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Vasnev O.S.

Loginov Moscow Clinical Scientific Centre

Izrailov R.E.

Loginov Moscow Clinical Scientific Centre

Domrachev S.A.

Loginov Moscow Clinical Scientific Centre;
Russian University of Medicine

Koshkin M.A.

Loginov Moscow Clinical Scientific Centre

Pavlov M.V.

Loginov Moscow Clinical Scientific Centre

Bulgakov E.A.

Loginov Moscow Clinical Scientific Centre

Mamishev R.V.

Loginov Moscow Clinical Scientific Centre

Surgical treatment of thoracic esophageal diverticula (clinical series)

Authors:

Vasnev O.S., Izrailov R.E., Domrachev S.A., Koshkin M.A., Pavlov M.V., Bulgakov E.A., Mamishev R.V.

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Journal: Russian Journal of Evidence-Based Gastroenterology. 2024;13(4): 89‑94

DOI: 10.17116/dokgastro20241304189

Views: 385

Downloaded: 21

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Table of contents

To cite this article:

Vasnev OS, Izrailov RE, Domrachev SA, Koshkin MA, Pavlov MV, Bulgakov EA, Mamishev RV. Surgical treatment of thoracic esophageal diverticula (clinical series). Russian Journal of Evidence-Based Gastroenterology. 2024;13(4):89‑94. (In Russ.)
https://doi.org/10.17116/dokgastro20241304189

Подписка 2025 (Russian Journal of Evidence-Based Gastroenterology)
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OBJECTIVE

To evaluate the outcomes of surgical treatment for epiphrenic (supradiaphragmatic) and bifurcational (mid-esophageal, epibronchial) esophageal diverticula.

MATERIAL AND METHODS

Between 2015 and 2022, 12 patients with epiphrenic and bifurcational esophageal diverticula were treated at the Loginov Moscow Clinical Research Center. Thoracoscopic diverticulectomy was performed in 7 cases (5 bifurcational and 2 epiphrenic), while 5 patients underwent laparoscopic transhiatal diverticulectomy. In 3 patients, surgery was supplemented with fundoplication (Toupet, Dor), and in 1 patient with cardiomyotomy.

RESULTS

No fatal outcomes were recorded. One patient developed a pneumothorax in the postoperative period, requiring pleural drainage. At follow-up, one patient continued to experience dysphagia, retrosternal pain, and regurgitation. Two patients showed negative dynamics: one experienced a recurrence of the diverticulum, and the other had worsened dysphagia.

CONCLUSIONS

Diverticulectomy for bifurcational diverticula is effective in alleviating clinical symptoms without the need for additional myotomy. Surgical treatment of epiphrenic diverticula involving diverticulectomy without fundoplication and/or cardiomyotomy does not always lead to satisfactory postoperative results, warranting further investigation.

Keywords:

esophageal diverticulum
thoracoscopic surgery
laparoscopy
fundoplication
postoperative complications

Authors:

Vasnev O.S.

Loginov Moscow Clinical Scientific Centre

Izrailov R.E.

Loginov Moscow Clinical Scientific Centre

Domrachev S.A.

Loginov Moscow Clinical Scientific Centre;
Russian University of Medicine

Koshkin M.A.

Loginov Moscow Clinical Scientific Centre

Pavlov M.V.

Loginov Moscow Clinical Scientific Centre

Bulgakov E.A.

Loginov Moscow Clinical Scientific Centre

Mamishev R.V.

Loginov Moscow Clinical Scientific Centre

Received:

11.07.2023

Accepted:

17.06.2024

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