Manejo quirúrgico del divertículo de Zenker

Abstract

Cricopharyngeal myotomy with diverticulectomy is a safe option for patients with Zenker’s diverticulum.

Mujer de 91 años con obstrucción esofágica por divertículo de Zenker

“…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. 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.…”

“…1,2 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.…”

“…[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.…”

“…[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. 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.…”

“…1,2,[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.…”