憩室切除と輪状咽頭筋切開術を行ったZenker憩室症の1例  [in Japanese] Surgically treated Zenker's diverticulum: Diverticulectomy and cricopharyngeal myotomy  [in Japanese]

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Author(s)

    • 金谷 信彦 Kanaya Nobuhiko
    • 国立病院機構岩国医療センター 外科 Department of Surgery, National Hospital Organization Iwakuni Clinical Center
    • 勝田 浩 [他] Katsuda Koh
    • 国立病院機構岩国医療センター 外科 Department of Surgery, National Hospital Organization Iwakuni Clinical Center
    • 青木 秀樹 Aoki Hideki
    • 国立病院機構岩国医療センター 外科 Department of Surgery, National Hospital Organization Iwakuni Clinical Center
    • 竹内 仁司 Takeuchi Hitoshi
    • 国立病院機構岩国医療センター 外科 Department of Surgery, National Hospital Organization Iwakuni Clinical Center

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.

  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.

Journal

  • Okayama Igakkai Zasshi (Journal of Okayama Medical Association)

    Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 127(1), 19-23, 2015

    Okayama Medical Association

Codes

  • NII Article ID (NAID)
    130005068344
  • NII NACSIS-CAT ID (NCID)
    AN00032489
  • Text Lang
    JPN
  • Article Type
    journal article
  • Journal Type
    大学紀要
  • ISSN
    0030-1558
  • NDL Article ID
    026374927
  • NDL Call No.
    Z19-269
  • Data Source
    NDL  IR  J-STAGE 
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