[Zenker's diverticulum as a cause of aspiration pneumonia and dysphagia in nonagenarian with moderate dementia].
The association between aspiration pneumonias and digestive symptoms is frequent in geriatric patients and is usually attributed to comorbidity, being the most frequent causes cerebrovascular disease or dementia. We present the case of a 90-year-old woman, with malnutrition associated with progressive dysphagia and episodes of aspiration pneumonia, due to Zenker's diverticulum, which was treated surgically. We provide a review of this disease and analyze the criteria that can be applied when considering surgical indication in the oldest-old with dementia.
García-Almenta
Mercedes Martín
MM
Servicio de Cirugía General y Aparato Digestivo, Hospital Central de la Cruz Roja, Madrid, España. mmartinalmena@yahoo.es
González Becerro
Margarita
M
Gómez Pavón
Javier
J
Carvajal Balaguera
Josué
J
Camuñas Segovia
Juan
J
Peña Gamarra
Luis
L
Cerquella Hernández
Carlos María
CM
D000369:Aged, 80 and over; D003704:Dementia / Q000150:complications*; D005260:Female; D006801:Humans; D011015:Pneumonia, Aspiration / Q000209:etiology*; D012720:Severity of Illness Index; D016672:Zenker Diverticulum / Q000150:complications*