Abstract：
INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complications and clinical results of our series with cricopharyngeal myotomy and diverticulectomy in patients with ZD. METHOD:A retrospective, observational and descriptive study was conducted on 33 patients who, between January 1998 and December 2010, had a diverticulectomy and CPM performed in the university hospitals Virgen del Rocío in Seville and Carlos Haya in Malaga. Demographic and operative variables that might be associated with morbidity were analyzed. RESULTS:Seventeen patients were treated in the Carlos Haya Hospital, Málaga and sixteen in the Virgen del Rocío Hospital, Seville. Although there were no deaths, the morbidity rate of the series was 27% (9 cases), all associated with an oesophageal-cutaneous fistula. None of the variables studied were significantly associated with the appearance of morbidity. None of the patients had a clinical or radiological recurrence of ZD after a mean follow up of 44 months (range, 6 -192). CONCLUSIONS:Diverticulectomy combined with CPM is a good technique for the treatment of ZD, with excellent clinical and functional results in the medium to long term, despite the high morbidity in the form of an oesophageal-cutaneous fistula.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Cañete-Gómez J,Ramírez-Plaza CP,López Rueda B,Ibáñez-Delgado F,Vázquez-Medina A,Bondía-Navarro JA,Padillo-Ruiz FJdoi
10.1016/j.ciresp.2011.09.001subject
Has Abstractpub_date
2012-04-01 00:00:00pages
233-7issue
4eissn
0009-739Xissn
1578-147Xpii
S0009-739X(11)00377-0journal_volume
90pub_type
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