Clinical findings and treatments of patients with Zenker's diverticulum

Junya Oguma, Soji Ozawa, Yuukou Kitagawa, Yoshiro Saikawa, Nobutoshi Ando, Masaki Kitajima

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Pharyngoesophageal diverticulum (Zenker's diverticulum), which is a pulsion diverticulum that occurs at a weak site in the posterior wall of the pharyngoesophagus, between the inferior constrictor of pharynx and the cricopharyngeus muscle, i.e. Killian's triangle, is rare in Japan. We treated 7 patients with Zenker's diverticulum surgically from 1988 to 2003. We reviewed clinical findings and treatments of them. All had dysphagia initially. All underwent diverticulectomy, and 4 additionally underwent cricopharyngeal myotomy (CM). Postoperatively, 6 patients experienced dramatic alleviation of symptoms. Postoperative complications occurred in 2, i.e. pneumonia in 1 and recurrent laryngeal nerve paralysis in the other. No postoperative recurrence was seen. We suggest that diverticulectomy added to CM is effective for Zenker's diverticulum. The patients with a large diverticulum are at risk of postoperative surgical complications due to the difficulty of the surgery, so careful operation is needed for them.

Original languageEnglish
Pages (from-to)619-624
Number of pages6
JournalJapanese Journal of Gastroenterological Surgery
Volume37
Issue number5
Publication statusPublished - 2004

Fingerprint

Zenker Diverticulum
Pharyngeal Muscles
Diverticulum
Recurrent Laryngeal Nerve
Vocal Cord Paralysis
Therapeutics
Deglutition Disorders
Pneumonia
Japan
Recurrence

Keywords

  • Cricopharyngeal myotomy
  • Diverticulectomy
  • Zenker' diverticulum

ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this

Oguma, J., Ozawa, S., Kitagawa, Y., Saikawa, Y., Ando, N., & Kitajima, M. (2004). Clinical findings and treatments of patients with Zenker's diverticulum. Japanese Journal of Gastroenterological Surgery, 37(5), 619-624.

Clinical findings and treatments of patients with Zenker's diverticulum. / Oguma, Junya; Ozawa, Soji; Kitagawa, Yuukou; Saikawa, Yoshiro; Ando, Nobutoshi; Kitajima, Masaki.

In: Japanese Journal of Gastroenterological Surgery, Vol. 37, No. 5, 2004, p. 619-624.

Research output: Contribution to journalArticle

Oguma, J, Ozawa, S, Kitagawa, Y, Saikawa, Y, Ando, N & Kitajima, M 2004, 'Clinical findings and treatments of patients with Zenker's diverticulum', Japanese Journal of Gastroenterological Surgery, vol. 37, no. 5, pp. 619-624.
Oguma, Junya ; Ozawa, Soji ; Kitagawa, Yuukou ; Saikawa, Yoshiro ; Ando, Nobutoshi ; Kitajima, Masaki. / Clinical findings and treatments of patients with Zenker's diverticulum. In: Japanese Journal of Gastroenterological Surgery. 2004 ; Vol. 37, No. 5. pp. 619-624.
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