Journal de Chirurgie Viscérale – Vol. – N° 4 – p. – Diverticulopexie pour diverticule de Zenker – EM|consulte. A Zenker’s diverticulum, also pharyngoesophageal diverticulum, also pharyngeal pouch, also hypopharyngeal diverticulum, is a diverticulum of the mucosa of. Keywords: Zenker, esophageal diverticulum, diverticulectomy, .. M. Diverticule pharyngo- oesophagien de zenker a propos de cinq cas.
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Minimally invazive surgery for Zenker diverticulum: Author information Article notes Copyright and License information Disclaimer. In simple words, when there is zenkerr pressure within the lower pharynxthe weakest portion of the pharyngeal wall balloons out, forming a diverticulum which may reach several centimetres in diameter. Ivor-Lewis esophagectomy with the patient in a left lateral position: The video demonstrates the freedom of movement of the articulated robotic instruments that allow the surgeon to divide each individual muscular fiber achieving a precise dissection of the gastroesophageal junction.
Ask a question to the author You must be logged in to ask a question to authors. This video describes an esophagectomy performed laparoscopically and thoracoscopically in a year-old male patient presenting with an epidermoid esophageal carcinoma.
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This leads to the appearance of a weak area, with the possibility of developing a pharyngo-esophageal diverticulum for the next years after orthopedic surgery [ 8 ]. The technical key steps of the surgical procedure are presented in a step by step way: The degeneration of the striate muscular fibers of crico-pharyngeal muscle was seen at the histological examination; which are gradually replaced by fibro-fatty tissue [ 34 viverticule. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
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It was named in by German pathologist Friedrich Albert von Zenker. Nevertheless, long term administration of proton pump inhibitors in patients with or without surgical treatment for Zenker diverticulum, can be justified [ 10 ]. Clinical, therapeutic and morphological aspects.
Principles of surgical treatment of Zenker diverticulum
The myotomy is started just above the gastroesophageal junction and extended 6 cm proximally and 2 cm distally onto the stomach using robotic articulated scissors. This procedure does not require the opening of the esophageal mucosa, reducing the risk of developing fistula or stenosis, but includes ds. Zenker, esophageal diverticulum, diverticulectomy, diverticulopexy.
Iconography : Diverticulopexie pour diverticule de Zenker – EM|consulte
Sincewhen Ludlow had made the first description of the surgical treatment zsnker was reported by Weeler indifferent therapies for Zenker diverticulum were imagined. All the patients included in the study underwent surgical treatment. Zenker’s diverticulum mainly affects older adults. The description of the surgery of the upper esophageal sphincter open technique covers all aspects of the surgical procedure used for the management of pharyngoesophageal diverticulum.
Early functional results were favorable in all the cases, with the disappearing of dysphagia. Diverticulopexy is realized with the sternocleidomastoidian muscle, prevertebral fascia, or exceptionally, the mastoid. This video demonstrates a robotic-assisted Heller procedure for treatment of esophageal achalasia. Diiverticule Thorac Cardiovasc Surg.
However, in recent times non-surgical endoscopic techniques have gained more importance as they allow for much faster recoveryand the currently preferred treatment is endoscopic stapling   i. Contact Help Who are we?
Results There were 5 men and 6 women, mean age 54 years for men and 60 for women. Idiopathic achalasia is the most frequent esophageal motility disorder. Surgical statistics were published duringincluding a group of 11 patients 5 menthat underwent surgical treatment for Zenker diverticulum.
Retrieved from ” https: Diseases of the digestive system primarily K20—K93siverticule Six months later, an esophagram showed adequate contrast passage and progression. Schwartz’s Surgery, 8th edition, Part II.
Diverticule de Zenker : technique d’agrafage endoscopique par voie transorale
Persistent pharyngeocutaneous fistula after transcervical resection of a diverticulum of the hypopharynx. The extension of the myotomy on the gastric side continues to be divertivule most difficult part of the dissection. Minimally invasive surgery for Zenker diverticulum: The advantages compared with classic surgery are the absence of scar, diminished postoperative pain, early reestablishing of oral feeding and reduced length of hospital stay [ 24 ].