High-resolution impedance manometric findings after surgery for epiphrenic diverticulum View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-12

AUTHORS

Tetsuro Maruyama, Masaya Uesato, Yasunori Akutsu, Isamu Hoshino, Yoshihide Semba, Nobuyoshi Takeshita, Naoki Akanuma, Yuka Isozaki, Daisuke Horibe, Mikito Mori, Tsuguaki Kono, Kiyohiko Shuto, Hisahiro Matsubara

ABSTRACT

An epiphrenic diverticulum is a pulsion pseudodiverticulum of the distal esophagus that is frequently associated with esophageal motility disorders. Therefore, a simple diverticulectomy leads to a poor outcome. High-resolution impedance manometry (HRIM), introduced recently, enables easier evaluation of both esophageal pressure and bolus transit dynamics. We report the case of a 40-year-old female diagnosed with an epiphrenic diverticulum with hypertensive lower esophageal sphincter pressure by use of HRIM. She underwent a laparoscopic transhiatal diverticulectomy with a long myotomy and Dor’s fundoplication and was discharged with no complications. Four weeks after the operation, HRIM was performed again, and showed no accumulation of water in the esophagus and improvement of bolus transit. We herein report the usefulness of HRIM for evaluation of esophageal motility disorders for patients with an epiphrenic diverticulum. More... »

PAGES

223-229

Journal

TITLE

Esophagus

ISSUE

4

VOLUME

10

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10388-013-0374-8

DOI

http://dx.doi.org/10.1007/s10388-013-0374-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1001018162


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