Selective Use of Myotomy for Treatment of Epiphrenic Diverticula

摘要: The pathogenesis and treatment of epiphrenic diverticula remain controversial subjects. Most surgeons recommend esophagomyotomy in association with diverticulectomy every patient. We believe that selective use myotomy, based on manometry, should be used. From 1960 to 1990, 16 patients underwent surgical for diverticulum at the Lahey Clinic Medical Center, Burlington, Mass. Six patients, three whom alone who an associated long had lower esophageal sphincter left intact; long-term results were good all patients. remaining 10 myotomy sphincter. Reflux esophagitis developed two these a normal Clinical support applied areas demonstrated dysmotility. A intact prevent reflux complications.