Robotic Resection of a Distal Esophageal Diverticulum with Esophageal Myotomy and Partial Fundoplication
St. Luke's University Health Network, Bethlehem, PA, USA
OBJECTIVE: 49-year-old female with a history of left thoracotomy and left lower lobectomy for a lung abscess who developed dysphagia and was found to have a distal esophageal diverticulum on EGD. She underwent a barium swallow and CT scan of the chest as well as esophageal manometry. Esophageal manometry showed elevated lower esophageal sphincter pressures with a median IRP of 21 mmHg.
METHODS: She underwent a robotic resection of the distal esophageal diverticulum with myotomy and Dor fundoplication.
RESULTS: Her postoperative course was uncomplicated and she was discharged home on postoperative day 2.
CONCLUSIONS: Elevated IRP with a distal esophageal obstruction/LES dysfunction is a known cause of distal esophageal diverticula. We present a case a robotic resection of a distal esophageal diverticula with myotomy and Dor fundoplication.
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