Divertículo de ZENKER: conducta terapéutica
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: Caraf...
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| Autores principales: | , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/40280 |
| Aporte de: |
| Sumario: | 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 averageage 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 inother 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 pharyngoesophagealdiverticulum by diverticulectomy through a left cervicotomy is safe and effective procedure tocontrol this pathology. |
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