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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Idiopathic achalasia is the most frequent esophageal motility disorder. Outline Masquer le plan. This video demonstrates a laparoscopic enucleation of a leiomyoma of the GE junction. InCollard introduced diverticulotomy by using the endostapler, which decreased morbidity. The aim of the study is the reevaluation of the methods and therapeutic principles in pharyngo-esophageal diverticular disease, starting from the etio pathogeny.

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This video describes an esophagectomy performed laparoscopically and thoracoscopically in a year-old male patient presenting with an epidermoid esophageal carcinoma. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: The diagnosis was based on a clinical picture severe dysphagia, regurgitations, weight loss and investigations barium passage, upper endoscopy.

The patient was admitted to hospital and further study was performed –esophagogastroscopy and esophageal manometry – which confirmed the diagnosis of achalasia with esophageal aperistalses.

Zenker’s diverticulum

A novel technique for the management of Zenker’s diverticulum”. Diverticulectomy is proved to be the most efficient method of alleviating dysphagia [ 18 ], compared with the simple myotomy or myotomy associated with diverticulopexy [ 17 ]. Long term results were hard to obtain due to short monitoring period in more than half of the patients.


Diverticule pharyngo- oesophagien de zenker a propos de cinq cas. The mobilization of the stomach is limited to the anterior and lateral aspect, leaving the posterior attachments intact.

This may be performed through a diverticuloscope. Personal information regarding our website’s visitors, including their identity, is confidential. It was named in by German pathologist Friedrich Albert von Zenker. Discussion Sincewhen Ludlow had made the first description of the surgical treatment that was reported by Weeler indifferent therapies for Zenker diverticulum were imagined.

The surgeon starts by dissecting the gastroesophageal junction. Laimer’s triangle is covered only by the circular layer of esophageal muscle. Ask a question to the author You must be logged in to ask a question to authors.

Views Read Edit View history. A retrospective review of pharyngeal pouch surgery in 56 patients. Exceptional, pharyngo-esophageal diverticulum can be a rare complication after the surgery of the cervical spine trauma dislocation, fracturethat uses metal plate for fixation. Sincewhen Ludlow had made the first description of the surgical treatment that was reported by Weeler indifferent therapies for Zenker diverticulum were imagined.

Post-traumatic iatrogenic pharyngoesophageal diverticulum. Upper Hematemesis Melena Lower Hematochezia. The technical key steps of the surgical procedure are presented in a step by step way: Especially in the two cases with esophageal leak, the follow-up time years was short and there were plenty of possibilities to obtain different results after the reevaluation of the patients. Diverticulopexy is realized with the sternocleidomastoidian muscle, prevertebral fascia, or exceptionally, the mastoid.

DolhmanMattson The endoscopic operation for hypopharyngeal diverticula. She complained of epigastric pain and dysphagia.

The endoscopic procedure requires general anesthesia with tracheal intubation. Myotomy can be executed on the posterior midline, in order to avoid the relapsing that appears in case of lateral myotomy, before or after approaching the pouch, on cm, and needs to cut the transversal fibers of crico-pharyngeal muscle, cm from the fibers of inferior pharyngeal constrictor muscle [ 22 ] and 1 cm from the circular muscular layer of the esophagus. By browsing our website, you accept the use of cookies.


In this lecture, Dr.

Diverticulopexie pour diverticule de Zenker – EM|consulte

The trauma of the pharyngeal posterior wall occurs intraoperatively and can pass unnoticed. The McGraw-Hill Companies; Zenker, esophageal diverticulum, diverticulectomy, diverticulopexy. Other methods include fibreoptic diverticular repair. Laparoscopic transhiatal esophagectomy with Akiyama tube reconstruction for a terminal achalasia.

The diverticu,e permits the patient to resume oral feeding on the second postoperative day [ 15 ]. Its accessibility and safety guarantee wide clinical utilization in patients with suspected benign and malignant diseases of the esophagus.

If you want to subscribe to this journal, see our rates You can purchase this item in Pay Per View: With the therapeutic attitude varying from conservative to surgical with associated morbidity and mortalitythe importance of ed the etiopathology and clinical implications of the disease for establishing the management of the case is mandatory.

The specific complication after surgery, esophageal leak, occurred early in 2 women patients. Pharyngo-esophageal diverticula are most frequently described in elderly patients, dievrticule symptoms such as dysphagia, regurgitation, chronic cough, aspiration and weight loss.

Contact Help Who are we? Using manometry combined with video radiography, Cook et al. Surgical statistics were published duringincluding a group of 11 patients 5 menthat underwent divertticule treatment for Zenker diverticulum. Rarer forms of cervical esophageal diverticula are the Killian’s diverticulum and the Laimer’s diverticulum. B Dallemagne diverticulw, J Marescaux. Introduction Zenker diverticulum is the most common proof of a primitive pharyngo-esophageal motility disorder.

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