Surgical resection of voluminous epiphrenic diverticula

Area of Science:

• Gastroenterology
• Thoracic Surgery
• Surgical Oncology

Background:

• Epiphrenic diverticula are rare outpouchings of the distal esophagus.
• Symptomatic diverticula often require surgical intervention.
• Surgical approaches include resection with or without myotomy.

Observation:

• Two patients underwent surgical resection for symptomatic epiphrenic diverticula via right thoracotomy.
• A formal myotomy of the distal esophagus was not performed in either case.
• One patient had an uncomplicated recovery; the other developed an esophageal-cutaneous fistula and recurrent abscesses.

Findings:

• Surgical resection of epiphrenic diverticula can be associated with significant complications.
• The absence of a formal myotomy may influence outcomes.
• Management of complications includes antibiotics and percutaneous drainage.

Implications:

• Careful consideration of surgical technique, including the necessity of myotomy, is crucial for managing epiphrenic diverticula.
• Further research is needed to optimize surgical strategies and minimize postoperative complications.
• Understanding the risks and benefits of resection is vital for patient counseling and treatment planning.