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.
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Esophagus and Diaphragmatic Hernia.
The authors present a case of a laparoscopic transhiatal esophagectomy with Akiyama tube reconstruction in a woman with long-term achalasia and megaesophagus. Laimer’s diverticulum is formed in Laimer’s triangle located inferior to the cricopharyngeus in the posterior midline above the confluence of the longitudinal layer of esophageal muscle.
Diverticulopexie pour diverticule de Zenker – EM|consulte
In both cases, the evolution was favorable under conservative treatment that included partial opening of the cervical wound and extension of nothing by mouth period NPObut the hospital stay doubled. The advantages compared with classic surgery are the absence of scar, diminished postoperative pain, early reestablishing of oral feeding and reduced length of hospital stay [ 24 ]. A conventional port placement is used to approach the hiatal region.
Views Read Edit View history. Over the last few decades, upper gastrointestinal endoscopy has become the most complementary test for investigation of esophageal diseases. You can move this window by clicking on the headline. CO2 laser versus endoscopic stapling”. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus. It has an incidence of 2 perper year in the UK, but there is significant geographical variation around the world.
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The patients with Zenker diverticulum frequently associate hiatal hernia. This video demonstrates a patient with epiphrenic esophageal diverticulum.
Zenker’s diverticulum – Wikipedia
The pathologic relationship between these clinical entities can only be speculated. Specific complication is the perforation during the use of the zdnker, the management of this complication implying conversion to open surgery and diverticulectomy [ 31 ].
This video describes an esophagectomy performed laparoscopically and thoracoscopically in a year-old male patient presenting with an epidermoid esophageal carcinoma. The mobilization of the stomach is limited to the anterior and lateral aspect, leaving the posterior attachments intact.
Principles of surgical treatment of Zenker diverticulum
National Center for Biotechnology InformationU. There xe 5 men and 6 women, mean age 54 years for men and 60 for women.
The esophageal closure was done manually with continuous double layer in both cases. The endoscopic procedure requires general anesthesia with tracheal intubation.
However, these data were not confirmed by other similar communications [ 7 ]. Journal List J Med Life v. Surgical statistics were published duringincluding a group of 11 patients 5 menthat underwent surgical treatment for Zenker diverticulum. Sincewhen Ludlow had made the first description of the surgical treatment that was reported by Weeler indifferent therapies for Zenker diverticulum were imagined. Especially in the two cases with esophageal leak, the follow-up time years was short and there were plenty of possibilities to obtain different results after the reevaluation of the patients.
Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. If the surgical intervention is well done, the incidence of salivary fistula, specific complication of this operation, is minimal [ 19 ]. Access to the text HTML.
Results There were 5 men and 6 women, mean age 54 years for men and 60 for women. We found useful esophageal manometry, investigation that measures esophageal motility and we have used it recently, after the purchase of the equipment [ 32 ].
This is considered the most important part of the surgical treatment by many authors [ 1921 ].