Endoscopic Treatment of a Mid-Esophageal Diverticulum

Mid-esophageal diverticulum is a medical rarity. Only patients in whom the condition is symptomatic should receive treatment. Minimally invasive surgery via a thoracoscopic approach is currently the preferred treatment for the condition. This case report describes a 63-year-old woman with a symptomatic mid-esophageal diverticulum, which was successfully treated by endoscopic diverticulotomy using a needle-knife through a flexible endoscope.

References

• 1 Thomas M L, Anthony A A, Fosh B G. et al . Oesophageal diverticula.  Br J Surg. 2001;  88 629-642
• 2 Hashiba K, de Paula A L, da Silva J GN. et al . Endoscopic treatment of Zenker’s diverticulum.  Gastrointest Endosc. 1999;  49 93-97
• 3 Dohlman G, Mattsson O. The endoscopic operation for hypopharyngeal diverticula.  Arch Otolaryngol. 1960;  71 744-752
• 4 Collard J M, Otte J B, Kestens P J. Endoscopic stapling technique of esophagodiverticulostomy for Zenker’s diverticulum.  Ann Thorac Surg. 1997;  56 573-576
• 5 Ishioka S, Sakai P, Maluf F ilho, Melo J M. Endoscopic incision of Zenker’s diverticula.  Endoscopy. 1995;  27 433-437
• 6 Jaramillo M J, McLay K A, McAteer D. Long-term clinico-radiological assessment of endoscopic stapling of pharyngeal pouch: a series of cases.  J Laryngol Otol. 2001;  115 462-466
• 7 Mulder C JJ, den Hartog G, Robijn R J. et al . Flexible endoscopic treatment of Zenker’s diverticulum: a new approach.  Endoscopy. 1995;  27 438-442
• 8 Smith S R, Genden E M, Urken M L. Endoscopic stapling technique for the treatment of Zenker diverticulum vs. standard open-neck technique: a direct comparison and charge analysis.  Arch Otolaryngol Head Neck Surg. 2001;  128 141-144
• 9 Thaler E R, Weber R S, Goldberg A N. et al . Feasibility and outcome of endoscopic staple-assisted esophagodiverticulostomy for Zenker’s diverticulum.  Laryngoscope. 2001;  111 1506-1508
• 10 Evrard S, Le Moine O, Hassid S. et al . Zenker’s diverticulum: a new endoscopic treatment with a soft diverticuloscope.  Gastrointest Endosc. 2003;  58 116-120
• 11 Dado G, Bresadola V, Terrosu G, Bresadola F. Diverticulum of the midthoracic esophagus: pathogenesis and surgical treatment.  Surg Endosc. 2002;  16 871
• 12 Eubanks T R, Pellegrini C A. Minimally invasive treatment of esophageal diverticula.  Semin Thorac Cardiovasc Surg. 1999;  11 363-367
• 13 Svane S. Giant midesophageal pulsion diverticulum: a report of two operated cases.  Ann Thorac Surg. 2001;  71 1692-1694
• 14 Hudspeth D A, Thorne M T, Conroy R. et al . Management of epiphrenic esophageal diverticula: a fifteen-year experience.  Am Surg. 1993;  59 40-42
• 15 Bak Y T, Kim H J, Jo N Y. et al . Endoscopic ”clip and cut” diverticulotomy for a giant midesophageal diverticulum.  Gastrointest Endosc. 2003;  57 777-779