کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4280127 1611547 2011 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum
چکیده انگلیسی

BackgroundThe real incidence of epiphrenic diverticulum is unknown, and only 15% to 20% of cases are symptomatic.MethodsFrom January 1994 to May 2009, 20 patients were treated laparoscopically for this condition.ResultsThe most common operation performed was transhiatal diverticulectomy with myotomy and partial fundoplication. No case was converted to open surgery. Esophageal leak occurred in 1 patient (5%). The postoperative courses were uneventful in the remaining 19 patients. After a median follow-up period of 52 months (range, 1–141 months), 1 patient had died of squamous cell carcinoma, 1 had mild solid-food dysphagia, 1 had chest pain, and 1 had heartburn. Manometry was performed postoperatively in 7 patients; all had normal lower esophageal sphincter pressure. In 5 patients who underwent 24-hour postoperative pH monitoring, pathologic reflux was absent.ConclusionsIn patients with symptomatic epiphrenic diverticulum, laparoscopic surgery is feasible, providing good access to the distal esophagus and inferior mediastinum. Long-term outcomes are satisfactory.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 201, Issue 1, January 2011, Pages 132–135
نویسندگان
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