{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T04:32:29Z","timestamp":1768451549210,"version":"3.49.0"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,10,6]],"date-time":"2018-10-06T00:00:00Z","timestamp":1538784000000},"content-version":"vor","delay-in-days":278,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Complicated esophageal diverticulum is an extremely rare disease. The most widespread surgical tactic in such cases is drainage of the mediastinum and the position of a feeding gastrostomy or enterostomy. Our objective was to demonstrate the possibility of performing a one-step operation in case of giant esophageal diverticulum with necrotic diverticulitis and sepsis on the background of dilatation of the esophagus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 57-year-old woman complained of persistent nagging epigastric pain, heartburn, belching, daily vomiting of eaten food and liquid, impaired swallowing, fever up to 39\u00b0 C. EGD revealed large pouch of the right esophageal wall in middle and lower third of the esophagus with signs of inflammation, ulceration and necrosis and retained food in the pouch. Barium esophagogram demonstrated 50 \u00d7 100 mm epiphrenic diverticulum on the right side and in the lower third of the esophagus which contained food. CBC revealed leukocytosis along with \u201cleft upper shift\u201d and ESR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The laparoscopic-thoracoscopic esophageal resection with gastric tube plasty (Ivor Lewis operation) might be the method of choice in cases of giant epiphrenic esophageal diverticula, when esophageal resection is connected with the high risk of anastomotic dehiscence due to esophageal wall necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We have established that in case of necrobiotic changes in the esophageal wall in the area of the diverticulum, this tactic is completely justified because of the greater patient safety and the less risk of the stapler suture line dehiscence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.10.005","type":"journal-article","created":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T02:18:27Z","timestamp":1538965107000},"page":"89-94","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic-thoracoscopic esophageal resection in the treatment of giant epiphrenic esophageal diverticulum (Ivor Lewis operation)"],"prefix":"10.1097","volume":"52","author":[{"given":"Alexander","family":"Khitaryan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasiya","family":"Golovina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arut","family":"Mezhunts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamil","family":"Veliev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raisa","family":"Zavgorodnyaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexey","family":"Orekhov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20-20260114","first-page":"313","article-title":"An uncommon source of upper gastrointestinal bleeding: epiphrenic esophageal diverticulum","volume":"5","author":"Tse","year":"2017","journal-title":"Gastroenterol. Rep. (Oxf"},{"key":"R2-20-20260114","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1097\/00000658-200203000-00006","article-title":"Physiologic basis for the treatment of epiphrenic diverticulum","volume":"235","author":"Nehra","year":"2002","journal-title":"Ann. Surg"},{"key":"R3-20-20260114","doi-asserted-by":"crossref","first-page":"169","DOI":"10.4103\/0972-9941.141498","article-title":"Minimally invasive therapy for epiphrenic diverticula: systematic review of literature and report of six cases","volume":"10","author":"Gonzalez-Calatayud","year":"2014","journal-title":"J. Minim. Access Surg"},{"key":"R4-20-20260114","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1177\/1457496913482242","article-title":"Epiphrenic diverticula mini-invasive surgery: a challenge for expert surgeons-personal experience and review of the literature","volume":"102","author":"Rossetti","year":"2013","journal-title":"Scand. J. Surg"},{"key":"R6-20-20260114","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00423-011-0843-2","article-title":"Modern pathophysiology and treatment of esophageal diverticula","volume":"397","author":"Herbella","year":"2012","journal-title":"Langenbecks Arch. Surg"},{"key":"R7-20-20260114","first-page":"30826","article-title":"Surgical management of epiphrenic diverticulum: a single-center experience and brief review of literature","volume":"19","author":"Brandeis","year":"2017","journal-title":"Am. J. Surg"},{"key":"R8-20-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE Statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R9-20-20260114","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jss.2013.05.036","article-title":"Surgical management of esophageal diverticulum: a review of the Nationwide Inpatient Sample database","volume":"184","author":"Onwugbufor","year":"2013","journal-title":"J. Surg. Res"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218304255?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218304255?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201852000-00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:20:06Z","timestamp":1768396806000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201852000-00020"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":8,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2018.10.005","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}