%0 Journal Article
%T Midesophageal diverticulum with elevated intrabolus pressure: a case report.
%A Mihara K
%A Tsunoda S
%A Nishigori T
%A Hisamori S
%A Okumura S
%A Kasahara K
%A Fujita Y
%A Sakamoto T
%A Morimoto T
%A Kinoshita H
%A Itatani Y
%A Hoshino N
%A Okamura R
%A Maekawa H
%A Hida K
%A Obama K
%J Surg Case Rep
%V 10
%N 1
%D 2024 May 3
%M 38700566
暂无%R 10.1186/s40792-024-01909-7
%X <B>BACKGROUND: </B>Esophageal diverticulum is commonly associated with esophageal motility disorders, which can be diagnosed using high-resolution manometry (HRM) according to the Chicago classification. Although midesophageal diverticulum (M-ED) is associated with inflammatory processes, esophageal motility disorders have been recently identified as an etiology of M-ED.<BR><B>METHODS: </B>We present the case of a patient with M-ED and elevated intrabolus pressure (IBP), which did not meet the criteria for esophageal motility disorders according to the Chicago classification. A 71-year-old man presented with gradually worsening dysphagia for two years and was diagnosed as having an 8-cm-long M-ED and multiple small diverticula in lower esophagus. HRM revealed a median integrated relaxation pressure of 14.6 mmHg, a distal latency of 6.4 s, and an average maximum IBP of 35.7 mmHg. He underwent thoracoscopic resection of the M-ED and myotomy, which successfully alleviated the symptoms and reduced the intrabolus pressure to normal levels.<BR><B>CONCLUSIONS: </B>It is important to recognize the esophageal diverticulum pathology with HRM findings even in cases where the results may not meet the Chicago classification and to include myotomy based on the results.