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ID 53255
Sort Key
5
Title Alternative
Surgically treated Zenker’s diverticulum: Diverticulectomy and cricopharyngeal myotomy
FullText URL
Thumnail 127_19.pdf 16.8 MB
Author
Ninomiya, Takayuki
Kanaya, Nobuhiko
Katsuda, Koh
Tanakaya, Kohji
Aoki, Hideki
Takeuchi, Hitoshi
Abstract
 Zenker's diverticulum is a very rare disease among gastorointestinal diverticulum. We report a case of Zenker's diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy. A 71-year-old male complained of aspirating water for two years. He was diagnosed as Zenker's diverticulum. Due to his severe symptoms, the operation was performed in an open-neck approach. The left recurrent laryngeal nerve was identified and preserved. An incision was made in the diverticulum wall, and the internal diameter of normal cervical esophagus was measured. The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus. A cricopharyngeal myotomy was conducted, because this muscle was fibrotic and stiffened. The patient's symptoms disappeared after the operation. Diverticulectomy and cricopharyngeal myotomy through an open-neck approach is a safe and reliable method that follows, direct access to the diverticulum and recurrent laryngeal nerve.
Keywords
Zenker憩室(Zenker’s diverticulum)
輪状咽頭筋切開術(cricopharyngeal myotomy)
頚部アプローチ(open-neck approach)
Note
症例報告 (Case Reports)
Publication Title
岡山医学会雑誌
Published Date
2015-04-01
Volume
volume127
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
19
End Page
23
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
OAI-PMH Set
岡山大学
language
日本語
Copyright Holders
Copyright (c) 2015 岡山医学会
File Version
publisher
Refereed
True
DOI
NAID
Eprints Journal Name
joma