Left atrial radiofrequency catheter ablation guided by a 3-dimensional electroanatomic mapping system (CARTO, Biosense-Webster, Diamond Bar, Calif) was performed in a 67-year-old woman with paroxysmal atrial fibrillation. To avoid delivery of radiofrequency energy near the esophagus, the patient was asked to swallow 5 cm of barium paste (E-Z-EM, Lake Success, NY) before conscious sedation, as d...

Introduction: The diagnosis of symptomatic epiphrenic esophageal diverticulum is rare (15-20%). Esophageal leiomyoma and epiphrenic diverticula are both uncommon, but may rarely occur together. In this patient a leiomyoma was found within an epiphrenic diverticulum. Methods: We report the case of a 58-year-old man referred to our unit with a 4-year history of progressive and intermittent dyspha...

The epiphrenic esophageal diverticulum is a rare non-malignant condition that commonly associated with motility disorders. It would normally be treated surgically, but the advancement of endoscopy techniques, peroral endoscopic myotomy septotomy (D-POEM) has shown its benefits in coping symptoms. We present case 71-year-old woman increasing symptoms dysphagia, weight loss and imaging data showi...

Zenker’s diverticulum is an outpouching of the esophageal mucosa through the cricopharyngeal muscle at the Killian triangle [1]. Endoscopically, the bridge of pseudodiverticulum sits between the esophageal lumen and the pouch and consists of mucosa, submucosa and muscle [2]. Th e rationale is to ablate the septum as much as possible and to open the pouch. A 64-year-old male was referred to our ...

We report the case of a video capsule endoscope lodged within a Zenker diverticulum. The system that was equipped with a real-time viewer showed an unchanging image unlike esophageal or gastric mucosa, suggesting that the capsule was elsewhere. The presence of cervical discomfort suggested video capsule retention in a Zenker diverticulum. The capsule was removed endoscopically and reinserted us...

BACKGROUND Pharyngo-esophageal diverticula are most frequently described in elderly patients, having symptoms such as dysphagia, regurgitation, chronic cough, aspiration and weight loss. The etiology remains controversial, although most of the theories are linked to structural or functional abnormalities of the crico-pharyngeal muscle. With the therapeutic attitude varying from conservative to ...

The combination of esophageal achalasia with epiphrenic diverticulum is extremely rare and mostly treated surgically. Several cases successful endoscopic treatment were presented in the literature, but strategy has not yet been defined. Aim. To present a case as giant successfully endoscopically. Case report. We to your attention report 75-year-old woman complete dysphagia, significant weight l...

The established management of epiphrenic diverticula combines diverticulectomy with myotomy of the distal esophagus including the lower esophageal sphincter. We report a patient with prompt recurrence of an epiphrenic diverticulum after laparoscopic transhiatal diverticulectomy associated with esophagomyotomy and partial posterior fundoplication due to an incomplete myotomy.