Experience in the treatment of patients with Zenker’s diverticulum

Background. Despite more than a century of study to date choice of surgical treatment method criteria of Zenker diverticula are not defined. Methods. Retrospectively 37 cases with Zenker>s diverticulum were analyzed in Vladivostok clinics from 2007 to 2013. All patients underwent endotracheal anesthesia surgery: traditional diverticulum resection (23 cases), stapled ezofagodiverculostomy (7 cases), and endoscopic ezofagodiverculostomy (7 cases). Results. The average time of the traditional surgery - 47±16 min (recovery in 100 % of the cases). The average time of stapled ezofagodiverculostomy - 70±22 min. Regurgitation and dysphagia have been preserved in one case, relapses were found in four cases, diverticulitis - in two patients. One patient 3 years after the surgery was diagnosed malignancy residual cavity diverticulum. The average time of endoscopic ezofagodiverculostomy - 62±21 min. Regurgitation and dysphagia persisted in two cases, recurrences are found in two patients. Conclusions. The gold standard of treatment of Zenker>s diverticulum is surgery. The average performance time of traditional resection of diverticulum is less than that of stapled ezofagodiverculostomy because of using trans-illumination. Patients with severe concomitant diseases, large and giant diverticula is prescribed for relief of dysphagia symptoms the stapled ezofagodiverculostomy.

ezofago-pharyngeal diverticulum, traditional resection, stapled ezofagodiverculostomy, endoscopic ezofagodiverculostomy

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