title: Laparoscopic resection of symptomatic gastric diverticula.
abstract: Gastric diverticula are rare and usually asymptomatic. This report, however, describes two examples of symptomatic gastric diverticula successfully treated by laparoscopic resection. Both patients were male and in their sixth decade of life. One patient was relatively healthy with no past medical history, whereas the other patient had chronic pain issues and at presentation was also undergoing evaluation for hyperaldosteronism. The patients presented with gastrointestinal symptoms, including nausea, emesis, abdominal pain, and change in bowel function. In both cases, a gastric diverticulum was identified by CT scan, and precise anatomic position was determined by upper endoscopy. After discussion with the treating teams, including a gastroenterologist and surgeon, surgical treatment and resection was elected. Successful laparoscopic removal was accomplished in both patients, and they were discharged home after tolerating liquid diets. Both patients reported resolution of their abdominal symptoms at follow-up.
authors.affiliation: Department of Surgery, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Zelisko
authors.affiliation: Department of Surgery, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: John
authors.initials: J
authors.lastname: Rodriguez
authors.affiliation: Department of Surgery, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: El-Hayek
authors.affiliation: Department of Surgery, Cleveland Clinic, 9500 Euclid Avenue, A100, Cleveland, OH 44195, USA. krohm@ccf.org.
authors.forename: Matthew
authors.initials: M
authors.lastname: Kroh
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D013273:Diverticulum, Stomach / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed