title: [Zenker's diverticulum as a cause of aspiration pneumonia and dysphagia in nonagenarian with moderate dementia].
abstract: 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.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Central de la Cruz Roja, Madrid, España. mmartinalmena@yahoo.es
authors.forename: Mercedes Martín
authors.initials: MM
authors.lastname: García-Almenta
authors.forename: Margarita
authors.initials: M
authors.lastname: González Becerro
authors.forename: Javier
authors.initials: J
authors.lastname: Gómez Pavón
authors.forename: Josué
authors.initials: J
authors.lastname: Carvajal Balaguera
authors.forename: Juan
authors.initials: J
authors.lastname: Camuñas Segovia
authors.forename: Luis
authors.initials: L
authors.lastname: Peña Gamarra
authors.forename: Carlos María
authors.initials: CM
authors.lastname: Cerquella Hernández
mesh_terms: 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*