidence: 99%