有症状患者腹腔镜治疗巨大膈上食管憩室：病例报告及文献复习
Large epiphrenic esophageal diverticulum in symptomatic patient managed laparoscopically: Case report and review of literature.
作者信息
Di Tommaso Gabriel Reis, de Castro Gustavo Lopes, Júnior Eneas Carlos Cavalcante, Printes Thaís Regina Moreira, da Silva Neto Rubem Alves, da Silva Júnior Rubem Alves
机构信息
General Surgery service and Resident of Digestive Tract Surgery at Getúlio Vargas University Hospital (HUGV), 4 Apurinã Avenue, Praça 14 de Janeiro, Manaus, Amazonas 69020-170, Brazil.
Faculty of Medicine of the Federal University of Amazonas (UFAM), 1053 Afonso Pena St, Praça 14 de Janeiro, Manaus, Amazonas 69020-160, Brazil.
出版信息
Int J Surg Case Rep. 2023 May;106:108060. doi: 10.1016/j.ijscr.2023.108060. Epub 2023 Mar 30.
INTRODUCTION
Diverticular disease most common site in digestive tract is large intestine, but can also appears in small intestine and esophagus. Esophageal diverticula are divided according to injured portion (pharyngeal, middle or epiphrenic).
CASE PRESENTATION
We present a case of large epiphrenic diverticulum in a 71-year-old woman with mild gastrointestinal symptoms managed laparoscopically with diverticulectomy and fundoplication.
DISCUSSION
Epiphrenic esophageal diverticulum is rare, originated from unknown increase of intraesophageal pressure. Diagnosis usually occurs with imaging and endoscopic investigation and surgical treatment is indicated for symptomatic patients.
CONCLUSION
High suspicion and proper analysis are fundamental for diagnosis and treatment definition, which may include outpatient follow-up or surgery.
引言
消化道憩室病最常见的部位是大肠，但也可出现在小肠和食管。食管憩室根据受损部位（咽段、中段或膈上型）进行分类。
病例报告
我们报告一例71岁女性的巨大膈上型食管憩室病例，该患者有轻微胃肠道症状，通过腹腔镜进行憩室切除术和胃底折叠术治疗。
讨论
膈上型食管憩室罕见，病因是食管内压力不明原因升高。诊断通常通过影像学和内镜检查，有症状的患者需进行手术治疗。
结论
高度怀疑和正确分析是诊断和确定治疗方案的基础，治疗方案可能包括门诊随访或手术。
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