A Case of Epiphrenic Esophageal Diverticulum Associated with Esophageal Dysmotility

Susumu Kaseno, Masayuki Higashino, Harushi Osugi, Noriaki Maekawa, Taigo Tokuhara, Shinya Tanimura, Yosuke Fukunaga, Fumikazu Maeda, Akitoshi Tokuyama, Hiroaki Kinoshita

Second Department of Surgery, Osaka City University Medical School

We report a case of epiphrenic esophageal diverticulum associated with esophageal dysmotilit. The patient, a 7l-year-old woman, had the chief complaint of dysphagia. A diverticulum was detected in the lower part of the esophagus by radiography. Endoscopy showed diverticulitis. Nonperistaltic contractions between the upper esophageal sphincter and the diverticulum were found by manometry. Esophageal pH monitoring for 24-h showed acid reflux. Transthoracic diverticulectomy with Belsey Mark IV repair was performed. The pathological findings were of inflammatory changes and no malignancy. We suggest that esophageal diverticula be evaluated by manometry and 24-h pH monitoring, and that surgical treatment be not only diverticulectomy but also any treatment found to be needed by these methods.

Key words
esophageal diverticula, esophageal motility disorders, diverticulitis

Reprint requests
Susumu Kaseno Second Department of Surgery, Osaka City University Medical School
1-5-7 Asahimachi, Abeno-ku, Osaka, 545 JAPAN

Accepted
February 9, 1994

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