DIVERTICULE DE ZENKER PDF
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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This page was last edited on 5 Octoberat Diverticule pharyngo- oesophagien de zenker a propos de cinq cas.
The conservation of the diverticular pouch after diverticulopexy was for the first time described by Schmid inand made popular by Belsey and Skinner [ 1314 ]. Diveritcule, 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.
Surgical statistics were published duringincluding a group of 11 patients 5 menzekner underwent surgical treatment for Zenker diverticulum.
The role of esophageal manometry in the management of the patients with gastro-esophageal reflux disease and Barrett’s esophagus. Regardless of the type and cause of the pharyngo-esophageal motor abnormalities, most of the authors agree that the existence of the diverticulum at this level is the consequence of the intraluminal rise of the pressure, related to the resistance of the esophageal wall.
Discussion Sincewhen Ludlow had made the first description of the surgical treatment that was reported by Weeler indifferent therapies for Zenker diverticulum were imagined.
Sincewhen Ludlow had made the first description of the surgical treatment that was reported by Weeler indifferent therapies for Zenker diverticulum were imagined. It has an incidence of 2 perper year in the UK, but there is significant geographical variation around the world. The idea was resumed by Dohlamn and Divertocule in [ 11 ], by cutting the septum with the electrocautery, latter on using laser. Surgery of the upper esophageal sphincter open technique. The diagnosis is suspected based on clinical symptoms and easily confirmed by imaging studies available almost everywhere barium passage and upper endoscopy.
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 divrticule 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. An esophageal leiomyoma can be enucleated safely and effectively through minimally invasive surgery.
This kind of intraoperative findings support the etiologic theory of this disease, enhancing the importance of associating myotomy during surgery, whatever the attitude regarding the pouch is. This procedure does not require the opening of the esophageal mucosa, reducing the risk of developing fistula or stenosis, but includes myotomy.
Laparoscopic transhiatal enucleation is a safe and feasible procedure. Esophagectomy as a primary treatment of achalasia might be divertocule if zenkerr symptomatic dysphagia, regurgitationanatomical megaesophagus or functional esophagus aperistalses disorders are contraindications to a more conservative approach. The laparoscopic approach is a conventional option for this kind of tumor located near or at the esophagogastric EG junction. The technique implies the identification of the diverticulum, dissection of the adhesions with conjunctive tissue to the diverticular opening, which is just superior to the transversal fibers of cricopharyngeal muscle, resection of the pouch and restoration of the esophageal wall by manual suture in one diveryicule two layers.
Nevertheless, long term administration of proton pump inhibitors in patients with or without surgical treatment for Zenker diverticulum, can be justified [ 10 ].
Iconography : Diverticulopexie pour diverticule de Zenker – EM|consulte
Personal information regarding our website’s visitors, including their identity, is confidential. Open surgery represents the most zenkwr approach of this pathology, especially in younger patients, due to long term favorable results communicated.
Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Cricopharyngeal function and dysfunction. Killian’s diverticulum is formed in the Killian-Jamiseon triangle located inferior to the cricopharyngeus on both sides of this muscle’s insertion into the cricoid cartilage. This video demonstrates a robotic-assisted Heller procedure for treatment of esophageal achalasia. Outline Masquer le plan. Zenker’s diverticulum mainly affects older adults.
Belsey Functional disease of the esophagus. DolhmanMattson The endoscopic operation for hypopharyngeal diverticula. In simple words, when there is excessive pressure within the lower pharynxthe weakest portion of the pharyngeal wall balloons out, forming a diverticulum which may reach several centimetres in diameter.
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 ].
Diverticule de Zenker : technique d’agrafage endoscopique par voie transorale
Surgical management of posterior pharyngeal pulsion diverticula: In familial cases, the disease seems to have a dominant transmission. In this lecture, Dr.
Specific Considerations, Chapter You can move this window by clicking on the headline. Long-term results of endosurgical and open surgical approach for Zenker diverticulum. Consequently, this operating technique is well standardized for the management of this condition.
Clinical, therapeutic and morphological aspects.