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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Rev. Col. Bras. Cir. vol.26 no.5 Rio de Janeiro Sept./Oct. 1999

https://doi.org/10.1590/S0100-69911999000500012 

RELATOS DE CASOS

 

Diverticulo epifrênico do esôfago

 

Epiphrenic diverticulum of the esophagus

 

 

Frederico Lucchini Coutinho, TCBC-MGI; Carlos Romero Franco de Almeida Lemos, TCBC-MGI; Jaeder Teixeira de Siqueira, TCBC-MGII

ICirurgião Geral do Hospital Belo Horizonte - MG
IIDoutor em Técnica Operatória e Cirurgia Experimental pela UFMG. Chefe da Clínica Cirúrgica do Hospital Belo Horizonte - MG

Endereço para correspondência

 

 


ABSTRACT

Disphagia is a very common complaint among patients seeking a gastroenterologists. Esophageal motility disorder is a frequent finding, at times associated with pulsion diverticula. We present a case of a 68 year old female patient with thoracic pain and double epiphrenic diverticula. The upper gastrointestinal tract examination revealed two epiphrenic diverticula, one with 6-7 cm and the other measuring 2 cm, located 30 cm from the dental arcade. She underwent surgical treatment to remove the larger diverticula, a long esophageal myotomy and a Belsey-Mark IV antireflux technique. She presented an uneventful recovery and is doing well I8 months following surgery.

Key words: Disphagia; Epiphrenic diverticulum; Thoracic pain; Thoracoscopic.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

1. Allen TH, Clagett OT. Changing concepts in the surgical treatment of the pulsion diverticula of lhe lower esophagus. J Thorac Cardiovasc Surg 1965;50:455-62.         [ Links ]

2. Orringer MB. Epiphrenic diverticula: fact and fable. Ann Thorac Surg 1993;55:1067-8.         [ Links ]

3. Belsey R. Functional disease of lhe esophagus. J Thorac Cardiovasc Surg 1966;52:164-88.         [ Links ]

4. Benacci JC, Deschamps C, Trasteck VF, et al. Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 1993; 55: 1109-14.         [ Links ]

5. Stuart RC, Wyman A, Chlln AW, et al. Thoracoscopic resection of esophageal diverticulum: a case report. J R Coll Edinb 1996;41: 118-9.         [ Links ]

 

 

Endereço para correspondência:
Dr. Frederico Lucchini Coutinho
Rua Dona Cecília, 500/1703
30220-070 - Belo Horizonte - MG

Recebido em 2/9/98
Aceito para publicação em 2/8/99

 

 

Trabalho realizado na Clínica Cirúrgica do Hospital Belo Horizonte – MG

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