Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum

Nik Ritza Kosai Nik Mahmood, Hardip Singh Gendeh, Jing Liang Ho, Yi Rong Chiew, Mustafa Mohamed Taher, Paul Anthony Sutton

Research output: Contribution to journalArticle

Abstract

Epiphrenic diverticulum is a rare form of oesophageal diverticulum involving the distal part of the oesophagus. We report the case of a 51 year-old lady who initially presented with nocturnal coughing and volume reflux. Clinical examination was unremarkable as were initial routine blood investigations. A plain chest radiograph, barium swallow, and computed tomography were performed which demonstrated features of a large oesophageal diverticulum. Oesophagogastroduodenoscopy revealed a wide neck, single diverticulum within the lower third of the oesophagus. Oesophageal manometry undertaken revealed normal oesophageal peristalsis and lower oesophageal sphincter pressure. An elective total transhiatal laparoscopic diverticulectomy with Heller’s cardiomyotomy and fundoplication was performed with good symptomatic improvement. The patient made an uneventful recovery and remains symptom free two years post-operatively.

Original languageEnglish
Pages (from-to)141-144
Number of pages4
JournalEastern Journal of Medicine
Volume21
Issue number3
DOIs
Publication statusPublished - 2016

Fingerprint

Esophageal Diverticulum
Diverticulum
Esophagus
Digestive System Endoscopy
Peristalsis
Fundoplication
Lower Esophageal Sphincter
Manometry
Barium
Deglutition
Neck
Thorax
Tomography
Pressure

Keywords

  • Cardiomyotomy
  • Diverticulectomy
  • Endoscopic
  • Epiphrenic
  • Fundoplication

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum. / Nik Mahmood, Nik Ritza Kosai; Gendeh, Hardip Singh; Ho, Jing Liang; Chiew, Yi Rong; Taher, Mustafa Mohamed; Sutton, Paul Anthony.

In: Eastern Journal of Medicine, Vol. 21, No. 3, 2016, p. 141-144.

Research output: Contribution to journalArticle

Nik Mahmood, Nik Ritza Kosai ; Gendeh, Hardip Singh ; Ho, Jing Liang ; Chiew, Yi Rong ; Taher, Mustafa Mohamed ; Sutton, Paul Anthony. / Laparoscopic totally transhiatal diverticulectomy of giant epiphrenic oesophageal diverticulum. In: Eastern Journal of Medicine. 2016 ; Vol. 21, No. 3. pp. 141-144.
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