{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T01:23:47Z","timestamp":1772155427652,"version":"3.50.1"},"reference-count":9,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T00:00:00Z","timestamp":1447977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophagogastro- duodenoscopy, esophageal manometry, 3D computed tomography scan showed rightsided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hypertensive lower esophageal sphincter. Patient underwent a video assisted thoracoscopic surgery for esophageal diverticulectomy using two 45 mm staplers. On day 5, the patient developed leak, which was managed by a covered esophageal stent placement. Patient started on oral feeds from day 3 and the esophageal leak healed completely within 2 weeks. Literature suggests that esophageal leaks treated conservatively took approximately 30-40 days on an average for healing. Literature search did not reveal esophageal leak managed by stent with faster recovery (2 weeks). This is one of the largest epiphrenic diverticuli reported in literature.<\/jats:p>","DOI":"10.4081\/cp.2015.784","type":"journal-article","created":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T10:14:47Z","timestamp":1448014487000},"page":"784","source":"Crossref","is-referenced-by-count":6,"title":["Large Epiphrenic Diverticula: A Rare Case Presentation"],"prefix":"10.3390","volume":"5","author":[{"given":"Ajay","family":"Bhandarwar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravin","family":"Tungenwar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yogesh","family":"Sawakare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amol Nanasaheb","family":"Wagh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chintan Babubhai","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2015,11,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1097\/SLE.0b013e31815acb97","article-title":"Minimally invasive surgery combined with preoperative endoscopy for symptomatic middle and lower esophageal diverticula: a single institute\u2019s experience","volume":"18","author":"Palanivelu","year":"2008","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"ref2","first-page":"718","article-title":"Epiphrenic diverticula, esophageal carcinoma and esophagopleural fistula","volume":"48","author":"Guerra","year":"2001","journal-title":"Hepato-Gastroenterol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S1521-6918(03)00105-7","article-title":"Oesophageal diverticula","volume":"18","author":"Costantini","year":"2004","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"ref4","first-page":"31","article-title":"Esophageal spasm and diverticulum (Management of esophageal disease)","author":"Skinner","year":"1988"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/0003-4975(93)90016-B","article-title":"Epiphrenic diverticulum: results of surgical treatment","volume":"55","author":"Benacci","year":"1993","journal-title":"Ann Thorac Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1007\/s11605-008-0570-3","article-title":"Long-term outcome of operated and unoperated epiphrenic diverticula","volume":"12","author":"Zaninotto","year":"2008","journal-title":"J Gastrointest Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s00464-003-9044-6","article-title":"Laparoscopic approach in the treatment of epiphrenic diverticula: long-term results","volume":"18","author":"Del Genio","year":"2004","journal-title":"Surg Endosc"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1177\/1457496913482242","article-title":"Epiphrenic diverticula miniinvasive surgery: a challenge for expert surgeons - personal experience and review of literature","volume":"102","author":"Rossetti","year":"2013","journal-title":"Scand J Surg"},{"key":"ref9","first-page":"97","article-title":"Surgical management of esophageal thoracic diverticula","volume":"39","author":"F\u00e9k\u00e9te","year":"1992","journal-title":"Hepatogastroenterology"}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.clinicsandpractice.org\/index.php\/cp\/article\/viewFile\/784\/380","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.mdpi.com\/2039-7283\/5\/4\/784\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T06:34:11Z","timestamp":1644474851000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/5\/4\/784"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,20]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2015,11]]}},"alternative-id":["cp.2015.784"],"URL":"https:\/\/doi.org\/10.4081\/cp.2015.784","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,20]]}}}