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[Zenker diverticulum: therapeutic approach].

[Article in Spanish]

Author information

  • 1Clínica Privada Caraffa y Clínica Sucre, Córdoba, Argentina.

Abstract

BACKGROUND:

Pharyngoesophageal or Zenker diverticula are a few frequent pathology that could represent between 1 and 3% of the patients with dysphagia and their physiopathology even at present is scarcity clear.

OBJECTIVE:

Therapeutic procedures results about this pathology were analyzed.

SETTING:

Caraffa and Sucre Clinic.

DESIGN:

Retrospective observational study.

METHOD:

It analyzed 13 patients operated by Zenker diverticula 9 of which were male and 4 were female sex with an average age of 55.6 years. Dysphagia occurred in 100% of the cases. Besides clinical finding the diagnosis was made evident by esophageal X-ray with contrast medium and endoscopy. Diverticulectomy by one stage through a left cervicotomy was the surgical procedure of choice.

RESULTS:

There was no surgical mortality. Related with morbility 2 patients presented fistulas managed medically and in other 2 patients abscesses of surgical wound occurred. The follow-up was carried on 6 months, 4 and 7 years respectively without relapses and with a good posterior evolution.

CONCLUSIONS:

Based on our short experience and the results attained we think the treatment of Zenker or pharyngoesophageal diverticulum by diverticulectomy through a left cervicotomy is safe and effective procedure to control this pathology.

PMID:
10883510
[PubMed - indexed for MEDLINE]
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