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• W2896474757 abstract "Mid- and distal esophageal diverticula are uncommon diseases that often present without symptoms. However, some patients will have incapacitating or life-threatening symptoms from either the diverticulum, the underlying motility disorder, or both. After identification by barium swallow, careful evaluation of the patient followed by upper endoscopy, high-resolution manometry, and the occasional CT scan of the chest will provide the key information to decide upon surgical treatment. Similar to many esophageal procedures, treatment of these diverticula has moved toward minimally invasive surgery to perform the diverticulectomy, distal esophageal myotomy, and, in most instances, a partial fundoplication. Diverticula near the inferior pulmonary vein may be better addressed with a combined video-assisted thoracic surgery (VATS) and laparoscopy. For most patients, this results in relief of the presenting symptoms and a low rate of mortality but a not insignificant rate of morbidity. The staple line leak remains the key complication that surgeons hope to avoid." @default.
• W2896474757 created "2018-10-26" @default.
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• W2896474757 date "2019-01-01" @default.
• W2896474757 modified "2023-10-03" @default.
• W2896474757 title "Surgical Management of Mid- and Distal Esophageal Diverticula" @default.
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• W2896474757 doi "https://doi.org/10.1016/b978-0-323-40232-3.00012-1" @default.
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