Clark S C, Norton S A, Jeyasingham K, Ridley P D
Regional Cardiopulmonary transplant Unit, Freeman Hospital Newcastle upon Tyne.
Ann R Coll Surg Engl. 1995 Sep;77(5):342-5.
Epiphrenic pulsion diverticula are rare and often asymptomatic. We describe a case presenting in an unusual fashion, and review the controversy over the management of this condition with regard to the requirement for myotomy and antireflux surgery. We believe that both procedures are necessary, but believe that both procedures are necessary, but optimal management strategies are unlikely to be resolved as the rarity of the condition precludes largescale prospective studies.
膈上膨出性憩室罕见且通常无症状。我们描述了一例以不寻常方式呈现的病例,并就该疾病的治疗中关于肌切开术和抗反流手术的必要性的争议进行综述。我们认为这两种手术都是必要的,但由于该疾病罕见,难以开展大规模前瞻性研究,因此最佳治疗策略不太可能得到解决。