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2023, Number 1

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Revista Cubana de Cirugía 2023; 62 (1)

Zenker's diverticulum

Céspedes RHA
Full text How to cite this article

Language: Spanish
References: 10
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Key words:

diverticulum, Zenker, myotomy, diverticulectomy.

ABSTRACT

Introduction: Zenker's diverticula are the most frequent diverticula of the esophagus. The most commonly used surgical treatment is diverticulectomy with open cricopharyngeal myotomy.
Objective: To describe a patient with a diagnosis of Zenker's diverticulum and whose presentation was dysphagia and recurrent respiratory infections.
Case presentation: We describe the case of a 73-year-old female patient with high dysphagia and recurrent respiratory infections, with the diagnosis of Zenker's diverticulum, and who underwent diverticulectomy plus myotomy.
Conclusions: Zenker's diverticulum or pharyngoesophageal juxtasphincteric diverticulum is a low-prevalence condition that occurs in patients between 50 and 70 years of age, predominantly in males. Contrast radiography of the upper digestive tract and endoscopy determine the diagnosis in the majority of cases, while diverticulectomy plus cricomyotomy is the most commonly used technique.


REFERENCES

  1. Al-Kadi A, Maghrabi A, Thomson D, MGillman L, Dhalla S. Endoscopic Treatment of Zenker. Diverticulum: Results of a 7-Year Experience. J Am Coll Surg 2010;211:239-43. DOI: https://doi.org/10.1016/j.jamcollsurg.2010.04.0111.

  2. Tilman Keck T, Rozsasi A, Grün P. Treatment of hypopharyngeal diverticulum (Zenker's diverticulum) Eur Arch Otorhinolaryngol 2010;267:587-92. DOI: https://doi.org/10.1017/S0022215115003202.

  3. Jackson B1, Ahmad Z1, Morton RP1. Utility of transcervical management of Zenker's diverticulum. J Laryngol Otol. 2016 Jan;130 Suppl 1:S16-9. DOI: https://doi.org/10.1017/S0022215115003203.

  4. Keck T, Rozsasi A, Grün PM. Surgical treatment of hypopharyngeal diverticulum (Zenker's diverticulum). Eur Arch Otorhinolaryngol 267;587-92(2010). DOI: https://doi.org/10.1007/s00405-009-1079-44.

  5. Gómez Martín A, Ardila SF, Arbeláez V. Experience in the treatment of Zenkers diverticulum: a series of 18 cases. Rev Col Gastroenterol. 2011 June [acceso 18/06/2022];26(2):100-5. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-99572011000200005&lng=en5.

  6. Pang M, Koop A, Brahmbhatt B, Bartel MJ, Woodward TA. Comparison of flexible endoscopic cricopharyngeal myectomy and myotomy approaches for Zenker diverticulum repair. Gastrointest Endosc. 2019 Apr;89(4):880-6. DOI: https://doi.org/10.1016/j.gie.2018.09.0436.

  7. Tabola R, Lewandowski A, Cirocchi R, Augoff K, Kozminska U, Strzelec B, Grabowski K. (2018). Zenker diverticulum: Experience in surgical treatment of large diverticula. Medicine;97(19):e0557. DOI: https://doi.org/10.1097/MD.00000000000105577.

  8. Nuño-Guzmán CM, García-Carrasco D, Haro M, Arróniz-Jáuregui J, Corona JL, Salcido M. (2014). Zenker's Diverticulum: Diagnostic Approach and Surgical Management. Case reports in Gastroenterology;8(3):346-52. DOI: https://doi.org/10.1159/0003691308.

  9. Valdés M, Álvarez T, Quintero L, Cabrera C, Amurrio F. Divertículo de Zenker. Presentación de un caso. Gaceta Médica Espirituana 2008;10(1).

  10. Ferreira LE, Simmons DT, Baron TH. Zenker's diverticula: pathophysiology, clinical presentation, and flexible endoscopic management. Dis Esophagus. 2008;21(1):1-8. DOI: https://doi.org/10.1111/j.1442-2050.2007.00795.x10.




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Revista Cubana de Cirugía. 2023;62