Flexible endoscopic and surgical management of Zenker's diverticulum

Dzeletovic, Ivana; Ekbom, Dale C.; Baron, Todd H.

doi:10.1586/egh.12.25

Cited by 89 publications

(55 citation statements)

References 111 publications

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“…(2) Currently, the therapeutic attitude varies between conservative and surgical, classical or endoscopic treatment. Treatment should be reserved for symptomatic patients with or without associated complications (3,4), while small, asymptomatic diverticula do not require treatment, as the risk of severe adverse events (cancer, aspiration pneumonia) is reduced (5). The surgical indication, as expressed in the literature, is still vaguely specified, varies between the formal indication for surgery, determined by the simple presence of the diverticular sac at the pharyngoesophageal level, up to a case-adjusted attitude depending on the presence of the symptomatology specific age, associated illness and of course the installation of direct complications, an attitude we opt for.…”

Section: Introductionmentioning

confidence: 99%

Zenker Diverticulum Treatment: Endoscopic or Surgical?

Ciuc¹,

Bîrlă²,

Panaitescu³

et al. 2018

chr

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RezumatIntroducere: Diverticulul Zenker constituie o patologie rară, selecţia pacienţilor pentru tratamente invazive este discutabilă, precum şi metoda terapeutică aplicată. Scopul studiului este de a evalua principalele metode de tratament-chirurgical clasic si endoscopic, în această patologie şi de a corela aspectele fiziopatologice cu consecinţele clinice. Material şi metodă: Am inclus în lotul de studiu 36 pacienţi cu diverticuli cervicali Zenker trataţi în perioada 2010/2017 în două clinici universitare: 7 pacienţi prin abord chirurgical clasic la Clinica de Chirurgie Generală şi Esofagiană a Spitalului Clinic Sfânta Maria Bucureşti şi 29 de pacienţi cu abord endoscopic la Departamentul de Endoscopie Digestivă de Diagnostic şi Intervenţională din cadrul Institutului Regional de Hepatologie şi Gastroenterologie Prof. Dr. Octavian Fodor, Cluj-Napoca. Vârsta pacienţilor a fost cuprinsă între 42 şi 84 ani şi în decada a 7a -15 pacienţi. Rezultate: Miotomia cricofaringiană s-a efectuat la toţi pacienţii. Diverticulectomia s-a practicat la 7 pacienţi, cei trataţi chirurgical. Durata de spitalizare medie a fost de 4 zile. Complicaţii intraprocedurale au prezentat 3 pacienţi trataţi endoscopic şi au constat în apariţia hemoragiei laminare. La 2 pacienţi s-a practicat hemostază endoscopică cu clipuri şi pensă caldă iar la un pacient s-a efectuat hemostază endoscopică cu clipuri. Complicaţiile postprocedurale au fost: dureri locale, leucocitoză, melenă, febră,

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Section: Introductionmentioning

confidence: 99%

Zenker Diverticulum Treatment: Endoscopic or Surgical?

Ciuc¹,

Bîrlă²,

Panaitescu³

et al. 2018

chr

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“…The condition typically affects the elderly population in the seventh decade of life, being uncommon before the age of 40, and it is more frequently described in males than females (1,2). In fact, Zenker's diverticulum or pharyngeal pouch is a pulsion diverticulum that results from the herniation of the esophageal mucosa on the posterior wall between the cricopharyngeus muscle and the inferior pharyngeal constrictor muscle (3).…”

Section: Introductionmentioning

confidence: 99%

Zenker’s diverticulum and squamous esophageal cancer: a case report

Dina¹,

Ginghină²,

Toderescu³

et al. 2017

J Mind Med Sci.

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Zenker's diverticulum represents a rare esophageal lesion developed especially in the elderly population due to herniation of esophageal mucosa above the cricopharyngeus muscle. The condition leads to food retention, regurgitation, aspiration, and dysphagia in affected patients. Progressive dysphagia also characterizes malignant diseases of the esophagus like squamous esophageal carcinoma that typically appears in male patients in the seventh decade of life, with a history of cigarette smoking and alcohol abuse.We report a case of a male patient who presented with dysphagia for both solids and liquids along with significant weight loss, and who was diagnosed with medium esophageal cancer associated with Zenker's diverticulum.Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.

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“…They cite only two articles from the initial description of flexible therapy of ZD from nearly 20 years ago. Since those two original descriptions, over 15 series involving more than 600 patients have been published [2,3,4]. Overall, the results of flexible therapy compare favorably to rigid endoscopic therapy.…”

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confidence: 99%