Surgical treatment of Zenker’s diverticulum. Is the open approach really outdated?
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چکیده
The authors aimed to elucidate the indications of transcervical surgical approach and also to review the literature in the treatment of symptomatic Zenker’s diverticulum (ZD), focusing on clear indications for open surgery (diverticulectomy with cricopharyngeal myotomy). The authors analyzed the efficacy of open surgery versus the current standard endoscopic diverticulotomy, focusing on the size of the diverticulum, surgical approach, and postoperative morbidity.
منابع مشابه
Open Zenker's diverticulectomy as the definite procedure in acute dysphagia.
• Vol 9 • May 2007 410 Zenker’s diverticulum (pharyngeal pouch) is a well-recognized problem occurring mainly in the elderly patient. Reduced cricopharyngeal compliance may be the underlying pathophysiological mechanism. Symptoms are derived both from the presence of the sac and from the cricopharyngeal abnormality [1] and usually include food regurgitation and dysphagia. Recurrent aspiration p...
متن کاملEndoscopic treatment of a Zenker’s bilocular diverticulum with cap and TT knife catheter
Zenker’s diverticulum is an outpouching of the esophageal mucosa through the cricopharyngeal muscle at the Killian triangle [1]. Endoscopically, the bridge of pseudodiverticulum sits between the esophageal lumen and the pouch and consists of mucosa, submucosa and muscle [2]. Th e rationale is to ablate the septum as much as possible and to open the pouch. A 64-year-old male was referred to our ...
متن کاملZenker’s Diverticulum: Endoscopic Surgical Management Options
Zenker diverticulum (ZD) is an uncommon pharyngo-esophageal outpouching that occurs in an area of muscular weakness at the junction of the inferior aspect of the inferior constrictor muscle and the cricophayngeus muscle (Killian dehiscence). As the diverticlulum enlarges it produces progressive dysphagia, regurgitation, and aspiration. The classic approach has been to do an open diverticulectom...
متن کاملEndoscopic treatment of Zenker's diverticulum using a stag beetle knife.
Zenker’s diverticulum can be treated successfully using flexible endoscopy [1]. Several methods have been used to cut the septum of the diverticulum, such as LigaSure (Medtronic, Minneapolis, Minnesota, USA), needle-knife, and other submucosal dissection devices. Recently, isolated cases using the stag beetle (SB) knife dissector, SB jr 3.5mm, have been reported [2–4]. We present the case of a ...
متن کاملEndoscopic versus surgical approach in the treatment of Zenker’s diverticulum: systematic review and meta-analysis
BACKGROUND Zenker's diverticulum is a rare disease in the general population. Its treatment can be carried out by either an endoscopic or surgical approach. The objective of this study was to systematically identify all reports that compare both treatment modalities and to assess the outcomes in terms of length of procedure, length of hospitalization, time until diet introduction, complication ...
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تاریخ انتشار 2016