Journal de Chirurgie Viscérale – Vol. – N° 4 – p. – Diverticulopexie pour diverticule de Zenker – EM|consulte. A Zenker’s diverticulum, also pharyngoesophageal diverticulum, also pharyngeal pouch, also hypopharyngeal diverticulum, is a diverticulum of the mucosa of. Keywords: Zenker, esophageal diverticulum, diverticulectomy, .. M. Diverticule pharyngo- oesophagien de zenker a propos de cinq cas.
|Country:||Papua New Guinea|
|Published (Last):||23 December 2015|
|PDF File Size:||18.96 Mb|
|ePub File Size:||18.83 Mb|
|Price:||Free* [*Free Regsitration Required]|
Esophagus and Diaphragmatic Hernia.
Rarer forms of cervical esophageal diverticula are the Killian’s diverticulum and the Laimer’s diverticulum. This page was last edited on 5 Octoberat You may thus request that your data, should it be diverticulle, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted. Surgical indication must be carefully established, after thorough evaluation. Diseases of the digestive system primarily K20—K93— Pharyngo-esophageal diverticula are most frequently described in elderly patients, having symptoms such as dysphagia, regurgitation, chronic cough, aspiration and weight loss.
We have routinely performed esophageal myotomy, distal to the diverticular opening, regardless of the manometry findings or the intraoperative aspect of the muscular layer. Zeenker that period, more patients were diagnosed with this pathology, but the surgical indication was carefully established, in conformity with the actual practice guides, which involve ddiverticule evaluation of the clinical manifestations determined by the diverticulum, as well as the identification and interception of the pathological mechanisms by the therapeutic gesture.
Esophagectomy as a primary treatment of achalasia might be considered if severe symptomatic dysphagia, regurgitationanatomical megaesophagus or functional esophagus aperistalses disorders are contraindications to a more conservative approach.
The pathologic relationship between these clinical entities can only be speculated. The dd complication after surgery, esophageal leak, occurred early in 2 women patients. Minimally invazive surgery for Zenker diverticulum: Zenkeg Center Support Center.
Its accessibility and safety guarantee wide clinical utilization in patients with suspected benign and malignant diseases of the esophagus.
Diverticule de Zenker : technique d’agrafage endoscopique par voie transorale
Some studies revealed the relationship between gastro-esophageal reflux disease and Zenker diverticulum, considering that the acid reflux can ascend theoretically to the pharyngeal level, determining mucosal injury at the Killian triangle and cricopharyngeal muscle hypertrophy. Upper Hematemesis Melena Lower Hematochezia. The diagnosis is suspected based on clinical symptoms and easily confirmed by imaging studies available almost everywhere barium passage and upper endoscopy.
The role of esophageal manometry in the management of the patients with gastro-esophageal reflux disease and Barrett’s esophagus. Webs and pouches of the oesophagus, their diagnosis and treatment. However, these data were not confirmed by other similar communications [ 7 ]. The different incidence related to race or geographic area and the communicated familial cases may suggest the implication of a genetic mechanism.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
The myotomy is started just above the gastroesophageal junction and extended 6 cm proximally and 2 cm distally onto the stomach using robotic articulated scissors. It is a pseudo diverticulum not involving all layers of the esophageal wall.
Diverticulopexy is realized with the sternocleidomastoidian muscle, prevertebral fascia, or exceptionally, the mastoid. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The endoscopic procedure requires general anesthesia with tracheal intubation. If you are a subscriber, please sign in ‘My Account’ at the top right diverhicule the screen. In familial cases, the disease seems zenket have a dominant transmission. All the patients included in the study underwent surgical treatment. A combination of the simple barium swallow and a thorough endoscopy will normally confirm the diverticulum. An esophageal leiomyoma can be enucleated safely and effectively through minimally invasive surgery.
There was a problem providing the content you requested
The aim of the study is the reevaluation of the methods and therapeutic principles in pharyngo-esophageal diverticular disease, starting from the etio pathogeny. Exceptional, pharyngo-esophageal diverticulum can be a rare complication after the surgery of the cervical spine trauma dislocation, fracturethat uses metal plate for fixation.
This procedure does not require the opening of the esophageal mucosa, reducing the zdnker of developing fistula or stenosis, but includes myotomy. Regardless of the type and cause of the pharyngo-esophageal motor abnormalities, diverhicule of the authors agree that the existence of the diverticulum at this level is the consequence of the intraluminal rise of the pressure, related to the resistance of the esophageal wall.
Access to the full text of this article requires a subscription. Post-traumatic iatrogenic pharyngoesophageal diverticulum. Views Read Edit View history. Over the last few decades, upper gastrointestinal endoscopy has become the most complementary test for investigation of esophageal diseases.
Zenker’s diverticulum – Wikipedia
Consequently, this operating technique is well standardized for the management of this condition. In the second operation, it was found that there was an incomplete myotomy, the correction of the fe leading to the healing of the leak [ 20 ]. The section of the diverticulum using a linear stapler, followed by one layer of manual suture for safety, simplifies this approach.
Click here to access your account, or here to register for free! Operating room set up, position of patient and equipment, instruments used are thoroughly described.