2007, Number 4
<< Back Next >>
Cir Gen 2007; 29 (4)
Endoscopic cricopharyngectomy to resolve a Zenker’s diverticulum. Report of one case
Acuña PR, Zamorano ZY, Rangel OH, León MA, Ruiz CA, Hernández RM, Hidalgo BMW
Language: Spanish
References: 20
Page: 289-293
PDF size: 143.45 Kb.
ABSTRACT
Objective: To present a clinical case of a Zenker´s diverticulum treated by endoscopic cricopharyngotomy.
Setting: Centro Médico Naval.
Design: Case report
Case presentation: male 62 years old with symptomatic pharyngoesophageal diverticula and lost of weight, 7 kgs in one year. The diagnosis was made by radiological and endoscopy. The treatment was made by cricopharyngotomy using flexible endoscopy and an electro-surgery.
24 hours later the patient present cervical emphysema, managed clinically for seven days without complication, all the symptoms disappear and actually the patient is asymptomatic:
Conclusion: Endoscopic incision of Zenker´s diverticulum using flexible equipment proved to be a highly efficient and safe method of treating symptomatic disease. This procedure is not free of complications.
REFERENCES
Chiquilo B, et al. Tratamiento quirúrgico del divertículo de Zenker. A propósito de 14 casos. Rev Esp Enf Digest 1990; 77: 251-3.
Ishioka S, Sakai P, Melo JM, Maluf F. Endoscopic incision of Zenker´s diverticula. Endoscopy 1995; 27: 433-7.
Mulder CJ, Den Hartog G, Robijn RJ, Thies JE. Flexible endoscopic treatment of Zenker´s diverticulum. A new approach. Endoscopy 1995; 27: 438-42.
Hashiba K, et al. Endoscopic treatment of Zenker´s diverticulum. Gastrointest Endosc 1999; 49: 93-7.
Cook IJ, et al. Pharyngeal (Zenker´s) diverticulum is a disorder of upper esophageal sphincter opening. Gastroenterology 1992; 103: 1229-35.
Mulder CJJ. Zenker´s diverticulum treatment with a flexible endoscope. Gastrointest Endosc 1999; 50: 596-7.
Zaninotto G, et al. Tailored approach to Zenker´s diverticula. Surg Endosc 2003; 17: 129-33.
Collard IM, Otte IB, Kastens PJ. Endoscopic stapling technique of esophago-diverticulostomy for Zenker´s diverticulum. Ann Thorac Surg 1993; 56: 573-6.
Mulder CJJ, Costamagna G, Sakai P. Zenker´s diverticulum: Treatment using a flexible endoscope. Endoscopy 2001; 33: 991-7.
Sakai P, et al. Endoscopic treatment of Zenker´s diverticulum with an oblique -end hood attached to the endoscope. Gastrointest Endosc 2001; 54: 760-3.
Evrard S, Le Moine O, Hassid S, Deviene J. Zenker´s diverticulum a new endoscopic treatment with a soft diverticuloscope. Gastrointest Endos 2003; 58: 116-20.
Cook, et al. Structural abnormalities of the cricopharyngeous muscle in patients with pharyngeal (Zenker´) diverticulum. J Gastroenterol Hepatol 1992: 7: 556-62.
Payne WS. Tratamiento quirúrgico del divertículo esofágico. In: Shackelford´s Surgery of The Alimentary Tract 3ra ed. Philadelphia Saunders; 1991: 297-317.
Wilcox MC. Esophageal disease in the acquired immunodeficiency syndrome. Etiology, diagnosis and management. Am J Med 1992; 92: 412.
Maldonado RA, Suarez R. Diverticulectomía con miotomía cricofaríngea como tratamiento del divertículo de Zenker: A propósito de un paciente. Cir Gen 2002; 24: 319-321.
Aouad MT, Berzina CE, Boraka AS. Aspiration pneumonia after anesthesia in a patient with a Zenker´s diverticulum. Anesthesiology 2000; 92: 1837-9.
Waye JD, et al. Treatment of Zenker´s diverticulum. Gastrointest Endosc 2001; 54: 135-7.
Schmit PJ, Zuckerbraun L. Treatment of Zenker´s diverticula by crycopharyngeous myotomy under local anesthesia. Am Surg 1992; 58: 710-6.
Bremner CG, DeMeester TR. Endoscopic treatment of Zenker´s diverticulum. Gastrointest Endosc 2001; 54: 136-7.
Macías J, Asencio R, Lissen E. Mujer en estado de caquexia y ensanchamiento mediastínico. Rev Clin Esp 2000; 9: 491-3.