title: Laparoscopy in the treatment of a giant true epiphrenic diverticulum with migration of the gastrointestinal anastomosis staples.
abstract: Our case is a 62-year-old diabetic man with a long-standing history of regurgitation, halitosis, recurrent chest infection, and most recently upper gastro-intestinal bleeding. He was diagnosed 10 years earlier with an epiphrenic esophageal diverticulum, and also has a family history of this condition. Barium study revealed a 10 x 10 cm epiphrenic diverticula with a 4 cm neck, the lower margin of the opening lying 6 cm from the gastro-esophageal junction. Endoscopy confirmed the x-ray findings, and motility studies were within normal limits. The patient underwent laparoscopic excision of the diverticulum via the trans-abdominal approach. Histopathological examination revealed this diverticulum to be of the true type.
authors.affiliation: Department of Surgery, Riyadh Military Hospital A12, Riyadh 11159, Kingdom of Saudi Arabia. N.Abudaff@rmh.edu.sa
authors.forename: Nasr S
authors.initials: NS
authors.lastname: Abu-Daff
authors.forename: Saleh N
authors.initials: SN
authors.lastname: Abu-Daff
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Rubayaan
authors.forename: Azam
authors.initials: A
authors.lastname: Abu-Shaaban
mesh_terms: D004936:Diverticulum, Esophageal / Q000601:surgery*; D005548:Foreign-Body Migration; D006801:Humans; D010535:Laparoscopy / Q000191:economics; D008297:Male; D008875:Middle Aged; D013537:Sutures