Divertículo de ZENKER: conducta terapéutica
DOI:
https://doi.org/10.31053/1853.0605.v56.n2.40280Keywords:
Zenkers diverticulum, Surgical treatment, DiverticulectomyAbstract
Background: Pharyngoesophageal or Zenker diverticula are a few frequent pathology that could represent between 1 and 3 % of the patients with dysfagia and their physiopatology even at present is scarcity clear.
Objetive: Therapeutic procedures results about this patology 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. Dysfagia ocurred in 100 % of the cases. Besides clinical finding the diag- nosis 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 ocurred. 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 cxpericncc and the results attaincd we think the treatment of Zenker or pharyngoesophageal
diverticulum by diverticulectomy through a left cervicotomy is safe and effective procedure to
control this pathology.
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