Journal of Gastrointestinal Surgery

, Volume 14, Issue 12, pp 2009–2015 | Cite as

Epiphrenic Diverticulum of the Esophagus. From Pathophysiology to Treatment

  • Renato Soares
  • Fernando A. Herbella
  • Vivek N. Prachand
  • Mark K. Ferguson
  • Marco G. Patti
Review Article



Epiphrenic diverticula of the esophagus are usually associated with a concomitant esophageal motility disorder. The main symptoms experienced by patients are dysphagia, regurgitation, and aspiration. The best surgical treatment is still debated, particularly the need for a myotomy in addition to resection of the diverticulum.


While for many decades the traditional approach was through a left thoracotomy, more recently, minimally invasive techniques have been successfully used and are now the procedure of choice in most cases. The purpose of this article was to review (a) the current understanding of the pathophysiology of epiphrenic diverticulum, (b) how this understanding should guide the surgical treatment, and (c) the surgical approach.


Epiphrenic diverticulum Esophageal diverticula Primary esophageal motility disorders Esophageal achalasia Dysphagia 


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Copyright information

© The Society for Surgery of the Alimentary Tract 2010

Authors and Affiliations

  • Renato Soares
    • 1
  • Fernando A. Herbella
    • 1
  • Vivek N. Prachand
    • 1
  • Mark K. Ferguson
    • 1
  • Marco G. Patti
    • 1
    • 2
  1. 1.Department of Surgery, Pritzker School of MedicineUniversity of ChicagoChicagoUSA
  2. 2.Center for Esophageal Diseases, Pritzker School of MedicineUniversity of ChicagoChicagoUSA

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