Laparoscopic Surgery for Esophageal Achalasia Combined with Esophageal Diverticulum

This video demonstrates a case of achalasia in a 34-year-old man suffering from esophageal achalasia complicated with sigmoid esophagus and epiphrenic esophageal diverticulum was treated with a simultaneous laparoscopic surgery. The gentleman was referred with symptoms suggestive of a passage disorder in the lower esophagus for the past 5 years. Esophagogastroduodenoscopy demonstrated an epiphrenic diverticulum at the right wall of the lower esophagus, and esophagography led to the suspicion of a combined esophageal achalasia. According to the manometry, he had type II achalasia. Laparoscopic surgery with an abdominal approach was performed in which, following the opening of the esophageal hiatus and some myotomy, the diverticular wall was detected and separated from the mucosa. Diverticulectomy was not performed. After Heller’s myotomy, Dor’s fundoplication was subsequently performed. He had an uneventful recovery and a rapid relief from symptoms following surgery.