title: Open surgical management of oesophageal diverticulum.
abstract: Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the muscular layers of the oesophageal wall in its lower third. An increased intraluminal pressure associated with an oesophageal motility disorder is usually present in the pathophysiology of the disease. Surgical treatment is indicated mostly in symptomatic patients. The current surgical treatment consists in: (i) removing the diverticulum; (ii) relieving the functional distal obstruction with an oesophageal myotomy including the lower oesophageal sphincter; and (iii) preventing an associated reflux by the addition of a non-obstructive partial fundoplication. Minimally invasive techniques have been reported, but traditional open procedures remain the treatment of choice of the disease.
authors.affiliation: Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
authors.forename: Lucile
authors.initials: L
authors.lastname: Gust
authors.affiliation: Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
authors.forename: Henri
authors.initials: H
authors.lastname: De Lesquen
authors.affiliation: Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
authors.forename: Moussa
authors.initials: M
authors.lastname: Ouattara
authors.affiliation: Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
authors.forename: Pascal Alexandre
authors.initials: PA
authors.lastname: Thomas
authors.affiliation: Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University and Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France xavier.djourno@ap-hm.fr.
authors.forename: Xavier Benoît
authors.initials: XB
authors.lastname: D'Journo
mesh_terms: D004936:Diverticulum, Esophageal / Q000601:surgery*; D049630:Esophageal Sphincter, Lower / Q000601:surgery*; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000517:prevention & control*; D006801:Humans
keywords: Epiphrenic diverticulum; Oesophageal diverticulum; Oesophageal motility disorder