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[Endoscopic treatment of Zenker's diverticulum].

AbstractINTRODUCTION:
We report our experience in the endoscopic (flexible) treatment of Zenker's diverticulum.
PATIENTS AND METHOD:
Three patients with medium-sized Zenker's diverticula were treated by endoscopic cricopharyngeal myotomy with a modified needle-knife sphincterotome through a therapeutic gastroscope. The procedure was performed in the digestive endoscopy unit under conscious sedation without anesthetic support.
RESULT:
Endoscopic cricopharyngeal myotomy was completed in a single session without immediate or late complications. In all three patients dysphagia disappeared and all were discharged at 48 hours with a solid diet. After 12, 18 and 17 months of follow-up there has been no recurrence of dysphagia or other symptoms attributable to Zenker's diverticulum.
CONCLUSION:
Flexible endoscopic cricopharyngeal myotomy is a simple, effective and safe treatment of Zenker's diverticulum that avoids the need for open cervical surgery and general anesthesia.
AuthorsEmilio de la Morena, Elena Pérez-Arellano, Ramiro Carreño, Esperanza Tomás, Yago González-Lama
JournalCirugia espanola (Cir Esp) Vol. 78 Issue 4 Pg. 256-9 (Oct 2005) ISSN: 0009-739X [Print] Spain
Vernacular TitleTratamiento endoscópico del divertículo de Zenker.
PMID16420835 (Publication Type: English Abstract, Journal Article)
Topics
  • Aged
  • Aged, 80 and over
  • Female
  • Gastroscopy
  • Humans
  • Male
  • Zenker Diverticulum (surgery)

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