[Zenker diverticulum: therapeutic approach].
BACKGROUND
Pharyngoesophageal or Zenker diverticula are a few frequent pathology that could represent between 1 and 3% of the patients with dysphagia and their physiopathology even at present is scarcity clear.


OBJECTIVE
Therapeutic procedures results about this pathology were analyzed.


METHODS
Caraffa and Sucre Clinic.


METHODS
Retrospective observational study.


METHODS
It analyzed 13 patients operated by Zenker diverticula 9 of which were male and 4 were female sex with an average age of 55.6 years. Dysphagia occurred in 100% of the cases. Besides clinical finding the diagnosis was made evident by esophageal X-ray with contrast medium and endoscopy. Diverticulectomy by one stage through a left cervicotomy was the surgical procedure of choice.


RESULTS
There was no surgical mortality. Related with morbility 2 patients presented fistulas managed medically and in other 2 patients abscesses of surgical wound occurred. The follow-up was carried on 6 months, 4 and 7 years respectively without relapses and with a good posterior evolution.


CONCLUSIONS
Based on our short experience and the results attained we think the treatment of Zenker or pharyngoesophageal diverticulum by diverticulectomy through a left cervicotomy is safe and effective procedure to control this pathology.
Lada
P E
PE
Clínica Privada Caraffa y Clínica Sucre, Córdoba, Argentina.
Florez Nicolini
F
F
Gramática
L
L
Finkelstein
J
J
Struni
M
M
Mercado Luna
A
A
Gramática
L
L
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016672:Zenker Diverticulum / Q000601:surgery*