Divertículo de Zenker

Andreis, Elmes Luis; Guerra, Enilde Eloena; Lemos, Rafael R.

doi:10.1590/s0100-69912001000400012

Cited by 2 publications

(9 citation statements)

References 3 publications

(5 reference statements)

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“…Several techniques have been proposed for the treatment of the PDE. Among the techniques employed, the diverticulopexy proposed by Lerut et al 8 in 1990 was replaced by diverticulectomy associated with the cricopharyngeal muscle myotomy, the left cervicotomy being the standard access, with excellent results, represented by no mortality, low morbidity and satisfactory remission of symptoms [9][10][11][12][13][14][15] . Endoscopic treatment, initially proposed by Mosher in 1917 16 , was revived by Dolhman and Mattsson in 1960 17 , and consisted of the complete section of the septum between the esophagus and the diverticulum, promoting communication between the two structures [18][19][20] .…”

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confidence: 99%

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Henry

Lerco

Tagliarini

et al. 2013

Rev. Col. Bras. Cir.

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ABSTRACT ABSTRACT ABSTRACTObjective Objective Objective Objective Objective: To evaluate the postoperative outcome of patients with pharyngoesophageal diverticulum submitted to surgical and endoscopic treatments. Methods Methods Methods Methods Methods: We retrospectively analyzed 36 patients with pharyngo-esophageal diverticulum treated at the Hospital of the Medical School of Botucatu -UNESP. Patients were divided into two groups, depending on the treatment: group 1 (n = 24): diverticulectomy associated myotomy through a left cervicotomy; group 2 (n = 12): endoscopic diverticulostomy with linear stapler. Results Results ResultsResults Results: Operative mortality was zero in both groups. Early complications: group 1-two patients developed cervical fistula and two, hoarseness; group 2 -none. Late complications: group 1 -none; group 2: recurrence of dysphagia in four patients (p = .01). Mean follow-up was 33 months for group 1 and 28 months for group 2. Conclusion Conclusion Conclusion Conclusion Conclusion: Both procedures were effective in remission of dysphagia. Surgical treatment showed superiority to endoscopy, with resolution of dysphagia with a single procedure. Endoscopic treatment should be reserved for the elderly and those with comorbidities.

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confidence: 99%

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Henry

Lerco

Tagliarini

et al. 2013

Rev. Col. Bras. Cir.

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“…1,2,[7][8][9][10][11] This condition was described by the first time by Ludlow in 1767, and in 1877 Zenker reported the association of this diverticulum with the upper esophageal sphincter dysfunction. 1,2,4,6,7,10 ZD has been more frequently found in Northern Europe, North America and Australia in comparison with Southern Europe, Japan or Indonesia. 1,7,10 Currently, the therapeutic options vary between conservative and surgical treatment, which may be either classic or endoscopic.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Zenker's diverticulum (ZD), also called cricopharyngeal, pharyngoesophageal, or hypopharyngeal diverticulum, is a pouch containing only the mucosa and submucosa layers (false diverticulum) at the pharyngoesophageal junction. [1][2][3][4][5][6][7][8][9][10][11][12] This pulsion diverticulum occurs dorsally in the pharyngoesophageal wall, between the inferior constrictor muscle of the pharynx and the cricopharyngeal muscle, an area of relative weakness known as the Killian triangle or Killian dehiscence. [1][2][3][4][5][6][7][8][9][10][11][12] The annual incidence .of symptomatic ZD in the United Kingdom was estimated at two cases per 100,000 population, mainly in males, from middle age to the 9th decade of life.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] This pulsion diverticulum occurs dorsally in the pharyngoesophageal wall, between the inferior constrictor muscle of the pharynx and the cricopharyngeal muscle, an area of relative weakness known as the Killian triangle or Killian dehiscence. [1][2][3][4][5][6][7][8][9][10][11][12] The annual incidence .of symptomatic ZD in the United Kingdom was estimated at two cases per 100,000 population, mainly in males, from middle age to the 9th decade of life. 1,2,[7][8][9][10][11] This condition was described by the first time by Ludlow in 1767, and in 1877 Zenker reported the association of this diverticulum with the upper esophageal sphincter dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…1,7,10 Currently, the therapeutic options vary between conservative and surgical treatment, which may be either classic or endoscopic. 1,[3][4][5][6][7][8][9][10][11][12] The intervention should be reserved for symptomatic patients with or without complications and the modality to be established will be defined with base on the variables previously mentioned. 1,[3][4][5][6][7][8][9][10][11][12] The aim of this report is to emphasize possible diagnostic challenges involving the Zenker's diverticulum, and to highlight the option of intervention by endoscopic approach under conscious sedation to improve the quality of life of frail elderly people.…”

Section: Introductionmentioning

confidence: 99%

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Mujer de 91 años con obstrucción esofágica por divertículo de Zenker

Barbosa-Villaça¹,

Santos-Carvalho²,

Leite³

et al. 2019

NCT Neumología Y Cirugía De Tórax

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Zenker's diverticulum is located at the dorsal area of the pharyngoesophageal junction, between the muscles inferior constrictor muscle of the pharynx and the cricopharyngeal. Symptoms include dysphagia, regurgitation, halitosis, postprandial vomitus and cough, dysphonia, odynophagia, sialorrhea, heartburn, cervical pain, and loss of weight. Complications are bronchial aspiration, pneumonia, perforation, esophageal obstruction. The management options are conservative or surgical, either invasive or endoscopic. Interventions are restricted for symptomatic cases or complications. Herein is reported the case of an elder woman with symptomatic Zenker's diverticulum and bone metastases of breast cancer in T1 and T2 vertebral bodies. She successfully underwent the diverticulotomy by an endoscopic approach under conscious sedation. RESUMEN.El divertículo de Zenker se encuentra en la zona dorsal de la unión faringoesofágica, entre el músculo constrictor inferior de la faringe y el cricofaríngeo. Los síntomas incluyen disfagia, regurgitación, halitosis, vómitos y tos postprandial, disfonía, odinofagia, sialorrea, ardor de estómago, dolor cervical y pérdida de peso. Las complicaciones son aspiración bronquial, neumonía, perforación y obstrucción esofágica. Las opciones de tratamiento son conservadoras o quirúrgicas, invasivas o endoscópicas. Las intervenciones son limitadas para casos sintomáticos o complicaciones. Aquí se describe el caso de una mujer mayor con divertículo de Zenker sintomático y con metástasis óseas de cáncer de mama en los cuerpos vertebrales T1 y T2. Fue sometida con éxito a la diverticulotomía por un abordaje endoscópico y sedación consciente.Palabras clave: Endoscopia, enfermedad esofágica, divertículo de Zenker. NCTVol. 78 -Núm. 4 / Octubre-Diciembre 2019 dx.

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Divertículo de Zenker

Cited by 2 publications

References 3 publications

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Divertículo faringoesofagiano: avaliação dos resultados do tratamento

Mujer de 91 años con obstrucción esofágica por divertículo de Zenker

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