PMID- 26134191 OWN - NLM STAT- MEDLINE DCOM- 20160301 LR - 20190318 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 54 IP - 13 DP - 2015 TI - A Patient with Vigorous Achalasia and Rapid Enlargement of an Epiphrenic Esophageal Diverticulum. PG - 1609-12 LID - 10.2169/internalmedicine.54.4506 [doi] AB - A 47-year-old man was found to have a 3-cm epiphrenic esophageal diverticulum on an upper gastrointestinal (UGI) barium study. He developed the symptoms of heartburn approximately 12 months later. UGI endoscopy indicated non-erosive gastroesophageal reflux disease (NERD) and an epiphrenic esophageal diverticulum. A proton pump inhibitor (PPI) did not relieve the symptoms. An UGI barium study at that time showed that the epiphrenic esophageal diverticulum had enlarged to 7 cm, and esophageal manometry showed findings of achalasia and diffuse esophageal spasm (DES), thus vigorous achalasia was diagnosed. Resection of the epiphrenic esophageal diverticulum, myotomy, and fundoplication (the Heller-Dor procedure) were successfully performed and no postoperative symptoms were encountered. FAU - Tamura, Yasuhiro AU - Tamura Y AD - Department of Gastroenterology, Aichi Medical University School of Medicine, Japan. FAU - Funaki, Yasushi AU - Funaki Y FAU - Adachi, Kazuori AU - Adachi K FAU - Noda, Hisatsugu AU - Noda H FAU - Izawa, Shinya AU - Izawa S FAU - Iida, Akihito AU - Iida A FAU - Ogasawara, Naotaka AU - Ogasawara N FAU - Miyaji, Masahiko AU - Miyaji M FAU - Sasaki, Makoto AU - Sasaki M FAU - Kasugai, Kunio AU - Kasugai K LA - eng PT - Case Reports PT - Journal Article DEP - 20150701 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Diverticulum, Esophageal/*diagnosis/surgery MH - Esophageal Achalasia/diagnosis/*surgery MH - Fundoplication/methods MH - Heartburn/etiology/*surgery MH - Humans MH - Laparoscopy/*methods MH - Male MH - Middle Aged MH - Proton Pump Inhibitors/therapeutic use MH - Treatment Outcome EDAT- 2015/07/03 06:00 MHDA- 2016/03/02 06:00 CRDT- 2015/07/03 06:00 PHST- 2015/07/03 06:00 [entrez] PHST- 2015/07/03 06:00 [pubmed] PHST- 2016/03/02 06:00 [medline] AID - 10.2169/internalmedicine.54.4506 [doi] PST - ppublish SO - Intern Med. 2015;54(13):1609-12. doi: 10.2169/internalmedicine.54.4506. Epub 2015 Jul 1.