title: A Patient with Vigorous Achalasia and Rapid Enlargement of an Epiphrenic Esophageal Diverticulum.
abstract: A 47-year-old man was found to have a 3-cm epiphrenic esophageal diverticulum on an upper gastrointestinal (UGI) barium study. He developed the symptoms of heartburn approximately 12 months later. UGI endoscopy indicated non-erosive gastroesophageal reflux disease (NERD) and an epiphrenic esophageal diverticulum. A proton pump inhibitor (PPI) did not relieve the symptoms. An UGI barium study at that time showed that the epiphrenic esophageal diverticulum had enlarged to 7 cm, and esophageal manometry showed findings of achalasia and diffuse esophageal spasm (DES), thus vigorous achalasia was diagnosed. Resection of the epiphrenic esophageal diverticulum, myotomy, and fundoplication (the Heller-Dor procedure) were successfully performed and no postoperative symptoms were encountered.
authors.affiliation: Department of Gastroenterology, Aichi Medical University School of Medicine, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Tamura
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Funaki
authors.forename: Kazuori
authors.initials: K
authors.lastname: Adachi
authors.forename: Hisatsugu
authors.initials: H
authors.lastname: Noda
authors.forename: Shinya
authors.initials: S
authors.lastname: Izawa
authors.forename: Akihito
authors.initials: A
authors.lastname: Iida
authors.forename: Naotaka
authors.initials: N
authors.lastname: Ogasawara
authors.forename: Masahiko
authors.initials: M
authors.lastname: Miyaji
authors.forename: Makoto
authors.initials: M
authors.lastname: Sasaki
authors.forename: Kunio
authors.initials: K
authors.lastname: Kasugai
mesh_terms: D004936:Diverticulum, Esophageal / Q000175:diagnosis* / Q000601:surgery; D004931:Esophageal Achalasia / Q000175:diagnosis / Q000601:surgery*; D018662:Fundoplication / Q000379:methods; D006356:Heartburn / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D054328:Proton Pump Inhibitors