Divertículo de Zenker. Visits. Download PDF. Eduardo Marín-López, Sergio Rojas Ortega. a 0. This item has received. Visits. Article information. Vol. Num. r Pages Full text access. Divertículo de Zenker. Visits. Download PDF. Eduardo Marín-López, Sergio Rojas Ortega. BACKGROUND: Zenker’s diverticulum is a protrusion of the pharyngeal mucosa Publisher: Antecedentes: los divertículos de Zenker son protrusiones de la.
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Esophageal manometry showed a high-pressure upper esophageal sphincter in all 3 patients who underwent this study. October Pages The superior and medium thyroideal vessels are ligated and cut.
After general anesthesia induction the patient is placed in the supine position with the neck rotated to the right. In spite of this, some authors have described a familiar aggregation 4. Endoscopic management of Zenker diverticulum: Symptoms appeared 15 months prior to admission with occasional dysphagia to solids and liquids, breathing difficulty at night, drooling, halitosis, 3 kg weight loss in 2 months, and adequate appetite.
J Laryngol Otol ; The only case of divertiulo developed in one patient where a diverticulectomy without cricopharyngeal myotomy had been performed, who was again symptomatic 23 months after surgery. Qualitative variables were defined by number of cases and percentage. One proceeds to the identification of the left laryngeal recurrent nerve, avoiding its damage. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
A diverticulectomy with cricopharyngeal muscle myotomy was successfully performed. One case presented with a transient recurrent nerve paralysis, which was treated with steroids. In our series all complications appeared in cases where myotomy was associated, except for the patient dde suffered from dverticulo transient recurrent diverticuli paralysis, who had undergone diverticulectomy alone.
Manometry registers the pressure in different places of the esophagus and determines changes in the upper esophageal sphincter 8.
Experiencia de 20 años en el manejo del divertículo de Zenker en un hospital de 3er nivel
Diferticulo complications included 1 case of upper esophageal stenosis 3 weeks after surgery, which was solved with endoscopic dilatations. Ann Otol Rhinol Laryngol ; Full text is only aviable in PDF.
Si continua navegando, consideramos que acepta su uso. CiteScore measures average citations received per document published. Print Send to a friend Export reference Mendeley Statistics.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. One patient developed a cervical abscess requiring surgical drain and antibiotics. Acta Otolaryngol ; Dysphagia, regurgitation and halitosis appeared as typical symptoms of Zenker’s diverticulum.
In this approach the surgeon cuts with electrocoagulation or an endostapler the mucosa and muscle tissues of the wall, thus separating the diverticulum’s lumen dvierticulo the esophageal one. The concurrence of both morbid conditions can be more probably attributed to coexistence in the same age range than to an association between them with a common pathogenetic base.
After surrounding the divedticulo esophagus, the diverticulum and its neck are dissected following a cm myotomy of the cricopharyngeal muscle in most cases. Follow-up was performed for all operated patients 6 months after surgery. Evolution of surgical treatment for pharyngeal pouch. This item has received. Most cases began oral feeding hours after surgery. Br J Surg ; It is currently accepted that its origin is a primary dysfunction of the cricopharyngeal muscle, which cannot relax adequately and thus gives rise to a high pressure inside the pharynx when swallowing, and the formation of a secondary pulsion diverticulum.
Our experience reveals that the only patient who presented recurrence was one of the three cases undergoing diverticulectomy without myotomy.
[Zenker’s diverticulum: election of surgical treatment and outcome. Case presentation].
Comparison of the endoscopic stapling technique with more established procedures for pharyngeal pouches: Its usual development in advanced-age patients as described in the literature is consistent with our results zrnker.
No carcinoma associated with a diverticulum appeared in any of our cases. Endoscopic stapling vs conventional methods of surgery for pharyngeal pouches: CiteScore measures average citations received per document published. Endoscopic staple-assisted esophagodiverticulostomy for Zenker’s diverticulum.
DIVERTICULO DE ZENKER 2
Previous article Next article. Its pathophysiology is not yet completely understood. This is the reason why it is considered as a second-choice technique, the previous performance of an esophagogram is advisable to help the endoscopist.
A drain is placed in the surgical bed and the incision is closed.