Innovative Treatment Options Tailored to the Patient
The Hoag-USC Surgical Center for Digestive Disorders is a high-volume referral
center for complex esophageal disorders.
Hoag’s multidisciplinary team of esophageal experts works together to thoroughly review and determine
the best treatment option suited to each individual patient. The team
then carefully tailors a personalized treatment plan to effectively achieve
the best possible outcome for the patient. This emphasis on a collaborative,
comprehensive approach to patient-centered care is why Hoag patient outcomes
rank are among the nation’s best.
When it comes to esophageal diverticula, there are several innovative surgical
approaches that can be considered depending upon the location and severity
of the diverticulum, including:
Cricopharyngeal Myotomy is used in the removal of small diverticula, as well as in treating a
variety of swallowing disorders. There are a several approaches to this
standard surgical procedure, including minimally invasive options, and
involves cutting the muscles that make up the Upper Esophageal Sphincter (UES).
Diverticulopexy and cricopharyngeal myotomy is used to remove larger diverticula. This procedure involves either turning
the diverticular sac upside down and suspending it by suturing it to the
esophageal wall, or performing a complete excision of the diverticular
sac. In addition, the surgeon performs a cricopharyngeal myotomy procedure
to help reduce the incidence recurrence.
Diverticulectomy and Heller Myotomy (Laparoscopic Myotomy with Fundoplication
and removal of the Diverticulum) is used to perform a complete excision of the diverticular sac. By adding
the Heller myotomy laparoscopic approach, surgeons can help further improve
long-term outcomes by ensuring the efficient movement of food through
the lower esophageal sphincter. There are several approaches to this procedure,
which can be used to treat a variety of swallowing disorders. The experts
at Hoag-USC perform a large number of laparoscopic procedures, accompanied
by a partial antireflux procedure known as a Dor partial fundoplication,
which helps to reduce the incidence of postoperative GERD often associated
with myotomy alone.
Endoscopic diverticulotomy (Dohlman procedure) is an innovative procedure that divides the septum between the cervical
esophagus and the diverticular pouch. By dividing the septum, food can
freely drain from the pouch to the esophagus. Hoag-USC surgeons complete
this division by using a Zenker’s diverticuloscope and a minimally
invasive stapling technique to treat Zenker’s diverticulum.
The Most Advanced Treatment Options Are Now Available in Orange County!
When it comes to seeking out the most advanced academic-level gastroesophageal
care, there is no longer any need to travel long distances.
The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive
Cancer Center, offers the latest in state-of-the-art diagnosis and leading-edge treatment
options that may not be readily available at other centers, including
participation in clinical trials that helps to bring advanced gastroesophageal
care to even more patients.
Perhaps the most distinguishing aspect of Hoag’s advanced treatment
of gastroesophageal conditions is that in each and every case, treatment
is always specifically tailored to the meet the unique needs of the individual patient.
Expert Care You Can Trust!
Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive
Cancer Center, continues to lead the way in complex gastroesophageal care, providing
access to a highly specialized surgical team that works collaboratively
with Hoag-affiliated thoracic surgeons, gastroenterologists and other
medical specialists to provide academic-level care. Hoag’s committed
diagnosis, combined with
progressive therapeutic options enables Hoag patients to achieve some of the highest clinical outcomes
in the nation.
To schedule a comprehensive diagnostic evaluation, or a second-opinion
consultation with a Hoag gastroesophageal expert, visit
Meet the Team, or call us at: 888-566-9712.