Divertículo de Zenker. Visits. Download PDF. Eduardo Marín-López, Sergio Rojas Ortega. a 0. This item has received. Visits. Article information. Vol. Num. r Pages Full text access. Divertículo de Zenker. Visits. Download PDF. Eduardo Marín-López, Sergio Rojas Ortega. BACKGROUND: Zenker’s diverticulum is a protrusion of the pharyngeal mucosa Publisher: Antecedentes: los divertículos de Zenker son protrusiones de la.
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Its usual development in advanced-age patients as described in the diverticuol is consistent with our results 3. Discussion Zenker’s diverticulum is an infrequent pathology in young people, being considered an acquired entity. A chest CT scan was performed in one case of aspirative pneumonia -it showed a dilated cervical esophagus suggesting Zenker’s diverticulum, which was confirmed by an esophagogram.
[Zenker’s diverticulum: election of surgical treatment and outcome. Case presentation].
Endoscopic stapling vs conventional methods of surgery for pharyngeal pouches: An esophagogram is the technique of choice for diagnosis, although endoscopy by divrticulo hands is a useful alternative. Regurgitation consisted of partially digested or non-digested food, increasing in the supine position. How long should it be? Diagnosis of Zenker’s diverticulum was established by imaging method and endoscopy.
Gastroenterol Clin North Am ; Its pages are open to the zsnker of the Association, as well as to all members of the medical community interested in using this forum to publish their articles in accordance with the journal editorial policies. Results Clinical data are described in table I. In this approach the surgeon cuts with electrocoagulation or an endostapler the mucosa and muscle tissues of the wall, thus separating the diverticulum’s lumen from the esophageal one.
Esophageal manometry showed a high-pressure upper esophageal sphincter in all 3 patients who underwent this study.
CASO DE DIVERTICULO DE ZENKER | Revista Clínica Española (English Edition)
CiteScore measures average citations received per document published. Recently, endoscopic techniques are gaining lots of adepts.
The pathogenesis of gastroesophageal reflux disease. Our experience reveals that the only patient who presented recurrence was one of the three cases undergoing diverticulectomy without myotomy. Pathogenesis of hypopharyngeal diverticulum with special reference to heredity. In conclusion, Zenker’s diverticulum is a condition often resulting in mild symptoms, but interfering with quality of life; some times, however, it causes important manifestations weight loss, nutritional deficiency secondary to dysphagia or aspirative pneumonia that warrant treatment for all symptomatic diverticula.
Print Send to a friend Export reference Mendeley Statistics. One patient developed a cervical abscess divertivulo surgical drain and antibiotics.
Qualitative variables were defined by number of cases and percentage.
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We present the case of a 67 year-old male patient without comorbidities. A left cervicotomy is performed over the anterior dr of the sternocleidomastoideus muscle, displacing it laterally. Weight loss could be attributed to dysphagia, avoiding the patient oral feeding in many cases 5. Pathology did not reveal any case of carcinoma in association with Zenker’s diverticulum.
Finally, the resection of diverticulum is performed, and the esophageal wall is mechanically closed using GIA or hand sewed. Quantitative variables following a Gaussian model were defined by mean and range. Most cases began oral feeding hours after surgery. The superior and medium thyroideal vessels are ligated and cut. Some authors have reported a lower recurrence rate when myotomy is associated with diverticulectomy 10but there are very few comparative studies to confirm this hypothesis.
This item has received. In all 23 operated patients in our study one patient underwent palliative gastrostomyopen diverticulectomy associated with cricopharyngeal myotomy was performed in most patients.
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