Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, New South Wales, Australia
Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Gut. 2020 Sep;69(9):1552-1554. doi: 10.1136/gutjnl-2019-320481. Epub 2020 Mar 26.
Thoracic oesophageal diverticula are often associated with spastic motility disorders. Despite correction of the underlying motility disorder, in a subgroup of patients, symptoms persist, primarily regurgitation. Surgical diverticulectomy is then proposed; however, as the approach is thoracoscopic or via thoracotomy, it is associated with significant morbidity and cost. Descriptions of endoscopic techniques for the treatment of symptomatic midoesophageal diverticula are few. We propose the novel technique of diverticular myotomy (DM) to treat this disorder. In this case series, we describe two patients who successfully underwent DM with no adverse outcomes and excellent clinical results at 24-month follow-up.
胸食管憩室常与痉挛性运动障碍有关。尽管纠正了潜在的运动障碍，但在一小部分患者中，症状仍然存在，主要是反流。然后建议进行手术憩室切除术;然而，由于该方法是通过胸腔镜或开胸进行的，因此会导致显著的发病率和成本。对于治疗症状性中食管憩室的内镜技术描述很少。我们提出了一种新的憩室肌切开术 (DM) 技术来治疗这种疾病。在本病例系列中，我们描述了两名成功接受 DM 治疗的患者，在 24 个月的随访中无不良结果和良好的临床效果。
