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Journal de Chirurgie Viscérale – Vol. – N° 4 – p. – Diverticulopexie pour diverticule de Zenker – EM|consulte. A Zenker’s diverticulum, also pharyngoesophageal diverticulum, also pharyngeal pouch, also hypopharyngeal diverticulum, is a diverticulum of the mucosa of. Keywords: Zenker, esophageal diverticulum, diverticulectomy, .. M. Diverticule pharyngo- oesophagien de zenker a propos de cinq cas.

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Microlaryngoscopic repair of iatrogenic pharyngeal pouch perforations: The patient had previously undergone neoadjuvant chemoradiotherapy with poor results.

The simple myotomy as therapy, exposes the patient to specific risks given by the presence of diverticular pouch, including malignant transformation.

A conventional port placement is used to approach the hiatal region.

Upper Hematemesis Melena Lower Hematochezia. The role of esophageal manometry in the management of the patients with gastro-esophageal reflux disease and Barrett’s esophagus.

Principles of surgical treatment of Zenker diverticulum

On the other hand, postoperative fistula at this level has a good prognosis under conservative treatment, being enough wide drainage by opening the cervical wound and NPO, with the healing of the leak in a couple of days. This video demonstrates a patient with epiphrenic esophageal diverticulum.

Laimer’s diverticulum is formed in Laimer’s triangle located inferior to the cricopharyngeus in the posterior midline above the confluence of the longitudinal layer of esophageal muscle. This video demonstrates a robotic-assisted Heller procedure for treatment of esophageal achalasia.



Zenker’s diverticulum

The different incidence related to race or geographic area and the communicated familial cases may suggest the implication of a genetic mechanism. The McGraw-Hill Companies; Esophagus and Diaphragmatic Hernia. Esophageal manometry must be included in the investigations of these patients, on one hand for the assessment of dysphagia and on the other hand for optimization of indication and surgical technique.

Long term results of endosurgical and open surgical approach for Zenker diverticulum. Dohlman G, Mattsson O. Six months later, an esophagram showed adequate contrast passage and progression.

Please review our privacy policy. Author information Article notes Copyright and License information Disclaimer. Laimer’s triangle is covered only by the circular layer of esophageal muscle. InHarrison added myotomy in the surgical protocol of Zenker diverticulum [ 1112 ].

Over the last few decades, upper gastrointestinal endoscopy has become the most complementary test for investigation of esophageal diseases.

Motility Disorders of the Pharynx zsnker Esophagus. Post-traumatic iatrogenic pharyngoesophageal diverticulum.

National Center for Biotechnology InformationU. Surgical indication must be carefully divdrticule, after thorough evaluation. The technical key steps of the surgical procedure are senker in a step by step way: The description of the surgery of the upper esophageal sphincter open technique covers all aspects of the surgical procedure used for the management of pharyngoesophageal diverticulum.


This video demonstrates a laparoscopic enucleation of a leiomyoma of the GE junction. We have routinely performed esophageal myotomy, distal to the diverticular opening, regardless of the manometry findings or the intraoperative aspect of the muscular layer. There are few cases in the literature with esophageal fistula that did not heal under conservative treatment, making iterative surgery necessary.

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Diverticulopexie pour diverticule de Zenker – EM|consulte

This has to be done carefully, to the level of mucosa, regardless of the macroscopic look, often normal, of the muscular layer. A Zenker’s diverticulumalso pharyngoesophageal diverticulumalso pharyngeal pouchalso hypopharyngeal diverticulumis a diverticulum of the mucosa of the esophagusjust above the cricopharyngeal muscle i.

After a long-term evolution, it is known that this complication is diagnosed almost exclusively at the pathologic examination of the diverticular resection specimen.


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