VA03.3. Laparoscopic Treatment of Intramural Diverticulum in Type III Achalasia

Clicks: 17
ID: 325990
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #349 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 453 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Topic Benign Disease: Esophageal Surgery Background Achalasia is a primary esophageal motility disorder characterized by impaired lower esophageal sphincter relaxation and absent peristalsis. Chronic functional obstruction may lead to structural complications, including esophageal dilation and, rarely, diverticulum formation. The coexistence of achalasia and esophageal diverticulum presents diagnostic and therapeutic challenges. Methods We present a video of a 67-year-old female presenting with dysphagia, regurgitation and episodes of food impaction. Barium esophagogram demonstrated delayed esophageal emptying, spastic contractions and two esophageal diverticula. High-resolution manometry confirmed the diagnosis of type III achalasia (Chicago Classification) and upper endoscopy showed a small diverticulum in the middle esophagus and a larger one 3cm proximal to the gastroesophageal junction. Results The video shows the intra operative finding of a distal diverticulum that was still covered by all muscular layers of the esophageal wall, posing a challenge for dissection. A long myotomy was performed, the diverticulum was resected and covered with a partial fundoplication. Conclusion Distal esophageal diverticula are typically associated with underlying esophageal motility disorders, as observed in our patient with type III achalasia. Concomitant management is essential for optimal outcomes. We report a case where the key challenge was recognizing that the diverticulum remained covered by the esophageal muscular layers and carefully isolating it prior to proceeding with resection. Video Description We present a video of a 67-year-old female presenting with dysphagia, regurgitation and episodes of food impaction. Barium esophagogram demonstrated delayed esophageal emptying, spastic contractions and two esophageal diverticula. High-resolution manometry confirmed the diagnosis of type III achalasia (Chicago Classification) and upper endoscopy showed a small diverticulum in the middle esophagus and a larger one 3cm proximal to the gastroesophageal junction. The video shows that the diverticulum remained covered by all muscular layers of the esophageal wall, posing a challenge for dissection. A long myotomy was performed, the diverticulum was resected and covered with a partial fundoplication.
Reference Key
openalex_W7203976121 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Andre Brandalise, Cláudia Lorenzetti
Are you one of these authors? Claim your profile
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.445
URL
https://doi.org/10.1093/dote/doag077.445
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.