Zenker's Diverticulum in A Female Patient, Surgical Treatment: Case Report
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Abstract
Zenker’s diverticulum is a herniation of the esophageal mucosa and submucosa through Killian’s triangle, classified as a false diverticulum. Its etiology is associated with dysfunction of the upper esophageal sphincter, leading to progressive dysphagia, regurgitation, and a risk of aspiration pneumonia. Diagnosis is made through a barium esophagogram, and treatment varies between endoscopic and surgical approaches, depending on the diverticulum’s size and symptoms. We present the case of a 78-year-old female with progressive dysphagia and regurgitation, diagnosed with zenker’s diverticulum. She underwent cricopharyngeal myotomy and diverticulopexy via an open approach, with favorable evolution, progressive clinical improvement, and complete symptom resolution at three months postoperatively.
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References
I. Montenegro E, Morales B, Naranjo P, Núñez H. Diagnosis and treatment of Zenker's Diverticulum, review article. Pol Con. 2022; 69(7),4:1124-1140. https://dialnet.unirioja.es/descarga/articulo/8482976.pdf
II. Nehring P, Krasnodębski IW. Zenker's diverticulum: aetiopathogenesis, symptoms and diagnosis. Comparison of operative methods. Prz Gastroenterol. 2013;8(5):284-9. https://doi.org/10.5114/pg.2013.38729
III. Rodríguez-Luna M, Pizzicannella M, Perretta S. Indicación para el tratamiento endoscópico de los divertículos de Zenker. Annals Of Esophagus. 2021;4. https://doi.org/10.21037/aoe-2020-21
IV. Pérez T, Pérez J, Bernal F, Abdo J, Murguía D. Diagnóstico y tratamiento del divertículo de zenker. Rev Med Hosp Gen mex 2005;68(3): 155- 159. https://www.medigraphic.com/pdfs/h-gral/hg-2005/hg053e.pdf
V. Sasaki, C. T., Ross, D. A., & Hundal, J. (2003). Association between Zenker diverticulum and gastroesophageal reflux disease: development of a working hypothesis. The American Journal Of Medicine, 115(3), 169-171. https://doi.org/10.1016/s0002-9343(03)00218-3
VI. Bhatt NK, Mendoza J, Kallogjeri D, Hardi AC, Bradley JP. Comparación de tratamientos quirúrgicos para el divertículo de Zenker: una revisión sistemática y un metanálisis en red. JAMA Otolaryngol Head Neck Surg. 2021;147(2):190–196. https://doi.org/10.1001/jamaoto.2020.4091
VII. Rosales-Castañeda E, García-Morán GC, Martínez-Ordaz JL. Surgical treatment of Zenker’s diverticulum [Manejo quirúrgico del divertículo de Zenker]. Cir Cir. 2018;86(4):355-358. https://doi.org/10.24875/ciru.m18000054
VIII. Rizzetto C, Zaninotto G, Costantini M, Bottin R, Finotti E, Zanatta L, et al. Divertículos de Zenker: viabilidad de un enfoque personalizado en función del tamaño del divertículo. Rev cir gastrol. 2008;12(12):2057-2065. https://doi.org/10.1007/s11605-008-0684-7
IX. Godinez-Vidal A, Hurtado-López L, Basurto-Kuba E, de Oca-Durán E, Higuera-Hidalgo F, Etchegaray-Donde A. Zenker’s diverticulum: endoscopic versus surgical approach. Which is better? Experience in the General Hospital of Mexico Dr. Eduardo Liceaga [Divertículo de Zenker. Manejo endoscópico contra técnica abierta. ¿Cuál es mejor? Experiencia en el Hospital General de México Dr. Eduardo Liceaga]. Cir Cir. 2018;86(3):244-249. https://doi.org/10.24875/ciru.m18000037
X. Silveira ML, Vilhordo DW, Kruel CD. Divertículo de Zenker: tratamento endoscópico versus cirúrgico [Zenker diverticulum: surgical versus endoscopic treatment]. Rev Col Bras Cir. 2011 Sep-Oct;38(5):343-8. https://doi.org/10.1590/s0100-69912011000500011
XI. Law R, Katzka DA, Baron TH. Zenker's Diverticulum. Clin Gastroenterol Hepatol. 2014 Nov;12(11):1773-82; quiz e111-2. https://doi.org/10.1016/j.cgh.2013.09.016
XII. Hoyos M, Fuentes CF, Rodríguez JA. Z-POEM: ¿Procedimiento ideal para el tratamiento del divertículo de Zenker? Rev Colomb Cir. 2023;38:252-8. https://doi.org/10.30944/20117582.2284
XIII. Luengo O, Usero S, Rueda JL, Abad M, García E. Epidermoid carcinoma occurring in a Zenker's diverticulum. Cir Esp (Engl Ed). 2021 Mar;99(3):241-242. https://doi.org/10.1016/j.ciresp.2020.05.003
XIV. Leporrier J, Salamé E, Gignoux M, Ségol. Diverticule de Zenker: Diverticulopexie contre diverticulectomie. Ann Chir 2001;126: 42-5. https://doi.org/10.1016/S0003-3944(00)00455-7
XV. Moreira B, Germade A, Pérez L, Maestro S, Santos F, Sánchez F, et al. Diverticulotomía endoscópica utilizando LigasureTM. Gastroenterol Hepatol. 2016;40(2):80-84. http://dx.doi.org/10.1016/j.gastrohep.2016.04.001