A Case of Epiphrenic Esophageal Diverticulum Associated with Esophageal Dysmotility

Abstract

We report a case of epiphrenic esophageal diverticulum associated with esophageal dysmotilit. The patient, a 71-year-old woman, had the chief complaint of dysphagia. A diverticulum was detected in the lower part of the esophagus by radiography. Endoscopy showed diverticulitis. Nonperistaltic contractions between the upper esophageal sphincter and the diverticulum were found by manometry. Esophageal pH monitoring for 24-h showed acid reflux. Transthoracic diverticulectomy with Belsey Mark IV repair was performed. The pathological findings were of inflammatory changes and no malignancy. We suggest that esophageal diverticula be evaluated by manometry and 24-h pH monitoring, and that surgical treatment be not only diverticulectomy but also any treatment found to be needed by these methods.