# Laparoscopic Management of Esophageal Epiphrenic Diverticulum

## TL;DR

A 45-year-old man with an esophageal epiphrenic diverticulum was successfully treated with laparoscopic cardiomyotomy and fundoplication, avoiding diverticulectomy.

## Contribution

This case demonstrates that cardiomyotomy with anti-reflux surgery can effectively treat epiphrenic diverticulum without resection.

## Key findings

- The patient experienced complete symptom relief after the procedure.
- No diverticulectomy was performed, yet the patient remained asymptomatic for two years.
- The approach reduced morbidity and provided a better prognosis.

## Abstract

A 45-year-old man who presented with progressive dysphagia of five months duration was diagnosed as a case of oesophageal epiphrenic diverticulum after endoscopic and imaging investigations. He underwent laparoscopic cardiomyotomy with Dor's fundoplication. Myotomy was done from the base of the diverticulum up to 2 cm distal to the gastroesophageal junction. Intraoperative endoscopy was done to check the adequacy of myotomy. Diverticulectomy was not done. Yet the patient had complete relief of symptoms and is well and asymptomatic after two years. Cardiomyotomy with anti-reflux procedures is effective in treating the epiphrenic diverticulum without the need for resection of the diverticulum, which also provides a better prognosis and less morbidity to the patient.