Open surgical management of oesophageal diverticulum
- Resource Type
- Authors
- Pascal Thomas; M. Ouattara; Henri de Lesquen; Lucile Gust; Xavier Benoit D’Journo
- Source
- Multimedia manual of cardiothoracic surgery : MMCTS. 2015
- Subject
- Myotomy
medicine.medical_specialty
medicine.medical_treatment
Fundoplication
Oesophageal motility disorder
digestive system
Gastroenterology
Esophageal Sphincter, Lower
Internal medicine
Submucosa
medicine
Lower oesophageal sphincter
Humans
Oesophageal diverticulum
Partial fundoplication
business.industry
Reflux
General Medicine
medicine.disease
digestive system diseases
Surgery
medicine.anatomical_structure
Gastroesophageal Reflux
Diverticulum, Esophageal
business
Diverticulum
- Language
- ISSN
- 1813-9175
Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the muscular layers of the oesophageal wall in its lower third. An increased intraluminal pressure associated with an oesophageal motility disorder is usually present in the pathophysiology of the disease. Surgical treatment is indicated mostly in symptomatic patients. The current surgical treatment consists in: (i) removing the diverticulum; (ii) relieving the functional distal obstruction with an oesophageal myotomy including the lower oesophageal sphincter; and (iii) preventing an associated reflux by the addition of a non-obstructive partial fundoplication. Minimally invasive techniques have been reported, but traditional open procedures remain the treatment of choice of the disease.