title: 20 years experience in the management of Zenker's diverticulum in a third-level hospital.
abstract: Zenker s diverticulum arises in the posterior wall of the pharynx, above the cricopharyngeal muscle, secondary to a functional cricopharyngeal disorder. We describe our experience with the management of Zenker s diverticulum from 1985 to this day in a third-level hospital. We review clinical data from 27 patients (78% males) with a mean age of 60.4 years. The most common clinical manifestations were dysphagia, regurgitation, syalorrhea, cough, and weight loss. All cases were diagnosed using an esophagogram. A diverticulectomy with cricopharingeal myotomy was performed in 74% of patients. Complications developed in 5 cases (21%), and the recurrence rate was 4% (1 of 3 cases, where myotomy was not performed).
authors.affiliation: Department of General and Digestive Surgery, University Hospital Ramón y Cajal, Madrid, Spain. jruiztovar@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: Ruiz-Tovar
authors.forename: J
authors.initials: J
authors.lastname: Pérez de Oteyza
authors.forename: M V
authors.initials: MV
authors.lastname: Collado
authors.forename: R
authors.initials: R
authors.lastname: Rojo
authors.forename: A
authors.initials: A
authors.lastname: García Villanueva
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General; D003413:Cricoid Cartilage / Q000601:surgery; D013505:Digestive System Surgical Procedures; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016672:Zenker Diverticulum / Q000150:complications / Q000175:diagnosis / Q000601:surgery*