Esophageal Motility Disorders and Diverticula: Physiologic Implication and Surgical Considerations. Issue 3 (September 2021)

• Record Type: Journal Article
• Authors: Sudarshan, Monisha; Murthy, Sudish
• Is Part Of: Foregut. Volume 1:Issue 3(2021)
• Page Start: 263
• Page End: 267
• Publication Date: 2021-09
• Subjects: epiphrenic -- Zenker's -- diverticula -- diverticulum -- dysmotility -- achalasia; 616.3
• DOI: 10.1177/26345161211045613
• Languages: English
• ISSNs: 2634-5161

Abstract

Zenker's diverticula are the most common diverticula of the esophagus and attributed to a hypertensive non-compliant cricopharyngeus muscle with reduced sphincter opening. Cricopharygeus myotomy is the treatment with variable management of the diverticulum. Mid-esophageal diverticula are classically attributed to traction, though many are associated with dysmotility similar to epiphrenic/distal esophageal diverticula. Myotomy is again key for symptomatic presentations. Resection of the diverticula and a partial fundoplication are other components in the surgical management. Although treatment of diverticula has evolved over the decades, it remains a rare condition often associated with significant pre-operative symptomatology and post-operative morbidity.