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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The anterior portion of the homohyoideus muscle is retracted without cutting it. Qualitative variables were defined by number of cases and percentage. Pathogenesis of hypopharyngeal diverticulum with special reference to heredity.
Asymptomatic cases were incidentally diagnosed when undergoing an esophagogram for another reason. Other minor complications were sore throat, lacerations of the oral mucosa, transient paralysis of vocal cords, and a foreign-body sensation in cases where the endostapler was used.
Treatment is surgical and is performed in case of complications. A left cervicotomy is performed over zenjer anterior border of the sternocleidomastoideus muscle, displacing it laterally.
October Pages Barium esophagogram is the most used technique for the diagnosis of esophageal diseases, being divericulo first one to perform in Zenker’s diverticulum. One case presented with a transient recurrent nerve paralysis, which was treated with steroids. An esophagogram is the technique of choice for diagnosis, although endoscopy by experienced hands is a useful alternative. January Pages Moreover, there is a risk of penetration and perforation of Zenker’s diverticulum.
After general anesthesia induction the patient is placed in the supine position with the neck rotated to the right. The current treatment of symptomatic Zenker’s diverticulum is surgery, approaching the diverticulum and cricopharyngeal muscle. A drain is placed in diverticculo surgical bed and the incision is closed.
Divertículo de Zenker | Revista de Gastroenterología de México
Introduction Zenker’s diverticulum was first described in by Ludlow 1. Its exact nature remains unclear to this day, with discrepancies between numerous studies 2. Zenker’s diverticulum is a protrusion of the pharyngeal mucosa through a weak area of the posterior wall. IR Med J ; 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.
The journal accepts original articles, scientific letters, review articles, clinical guidelines, consensuses, editorials, letters to the Editors, brief communications, and clinical images in Gastroenterology in Spanish and English for their publication. In our series all complications appeared in cases where myotomy was associated, except for the patient who suffered from a transient recurrent nerve paralysis, who had undergone diverticulectomy alone.
Ann Otol Rhinol Laryngol ; Previous article Next article. The concurrence of both morbid conditions can be more probably attributed to coexistence in eznker same age range than to an association between them with a common pathogenetic base.
A descriptive statistical study was performed using the program SPSS After surrounding the cervical esophagus, the diverticulum and its neck are diverticul following a cm myotomy of the cricopharyngeal muscle in most cases. Konowitz and Biller 11 reported that diverticulopexy associated with cricopharyngeal myotomy is an alternative resulting in lower morbidity and shorter hospital stays when compared to diverticulectomy, with similar efficiency. The content of the diverticulum, when aspirated, causes aspirative pneumonia.
Department of General and Digestive Surgery. Referring to our field of work, the open treatment is best to relieve symptoms rather than endoscopic procedures because the training for advanced endoscopic procedures is a problem due to lack of infrastructure and specialized personnel.
Are you a health professional able to prescribe or dispense drugs? Zeker J Surg ; Gastroenterol Clin North Am ; Arch Surg ; Evolution of surgical treatment for pharyngeal pouch.
Follow-up at 1 year was successful without recurrence. Post-surgical complications included 1 case of upper esophageal stenosis 3 weeks after surgery, which was solved with endoscopic dilatations.
A chest CT ddiverticulo was performed in one case of aspirative pneumonia -it showed a dilated cervical esophagus suggesting Zenker’s diverticulum, which was confirmed by an esophagogram.
How long should it be? The aim of this study was to describe the acquired experience with the diagnosis and treatment of Zenker’s diverticulum in a third-level hospital during a period of 20 years.
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Symptoms appeared 15 months prior to admission with occasional dysphagia to solids and liquids, breathing difficulty at night, drooling, halitosis, 3 kg weight loss in 2 months, and adequate appetite.
Otolaryngol Head Neck Surg ; SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
It is a sac-like deformation in the posterior wall of the pharynx that develops in the posterior mid line between the thyropharyngeal and cricopharyngeal muscles, above the level of the upper esophageal sphincter.
Med Observ Inq ; 3: Surgical technique Ce general anesthesia induction the patient diverticulk placed in the supine zenkee with the neck rotated to the right. One patient developed a cervical abscess requiring surgical drain and antibiotics. No carcinoma associated with a diverticulum appeared in any of our cases.
Its usual development in zenkeer patients as described in the literature is consistent with our results 3. CiteScore measures average citations received per document published. Full text is only aviable in PDF. The only case of recurrence developed in one patient where a diverticulectomy without cricopharyngeal myotomy had been performed, who was again symptomatic 23 months after surgery.
We describe our experience with the management of Zenker’s diverticulum from to this day zekner a third-level hospital.
Quantitative variables following a Gaussian model were defined by mean and range. Continuing navigation will be considered as acceptance of this use.