Epiphrenic Diverticulum

Author: Robert B. Yates, MD; Edward Verrier, MD
Institution: University of  Washington
Date Reviewed: October 2014
Learning Domain: General Thoracic
Learning Objective: Benign Esophageal Disease
PowerPoint File: Epiphrenic Diverticulum

Discussion Points

• Management of  Epiphrenic Diverticulum
• Evidence of Motility disorder?
• Approaches to Posterior Diverticulum?
  • Thoracic vs Abdominal?
• Need for Myotomy?
• Need for fundoplication?

Learning Points

• Epiphrenic diverticula are associated with motility disorder
  • Perform esophagogastric myotomy
• Laparoscopic resection is preferred approach
  • Improved visibility of posterior mediastinum
  • Reduced perioperative morbidity
  • Earlier discharge and return to physical activity
• Operation should be performed by experienced surgeons
  • Complicated gastroesophageal operation
  • Requires advanced laparoscopic skills
  • Gastroesophageal injuries associated with significant morbidity