Dysphagia to solid foods with upper abdominal discomfort.
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Large wide necked diverticulum arising several centrimetres proximal to the GOJ.
The diverticulum contains a progressively filling air fluid-level following barium consumption.
Normal calibre oesophagus - no stricture.
No hiatus hernia.
Epiphrenic diverticula are pulsion diverticula of the distal oesophagus arising just above the lower esophageal sphincter.
They typically arise in the context of oesophageal dysmotility, and often in conjunction with a hiatus hernia.
Minimally invasive surgical treatment for symptomatic patients are now available via thorascopic or laproscopic approaches.