Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [epigastric pain/fullness/dysphagia/nausea]. Symptoms are [intermittent/postprandial]. History of [GERD/previous gastric surgery]. No evidence of acute GI bleeding or perforation. Differential diagnosis includes true gastric diverticulum (congenital, all layers involved) vs. pseudo-diverticulum (acquired, secondary to scarring/inflammation, mucosal/submucosal only).
Clinical Examination Findings
Abdominal examination: [Soft/distended/tender]. Epigastric tenderness noted on deep palpation. Bowel sounds [normoactive/hypoactive]. No signs of peritonitis or palpable masses. Vital signs stable. Clinical correlation with imaging (EGD/CT/Barium swallow) required to differentiate true vs. pseudo-diverticulum based on wall composition and location (typically posterior wall of the cardia).
Treatment Protocol
Management plan: [Conservative/Surgical]. For asymptomatic cases, conservative management with [PPIs/dietary modifications] is indicated. For symptomatic cases (recurrent obstruction, hemorrhage, or perforation), surgical resection or laparoscopic diverticulectomy is considered. Pseudo-diverticula management focuses on treating the underlying inflammatory/scarring process.