Zenker s diverticulum on the web most recent articles. A zenkers diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the human pharynx, just above the cricopharyngeal muscle i. The results with number and type of complications in 274 endoscopically treated patients including 6 patients with a recurrent diverticulum after transcutaneous surgery are reported. We counseled an 82yearold man who had presented for possible endoscopic management of a recurrent zenker s diverticulum.
An airfluid level can be seen within the zenkers diverticulum. Its treatment can be carried out by either an endoscopic or surgical approach. Zenkers diverticulum is an outpouching of the mucosa through the killians triangle. Care must taken with rigid esaphagoscopy to avoid perforating the diverticulum 1. Treatment of zenkers diverticulum through a flexible endoscope with a transparent obliqueend hood attached to the tip and monopolar forceps. Zenkers diverticulum on the web most recent articles. The surgical approach includes cricopharyngeal myotomy and suspension of pouch. The main cause of zenkers diverticulum is thought to be malfunctioning of the cricopharyngeal muscle due to the aging process. Zenkers diverticulum is a rare disease in the general population. Diagnostic testing o laboratory evaluation little or no value o diagnostic imaging barium swallow study of choice posterior midline pouch 2 cm diameter arising just above cricopharyngeus muscle. Louneseph bologhineservice medecine interne du pr asselah. Son traitement est soit chirurgical associant une diverticulectomie et une myotomie du muscle crico pharyngien soit endoscopique, par confection dune. Thieme ejournals endoscopy international open full text. The authors considered all studies that included at least 10 patients treated with a clearly defined method and in which the longterm results were reported and the.
Squamous cell carcinoma and zenker diverticulum diseases of. There is a common wall that separates the esophagus from the diverticulum pouch. The aim of this study was to evaluate the results of open surgical techniques in the treatment of zenker diverticulum. Files are available under licenses specified on their description page. Zenker s diverticulum, is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle. The percentage of totally asymptomatic patients was significantly p pdf download. Evaluation of the different transcervical approaches for. Its treatment requires surgery but there is no consensus. Zenkers diverticulum synonyms, zenkers diverticulum pronunciation, zenkers diverticulum translation, english dictionary definition of zenkers diverticulum. The technique of endoscopic treatment of hypopharyngeal diverticula is described. Search for similar articles you may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search. Zenker diverticulum definition of zenker diverticulum by.
It is a pouch that forms in your pharynx, an area just above your esophagus or swallowing tube. A zenker s diverticulum, also pharyngeal pouch, is a diverticulum of the mucosa of the human pharynx, just above the cricopharyngeal muscle i. Patients with this condition often exhibit no symptoms. The clinical relevance of cricomyotomy, although supported by experimental data, remains controversial. Zenkers diverticulum is a rare disease, which can cause considerable suffering. Endoscopic staple diverticulostomy for zenkers diverticulum. Fibreoptic diverticular repair is another of the methods for treating zenkers diverticulum. When food and saliva fill up the pouch, however, symptoms can occur and may include. The first description was made by halstead in 1904. Most frequently encountered are diverticula of the esophagus or urinary bladder and more rarely, of the duodenum or stomach.
Zenkers diverticulum repair what is zenkers diverticulum. The diagnosis is best established by barium esophagogram. Endoscopic stapling is the currently preferred treatment for zenkers diverticulum, i. This page was last edited on 16 november 2018, at 12. Zenkers diverticulum article about zenkers diverticulum. Zenkers diverticulum a pulsion diverticulum of the hypopharnx, is rare lesion that occurs in elderly populations. The contents of this web site are for information purposes only, and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Diverticulum a pouch formed by the congenital or acquired protrusion of the wall of a tubular organ in man. A primary squamous cell carcinoma in a hypopharyngeal diverticulum, a zenker diverticulum, is a very rare condition. Carbon dioxide laser endoscopic diverticulotomy versus open. The aim of this retrospective, nonrandomized study was to compare the results of diverticulectomy and diverticulopexy in the treatment of zenkers diverticulum. Zenkers diverticulumcausessymptomstreatmentdiagnosis. The most common important complication is aspiration. Nous decrivons ici une diverticulopexie au ligament vertebral.
