Osman KURUKAHVECİOĞLU, Ekmel TEZEL, Bahadır EGE, HANDE KÖKSAL, Emin ERSOY

Laparoscopic approach for epiphrenic esophageal diverticula

Epifrenik özafagus divertikülleri nadir rastlanan bir hastalık olup sıklıkla divertiküllerin ve semptomların nedeni olduğu düşünülen özafagus motor bozukluklarıyla birliktelik gösterir. Tedavisi cerrahi olup sadece semptomatik hastalara uygulanmaktadır. Ameliyat alt özafagus ve mediastende iyi görüş sağlayan laparoskopik yöntemle başarılı bir şekilde yapılabilir. Yazımızda göğüste yanma ve kusma şikayeti ile başvuran 68 yaşındaki bir kadın hasta sunulmaktadır. Baryumlu özafagografi ve endoskopisinde alt özafagusta yerleşmiş iki adet divertikül saptanan hasta intraoperatif endoskopi yardımıyla laparoskopik olarak ameliyat edildi. Epifrenik divertiküllere laparoskopik yaklaşım,gastroözafageal bölge konusunda deneyimli cerrahlar tarafından güvenle uygulanabilmektedir.

Epifrenik özafagus divertiküllerine laparoskopik yaklaşım

Epiphrenic diverticula of the esophagus are rare disorders frequently associated with esophageal dismotility that is thought to be the cause of the diverticulum and some of the symptoms. Treatment is surgery and only indicated to the symptomatic patients. The operation can be performed successfully by laparoscopy, which offers good access to the distal esophagus and the inferior mediastinum. A 68 year-old woman presented with symptoms of heartburn, regurgitation and vomiting. Two diverticula located in distal esophagus were detected with barium esophagography and endoscopy. The biggest diverticulum was resected by the endoscopy assisted laparoscopic approach. Laparoscopic approach to epiphrenic diverticula seems to be feasible and safe provided when surgeons trained in minimally invasive procedures of the gastroesophageal junction perform it.

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