Achalasia and Epiphrenic Diverticulum


Authors (year)

N

Side

Procedures

Months of follow up (median)

Mortality, N

Complications, N (%)

Good outcomea, %

Peracchia et al. (1994)

8

Right

Diverticulectomy = 3 (Converted to open surgery = 2)

Diverticulectomy with preoperative pneumatic dilatation = 5

–

0

Overall = 0

83

van de Peet et al (2001)

5

Right

Diverticulectomy = 3 (Converted to laparoscopy = 1)

Diverticulectomy with myotomy = 2

–

0

Overall = 1 (20 %)

 Leak with abscess/sepsis = 1

–

Champion (2003)

3

Left

Diverticulectomy = 2

Myotomy = unknown

Fundoplication = unknown

–

0

Overall –

–

Matthews et al. (2003)

1

Right

Diverticulectomy with myotomy = 1

16

0

Overall = 0

–

Fernando et al. (2005) [4]

9

Right

Diverticulectomy = 2

Diverticulectomy with myotomy = 4

Diverticulectomy, myotomy with fundoplication = 2 (Combined with laparoscopy)

Other = 1

15

0

Overall –

 Leak = 2

–


aGood outcome = significant improvement or resolution of symptoms; N = Number of patients




Table 12.2
Results of laparoscopic treatment of esophageal diverticula














































































Authors (year)
N
Procedures
Months of follow up (mean/median)
Mortality, N (%)
Complications, N (%)
Good outcomea, %

Klaus et al. (2003)
10
Diverticulectomy with myotomy = 6

Diverticulectomy = 4
26.4 (mean)
0
Overall = 2 (20 %)

 Empyema = 1

 Leak = 1
–

Fraiji et al. (2003)
6
Diverticulectomy, myotomy with fundoplication = 6
9.3 (mean)
0
Overall = 2 (33 %)

 Empyema = 1

 Ileus = 1
100

Del Genio et al. (2004)
13
Diverticulectomy, myotomy with fundoplication = 13
58 (mean)
1 (8 %)
Overall = 4 (30 %)

 Leak = 3

 Myocardial infarction = 1
100

Tedesco et al. (2005) [7]
7
Diverticulectomy, myotomy with fundoplication = 7
60 (median)
0
Overall = 1 (14 %)

 Leak with paraesophageal hernia = 1
100

Fernando et al. (2005) [4]
10
Diverticulectomy, myotomy with fundoplication = 10
15 (median)
1 (10 %)
Overall –

 Leak = 2
–

Zaninotto et al. (2008)
17
Diverticulectomy, myotomy with fundoplication = 14

Diverticulectomy with fundoplication = 3
53 (median)
0
Overall –
–

Melman et al. (2009) [6]
13
Diverticulectomy, myotomy with fundoplication = 13
13.6 (mean)
0
Overall = 2 (15 %)

 Atelectasis = 1

 Leak = 1
85

Rosati et al. (2011) [23]

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Related posts:

  1. Pneumatic Dilation
  2. Botulinum Toxin for Achalasia
  3. Esophageal Resection for End-Stage Achalasia
  4. Thoracoscopic Treatment of Epiphrenic Diverticula Associated with Achalasia

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Jun 23, 2017 | Posted by in CARDIOLOGY | Comments Off on Achalasia and Epiphrenic Diverticulum

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