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Flexible endoscopic diverticulotomies for bilateral Zenker's Diverticula (with videos).

机译:用于双侧Zenker憩室的柔性内镜憩室切开术(带视频)。

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摘要

OBJECTIVES/HYPOTHESIS: Zenker's diverticulum (ZD) is the posterior pulsion diverticulum below the esophageal introitus through or above the cricopharyngeal muscle. We report a unique case of bilateral ZD that was successfully treated with an endoscopic diverticulotomies on the bilateral cricopharyngeal bars. STUDY DESIGN: Case report at a tertiary referral center. METHODS: A patient with bilateral ZD who failed surgery underwent two endoscopic diverticulotomies on the bilateral cricopharyngeal bars. Outcome measures were symptomatic improvement and radiological measurements. RESULTS: After up to 18 months follow-up, the patient enjoys near complete symptomatic resolution with associated radiological improvements. CONCLUSIONS: Endotherapy can disrupt the circular muscle of the cricopharyngeal bar, decrease the depth of bar, increase the esophageal ZD diameter, and create an opening of the diverticulum allowing diverticular drainage into the esophagus.
机译:目的/假设:Zenker憩室(ZD)是食道口下方穿过环咽肌或上方的后搏动憩室。我们报告了一个独特的双边ZD病例,该病例在双侧咽喉棒上经内镜憩室术成功治疗。研究设计:三级转诊中心的病例报告。方法:一名手术失败的双侧ZD患者在双侧鼻咽棒上进行了两次内镜憩室切除术。结果措施是对症改善和影像学检查。结果:在长达18个月的随访中,患者的症状缓解几乎完全,并伴有放射学改善。结论:内治疗可破坏环咽棒的环形肌肉,减小棒的深度,增加食道ZD直径,并形成憩室的开口,使憩室引流进入食道。

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