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ISSN 1405-0099 (Print)

2002, Number 4

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Cir Gen 2002; 24 (4)

Diverticulectomy with cricopharyngeal myotomy as treatment for Zenker’s diverticulum. A propos of one patient

Antonio MR, Suárez MR

Language: Spanish
References: 12
Page: 319-321
PDF size: 217.23 Kb.


ABSTRACT

Objective: To describe the case of a patient with Zenker diverticulum resolved surgically.
Setting: Third level health care hospital.
Description of the case: Male patient of 75 years of age, with a history of 15 years of clinical evolution characterized by progressive dysphagia, food regurgitation, halitosis, laryngeal stridor, post-prandial coughing sprouts, and a weight loss of 10 kg. The esophagogram revealed a large sized diverticulum at the cervical region. Surgery consisted of a left lateral approach, on the anterior border of the sternocleidomastoid muscle, complete dissection of the diverticular sac, 6 cm to the base, performing diverticulectomy with a TA 60 mm stapler, and cricopharyngeal myotomy. Radiological post-operative control revealed neither leak nor presence of the diverticulum.
Conclusion: Diverticulectomy with cricopharyngeal myotomy is a safe and effective procedure.


REFERENCES

  1. Bowdler DA, Stell PM. Surgical management of posterior pharyngeal pulsion diverticula: inversion versus one-stage excision. Br J Surg 1987; 74: 988-90.

  2. Watemberg S, Landau O, Avrahami R. Zenker’s diverticulum: reappraisal. Am J Gastroenterol 1996; 91: 1494-8.

  3. Johnson MC. The esophagus. Prim Care 2001; 28: 459-85.

  4. Jiménez Macias FM, Asencio Marchante R, Lissen Otero E. Mujer en estado de caquexia y ensanchamiento mediastínico. Rev Clin Esp 2000; 9: 491-3.

  5. Johnson JT, Weissman J. Diverticular imbrication and myotomy for Zenker’s. Laryngoscope 1992; 102(12 p + 1): 1377-8.

  6. Knuff TE, Benjamin SB, Castell DO. Pharyngoesophageal (Zenker’s) diverticulum: a reappraisal. Gastroenterology 1982; 82: 734-6.

  7. Cook IJ, Gabb M, Panagopoulos V, Jamieson GG, Dodds WJ, Dent J, et al. Pharyngeal (Zenker’s) diverticulum is a disorder of upper esophageal sphincter opening. Gastroenterology 1992; 103: 1229-35.

  8. Aouad MT, Berzina CE, Boraka AS. Aspiration pneumonia after anesthesia in a patient with a Zenker´s diverticulum. Anesthesiology 2000; 92: 1837-9.

  9. Schmit PJ, Zuckerbraun L. Treatment of Zenker’s diverticula by cricopharyngeus myotomy under local anesthesia. Am Surg 1992; 58: 710-6.

  10. Bremner CG, DeMeester TR. Endoscopic treatment of Zenker’s diverticulum. Gastrointest Endosc 1999; 49: 126-8.

  11. Waye JD, Sakai D, Belsaguy AF, Deviere J, Hassid S, Mulder CJ. Treatment of Zenker’s diverticulum. Gastrointest Endosc 2001; 54: 135-7.

  12. Mulder CJ. Zenker’s diverticulum: treatment with a flexible endoscope (letter). Gastrointest Endosc 1999; 50: 596-7.




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