LAPAROSCOPIC RESECTION OF A LARGE ASYMPTOMATIC GASTRIC DIVERTICULUM
Farris Serio*1, Nathaniel C. Villanueva1, Kenric Murayama1,2
1John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, HI; 2Queen's Medical Center, Honolulu, HI
We present the case of a 75-year old male with a giant 5 cm gastric diverticulum incidentally found on CT enterography. Based on its size, we recommended laparoscopic diverticulectomy. Gastric diverticula are among the rarest gastrointestinal diverticula, with prevalence estimated at 0.02% by autopsy series. Most patients are asymptomatic, but gastric diverticula > 4 cm are typically resected due to higher rates of complications such as ulceration, bleeding, and malignancy. The video demonstrates the laparoscopic resection of the large posterior fundal diverticulum. The patient was discharged home on postoperative day 1 without complication. Pathology demonstrated no evidence of malignancy.
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