title: [Zenker diverticulum: therapeutic approach].
abstract: 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.
authors.affiliation: Clínica Privada Caraffa y Clínica Sucre, Córdoba, Argentina.
authors.forename: P E
authors.initials: PE
authors.lastname: Lada
authors.forename: F
authors.initials: F
authors.lastname: Florez Nicolini
authors.forename: L
authors.initials: L
authors.lastname: Gramática
authors.forename: J
authors.initials: J
authors.lastname: Finkelstein
authors.forename: M
authors.initials: M
authors.lastname: Struni
authors.forename: A
authors.initials: A
authors.lastname: Mercado Luna
authors.forename: L
authors.initials: L
authors.lastname: Gramática
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016672:Zenker Diverticulum / Q000601:surgery*