Treatment of Zenker’s diverticulum by flexible endoscopy is considered to be feasible, effective, and safe [1,2]. Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2]. This report describes the novel use of a LigaSure scalpel (Valleylab, Boulder, Colorado, USA) to perform flexible endos...

A 77-year-old Japanese woman with cervical dystonia was admitted to our institution for steroid therapy acute hepatitis secondary autoimmune hepatitis. We prescribed oral bisphosphonates prevent steroid-induced osteoporosis. Six days after the first dose of bisphosphonate, patient complained pharyngeal and back pain. Upper gastrointestinal endoscopy revealed an ulcer in esophagus (Figure A). Co...

A 78-year-old man with a Kommerell diverticulum and aberrant right subclavian artery was admitted for thoracic pain and severe malnutrition due to esophageal compression. We performed an atypical surgical procedure including extra-anatomical debranching and direct aortic repair, trying to avoid deep hypothermic circulatory arrest and shorten the cardiopulmonary bypass time.

Copyright c 2016, the Korean Thyroid Association. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. A Case of Paratrach...

A 34-year-old man was referred to our hospital because of chest pain and dysphagia that had lasted for 5 years. Endoscopy showed a tight esophagogastric junction (●" Fig.1). On high resolution manometry (Star Medical, Tokyo, Japan), the mean lower esophageal sphincter (LES) pressure and integrated relaxation pressure were 44.3 and 43.3mmHg, respectively (●" Fig.2). Type II achalasia was diagnos...

Among all diverticula of the esophagus, epiphrenic diverticula occur less frequently than those in the pharyngo-esophageal segment. Two simultaneously occurring diverticula in the epiphrenic esophagus are very rarely reported in the English literature. A 52-year-old woman had a 3-year history of troublesome dysphagia, heartburn, chest pain and cough. Initial investigation included a physical ex...

A 78-year-old man presented to the outpatient clinic with progressive dysphagia with solid food for a few years. He had the feeling that food got stuck in his chest when swallowing. He denied any fevers, unintentional weight loss, hemoptysis, sore throat, odynophagia, shortness of breath, or wheezing. On examination he was hemodynamically stable. Chest exam revealed lower left lung crackles. He...