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2019, Number 1

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Cir Gen 2019; 41 (1)

Minimal invasion thoracic management of esophageal diverticulum. Case report and literature review

Sotelo-Estévez JC, Souza-Gallardo LM, Kim-Koh MJ, Pérez MD, Alanis ME

Language: Spanish
References: 31
Page: 54-60
PDF size: 308.15 Kb.


ABSTRACT

Esophageal diverticula are evaginations of the esophageal wall in the form of a blind pouch that communicates with the lumen. They are rare, with a reported prevalence of 0.06-4%, and are usually incidental findings during endoscopic surveillance. Their peak incidence is in the fifth decade of life; they affect both men and women equally. Case report: In a seventy-three year old female a minimally invasive thoracic approach was performed. Blunt and sharp dissection was made, identifying an epiphrenic diverticulum with a 5 cm base. The lesion was dissected; the resection was performed using a linear laparoscopic stapler. Total surgical time was 280 minutes, with transoperative bleeding of 100 cm3. There were no complications and the patient was transferred to the recovery room without the need for ventilatory support. Conclusion: Laparo-endoscopic management with minimally invasive diverticulectomy and a prophylactic esophageal prosthesis is a feasible option. This approach may lower associated morbidity in high-risk patients. The possible complications of the surgical treatment should always be taken into consideration, and management of these will depend on the patient’s clinical condition and the available hospital resources.


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