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preLekára.sk / Journals / Perspectives in Surgery / 2020 - 6

Zenker’s diverticulum – effectiveness of endoscopic therapy

Česká verzia

Authors: T. Grega;  M. Zavoral;  Š. Suchánek
Authors place of work: Interní klinika 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice – Vojenské fakultní nemocnice, Praha
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 6, s. 244-248.
Category: Review
doi: https://doi.org/10.33699/PIS.2020.99.6.244–248

Summary

Zenker’s diverticulum is the most common type of esophageal diverticulum with a prevalence of 0.01 to 0.11 %, usually found in middle-aged and older patients. The prevalent symptoms are dysphagia and regurgitation. Treatment is recommended in symptomatic patients and consists of myotomy of the cricopharyngeal muscle. Both surgical and endoscopic methods are used in the treatment of Zenker’s diverticulum. With technical advances, flexible endoscopy has come to the forefront in the treatment of Zenker’s diverticulum, especially in older polymorbid patients. Its advantages include lower morbidity and mortality, shorter surgery time, the possibility of performing the procedure without general anesthesia, and a shorter hospital stay, including early oral food intake. In this paper we present our own experience with endoscopic treatment of Zenker’s diverticulum and at the same time we provide a review of effectiveness with other methods of treatment.

Keywords:

Zenker’s diverticulum − cricopharyngeal muscle − myotomy − rigid endoscopy − flexible endoscopy

Zdroje
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Perspectives in Surgery

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2020 Číslo 6
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