Abstract
Esophageal diverticula present in a variety of ways from asymptomatic to debilitating symptoms such as dysphagia, regurgitation, and aspiration events. Proper workup is targeted at evaluating not only the anatomy of the diverticula but also its underlying cause. Epiphrenic and Zenker’s diverticula (pulsion type) are usually due to inherent dysmotility diseases or anatomical obstruction of the lower and upper esophageal sphincters, respectively. Midbody diverticula (traction type) tend to be due to factors external to the esophagus such as mediastinal or pleural inflammatory or neoplastic processes. Toward this end, our diagnostic workup includes upper endoscopy, contrast esophagram, and high-resolution esophageal manometry. While small, symptomatic diverticula may be treated with esophageal myotomy alone, larger ones are generally treated with surgical resection of the diverticulum, especially if food or fluid trapping occurs.
Original language | English |
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Title of host publication | Atlas of Robotic Upper Gastrointestinal Surgery |
Publisher | Springer International Publishing |
Pages | 9-16 |
Number of pages | 8 |
ISBN (Electronic) | 9783030865788 |
ISBN (Print) | 9783030865771 |
DOIs | |
State | Published - Jan 1 2021 |
Keywords
- Epiphrenic diverticulum
- Esophageal diverticulectomy