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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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 |
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I10-R327-article-402802023-11-30T21:16:53Z Divertículo de ZENKER: conducta terapéutica Lada, Paul Florez Nicollini , Francisco Gramática (h), Luis Finkelstein , Javier Struni , Marcela Mercado Luna, Andrés Gramática , Luis Zenkers diverticulum Surgical treatment Diverticulectomy Divertículo de Zenker Tratamiento quirúrgico Diverticulectomía 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. Antecedentes: El divertículo faringoesofágico ó de Zenker, es una patología poco frecuente que representa entre el 1 % al 3% de los pacientes con disfagia y de fisiopatología poca clara hasta la actualidad.Objetivos: Se analizan los resultados de la conducta terapéutica de esta patología. Lugar de la aplicación: Clínica priva- da Caraffa y Clínica Sucre. Diseño: Estudio obscrvac ional retros- pectivo. Material y método: Se analizan 13 pacientes que fueron operados de divertículo de Zenker, 9 eran del sexo masculino y 4 delfemenino, con un promedio de 55,6 años de edad. La disfagia estuvo presente en el 100% de los casos. El diagnóstico fue corroborado además de la clínica, por la radiografía con-trastada de esófago y la endoscopia. El tratamiento quirúrgico de elección fue la diverticulectomía en un solo tiempo por unacervicotomía izquierda.Resultados: No hubo mortalidad operatoria. Con relación a la morbilidad hubo dos pacientes que presentaron una fístula, quefue tratada médicamente y dos abscesos de la herida quirúrgica. Se controló a los pacientes a los 6 meses, 4 años y 7 respectivamente, no observándose recidivas y con buena evoluciónposterior.Conclusión: El divertículo de Zenker ó faringoesofágico tratado por una diverticulectomía con cervicotomía izquierda, basándose en nuestra pequeña experiencia y a los resultados obtenidos, creemos que es un procedimiento seguro y efectivo para controlar esta patología. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-11-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/40280 10.31053/1853.0605.v56.n2.40280 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 56 No. 2 (1999); 93-98 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 56 Núm. 2 (1999); 93-98 Revista da Faculdade de Ciências Médicas de Córdoba; v. 56 n. 2 (1999); 93-98 1853-0605 0014-6722 10.31053/1853.0605.v56.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/40280/40529 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Zenkers diverticulum Surgical treatment Diverticulectomy Divertículo de Zenker Tratamiento quirúrgico Diverticulectomía |
| spellingShingle |
Zenkers diverticulum Surgical treatment Diverticulectomy Divertículo de Zenker Tratamiento quirúrgico Diverticulectomía Lada, Paul Florez Nicollini , Francisco Gramática (h), Luis Finkelstein , Javier Struni , Marcela Mercado Luna, Andrés Gramática , Luis Divertículo de ZENKER: conducta terapéutica |
| topic_facet |
Zenkers diverticulum Surgical treatment Diverticulectomy Divertículo de Zenker Tratamiento quirúrgico Diverticulectomía |
| author |
Lada, Paul Florez Nicollini , Francisco Gramática (h), Luis Finkelstein , Javier Struni , Marcela Mercado Luna, Andrés Gramática , Luis |
| author_facet |
Lada, Paul Florez Nicollini , Francisco Gramática (h), Luis Finkelstein , Javier Struni , Marcela Mercado Luna, Andrés Gramática , Luis |
| author_sort |
Lada, Paul |
| title |
Divertículo de ZENKER: conducta terapéutica |
| title_short |
Divertículo de ZENKER: conducta terapéutica |
| title_full |
Divertículo de ZENKER: conducta terapéutica |
| title_fullStr |
Divertículo de ZENKER: conducta terapéutica |
| title_full_unstemmed |
Divertículo de ZENKER: conducta terapéutica |
| title_sort |
divertículo de zenker: conducta terapéutica |
| description |
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. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/40280 |
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2024-09-03T21:04:22Z |
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2024-09-03T21:04:22Z |
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