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Published in: Journal of Gastrointestinal Surgery 6/2012

01-06-2012 | Case Report

Giant Midoesophageal Diverticulum—Case Report and Review of the Literature

Authors: Anne Kauffels, Jochen Schuld, Martin K. Schilling, Otto Kollmar

Published in: Journal of Gastrointestinal Surgery | Issue 6/2012

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Abstract

Introduction

Midoesophageal diverticula >4cm in size are a medical rarity with a dozen reported cases so far. Usually, midoesophageal diverticula tend to be of small size and asymptomatic.

Case Report

We herein present a case of a woman suffering from a midoesophageal diverticulum in a very large dimension—never described in the current literature before—who successfully underwent surgical resection via thoracotomy.

Discussion

If symptomatic, common symptoms are dysphagia and regurgitation. The risk of malignant transformation is low. Treatment of midoesophageal diverticula is based on size and symptoms of the patient. Asymptomatic or small diverticula detected during routine endoscopy can be followed-up without further therapy, whereas symptomatic or large diverticula should be treated surgically by resection. Myotomy should be performed if any motility disorder is evident. Open as well as minimal invasive approach by thoracoscopical surgery is both feasible.
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Metadata
Title
Giant Midoesophageal Diverticulum—Case Report and Review of the Literature
Authors
Anne Kauffels
Jochen Schuld
Martin K. Schilling
Otto Kollmar
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 6/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-011-1816-z

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