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2018, Number 3

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Cir Cir 2018; 86 (3)

Zenker’s diverticulum: endoscopic versus surgical approach. Which is better? Experience in the General Hospital of Mexico Dr. Eduardo Liceaga

Godinez-Vidal AR, Hurtado-López LM, Basurto-Kuba EOP, Montes de Oca-Durán E, Higuera-Hidalgo FR, Etchegaray-Donde A

Language: Spanish
References: 24
Page: 244-249
PDF size: 415.76 Kb.


ABSTRACT

Background: Zenker diverticulum is a rare disease in the general population. Its treatment can be carried out by either an endoscopic or surgical approach. Objective: To report the experience in the management of the Zenker diverticulum in a tertiary education center. Methods: Retrospective, cross-sectional, descriptive study in which the files of all patients with diagnosis of Zenker diverticulum were analyzed from the formation of the upper digestive tract clinic of the General Hospital of Mexico Dr. Eduardo Liceaga. Results: We found 14 cases with diagnosis of Zenker diverticulum, 10 treated with transoral technique and 4 for open surgery. Three recurrences in the transoral technique, no relapse with open technique. In terms of complications, one dental lesion was presented in the technique transoral, and one esophageal fistula in open surgery, managed with a nasojejunal tube placed by endoscopy until the spontaneous closure of said fistula. Conclusions: Transoral stapling is a technique with good aesthetic results. However, in our experience, it has a greater recurrence than open surgery, which is why we must carry out a long-term follow-up of our patients.


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