We'd like to understand how you use our websites in order to improve them. Register your interest. The reference surgical treatment including diverticulectomy and section of the cricopharyngeal muscle tends to be replaced by rigid or flexible endoscopic treatment. Endoscopic treatment consists in the section of the wall between the diverticulum and the esophagus, and of the cricopharyngeal muscle in it. For flexible endoscopy, exposure of this wall is best obtained with the help of a flexible diverticuloscope. Symptoms resolution is usually obtained in one treatment session with a very low morbidity.
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Its treatment requires surgery but there is no consensus regarding the various operative techniques. Through an open cervical approach, the diverticulum can be either resected or suspended with or without a concurrent myotomy of the cricopharyngeus muscle. An innovative option is endoscopic trans-oral stapled esophago-diverticulostomy. Patients and method: We retrospectively reviewed a consecutive series of 36 patients operated on between and Median age was Through an open neck approach, diverticulectomy without cricopharyngeal myotomy was performed in 7 patients, diverticulectomy with myotomy in 11, and diverticulopexy with myotomy in Results: Morbidity rate was One fistula and one recurrence occurred in both diverticulectomy groups with and without myotomy.
There was no morbidity after suspension diverticulopexy which also allowed earlier oral feeding 1 vs. Diverticulectomy should be reserved for larger diverticula. Technical improvements of transoral stapled diverticulostomy are still required before it can be promoted as an alternative therapy.
Rouquie, P. Lasser, M. Castaing, V. Boige, D. Pignon, M. Ducreux, D. Elias, M. Journal page Archives Contents list. Kapella, D. Genet, B. Pech de Laclause, S. Durand-Fontanier, M. Lachachi, A. Fabre, D. Valleix, B. Article Article Outline. Access to the text HTML. Access to the PDF text. Recommend this article.
Save as favorites. Access to the full text of this article requires a subscription. If you are a subscriber, please sign in 'My Account' at the top right of the screen. Brigand, K. Bajcz, H. Elamrani, S. Dan, S. Rohr, C. Outline Masquer le plan. Top of the page - Article Outline. Contact Help Who are we? As per the Law relating to information storage and personal integrity, you have the right to oppose art 26 of that law , access art 34 of that law and rectify art 36 of that law your personal data.
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Les diverticules de l’œsophage
We'd like to understand how you use our websites in order to improve them. Register your interest. Diverticula of the oesophagus are rare and often asymptomatic or discovered incidentally. They are symptomatic of an ongoing oesophageal dysmotility process, resulting in abnormal intraluminal pressure.
Traitement endoscopique du diverticule de Zenker
All patients had a preoperative barium swallow, which confirmed the Zenker diverticulum. Patients underwent an attempted endoscopic resection of the Zenker diverticulum using the endoscopic stapling technique. If unsuccessful, an open approach was then taken. All patients were seen in follow-up within one and then at six months after surgery and had a barium swallow during the first month.
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