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Diverticula of the esophagus
Stephen D Cassivi1, Claude Deschamps, Francis C Nichols
1Division of General Thoracic Surgery, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA.
The Surgical Clinics of North America
|June 2, 2005
Summary
Surgical excision of esophageal diverticula, combined with myotomy, effectively treats Zenker's and epiphrenic conditions. This approach offers patients favorable outcomes and low recurrence rates for these disabling esophageal disorders.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Esophageal Disorders
Background:
- Esophageal diverticula, including Zenker's and epiphrenic types, can lead to significant patient morbidity.
- Current management strategies aim to alleviate symptoms and prevent complications.
Purpose of the Study:
- To present a preferred surgical technique for managing Zenker's and epiphrenic diverticula.
- To evaluate the functional outcomes and recurrence rates associated with the described surgical approach.
Main Methods:
- Surgical excision of the esophageal diverticulum.
- Inclusion of a myotomy procedure in conjunction with diverticulectomy.
Main Results:
- The described surgical approach resulted in a favorable functional outcome for the majority of patients.
- A low rate of recurrence was observed following the combined excision and myotomy procedure.
Conclusions:
- Combined diverticulectomy and myotomy represent an effective surgical treatment for Zenker's and epiphrenic diverticula.
- This surgical strategy provides a reliable method for improving patient function and minimizing disease recurrence.