Resumo
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.
Disphagia; Epiphrenic diverticulum; Thoracic pain; Thoracoscopic
Disphagia; Epiphrenic diverticulum; Thoracic pain; Thoracoscopic
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 Endereço para correspondência: Dr. Frederico Lucchini Coutinho Rua Dona Cecília, 500/1703 30220-070 - Belo Horizonte - MG
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.
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Full text available only in PDF format.
Recebido em 2/9/98
Aceito para publicação em 2/8/99
Trabalho realizado na Clínica Cirúrgica do Hospital Belo Horizonte MG
- 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.
- 2. Orringer MB. Epiphrenic diverticula: fact and fable. Ann Thorac Surg 1993;55:1067-8.
- 3. Belsey R. Functional disease of lhe esophagus. J Thorac Cardiovasc Surg 1966;52:164-88.
- 4. Benacci JC, Deschamps C, Trasteck VF, et al. Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 1993; 55: 1109-14.
- 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.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
24 Nov 2009 -
Data do Fascículo
Out 1999
Histórico
-
Recebido
02 Set 1998 -
Aceito
02 Ago 1999