This pouch typically causes problems by trapping food as it is being swallowed, leading to choking and aspiration. Zenkers diverticulum definition of zenkers diverticulum. Tian h, yuan w, johnson js, chen h, chen d, pharyngoesophageal diverticulum. Note the hazy soft tissue mass in the right upper lung field representing the zenkers diverticulum. A zenkers diverticulum, more formally known as a hypopharyngeal diverticulum, is a pouch that can form at the junction of the hypopharynx lower part of the throat and the esophagus, an area known as killians triangle. A zenker s diverticulum, also pharyngoesophageal diverticulum, also pharyngeal pouch, also hypopharyngeal diverticulum, is a diverticulum of the mucosa of. Carbon dioxide laser endoscopic diverticulotomy versus open diverticulectomy. Endoscopic treatment of zenkers diverticulum springerlink. Laser versus stapler outcomes following initial endoscopic failure. The chart data included method of repair co 2 laser or stapler, demographics age and sex, defect size in centimeters, preoperative and postoperative symptoms, and complications. The treatment of choice for zenkers diverticulum has historically been surgical.
Evaluation of the different transcervical approaches for zenker diverticulum. To route calls over the alternative network, you need to key in. Incomplete symptomatic relief of pharyngoesophageal zenkers diverticulum after endoscopic stapling or laser division has been reported by some authors. Endoscopic staple diverticulostomy for zenker s diverticulum. Chevrolet is a division and the lead brand of the american automobile manufacturer general motors gm parts. Squamous cell carcinoma and zenker diverticulum diseases. Zenkers diverticulum symptoms, diagnosis, treatments and. Endoscopic versus surgical approach in the treatment of. The results obtained seem to confirm that endoscopic treatment of a hypopharyngeal diverticulum is to be preferred to an. Regarding the treatment approach, the method used in both groups, and the initial size of diverticulum were evaluated. Parmi les possibilites therapeutiques, lutilisation des pinces. Zenker s diverticulum is a pouch at the back of the throat at a weak spot where the throat and esophagus join. Zenkers diverticulum is a pouch at the back of the throat at a weak spot where the throat and esophagus join. Evaluation dun traitement endoscopique des diverticules.
This happens when there is pressure on your pharynx and it balloons out. The results in the present study and those reported in the english language literature advocate that esd be the initial preferred treatment for zenker s diverticulum. Youre covered by the ebay money back guarantee if you receive an item that is not as described in the listing. The medical records of patients with recurrent zd after primary endoscopic repair were selected. These diverticula are uncommon and tend to occur in elderly people. Patients dysphagia was graded on a modified functional oral intake scale from 1 to 4 1 being normal intake and 4. The technique has a faster operative and convalescence period with fewer complication rates compared with other endoscopic or external transcervical approaches. The results obtained seem to confirm that endoscopic treatment of a hypopharyngeal diverticulum is to be preferred to an external. May occur with dysphasia or foulsmelling breath in old people. Endoscopic laser is a nonsurgical treatment method for zenkers diverticulum. Learn more 3e600 in a new window or tab international postage and import charges paid to pitney bowes inc.
More detailed information about the symptoms, causes, and treatments of zenkers diverticulum is available below symptoms of. Management of pharyngoesophageal zenkers diverticulum. The objective of this study was to systematically identify all reports that compare both treatment modalities and to assess the outcomes in terms of length of procedure, length of hospitalization, time until diet introduction. Jun 21, 2019 environmental science book by anubha kaushik pdf. Both open transcervical and endoscopic approaches are associated with complications and potential risks. Zenker s diverticulum is an outpouching of the mucosa through the killians triangle. It is a pseudo diverticulum not involving all layers of the esophageal wall. All structured data from the file and property namespaces is available under the creative commons cc0 license.185 18 762 1171 612 872 1389 444 639 426 1401 138 100 1564 274 997 689 985 1214 1542 1379 275 143 1540 898 166 17 1538 1622 1265 1650 1505 1354 330 8 735 671 1218 564 293 875 741 208 648 646 1233