Laparoscopic resection of gastric diverticulum

Gastric diverticulum is a rare disorder. The laparoscopic approach may be i deal for the resection of gastric diverticulum in some cases. The authors b elieve this to be the first reported case of gastric diverticulum resected laparoscopically. A 59-year-old woman was admitted with indigestion and epi gastric pain. Upper gastrointestinal series showed a single diverticulum (3 x 2 cm) on the posterior wall of the upper part of the stomach. The neck o f the diverticulum was relatively narrow. Gastroduodenoscopy revealed that food residues were impacted within the diverticular pouch. Other areas of t he stomach and the duodenum were normal. Abdominal ultrasonography showed n o other pathologic conditions in the upper part of abdomen. On operation, t he lesser sac was entered by division of the greater omentum along the avas cular plane of the transverse colonic attachment. The location of the diver ticulum was confirmed by intraoperative gastroscopy. Using a 5-cannula tech niques, the diverticulum was resected with an endoscopic linear stapler dev ice. Pathologic examination of the resected specimen demonstrated chronic s uperficial gastritis. Flatus was passed out on the first postoperative day, diet was started from the second day, and the patient was discharged on th e fifth day without problems.