Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case

@article{Hoshino2009LaparoscopicHM,
  title={Laparoscopic heller myotomy and dor fundoplication combined with laparoscopic diverticular introversion suturing for achalasia complicated by epiphrenic diverticulum: Report of a case},
  author={Masato Hoshino and Nobuo Omura and Fumiaki Yano and Kazuto Tsuboi and Akira Matsumoto and Hideyuki Kashiwagi and Katsuhiko Yanaga},
  journal={Surgery Today},
  year={2009},
  volume={40},
  pages={158-161}
}
A 41-year-old woman was admitted due to dysphagia and weight loss of 6 kg. An upper gastrointestinal radiographic contrast study demonstrated an S-shaped lower esophagus with a peak transverse diameter of 65 mm. Moreover, an epiphrenic diverticulum was also detected in the lower part of the esophagus (50 × 40 mm). The measurement of intraesophageal pressure showed a lower esophageal sphincter pressure of 80 mmHg and a lower esophageal sphincter length of 31 mm. Esophageal clearance assessment… CONTINUE READING