Surgery of Zenker’s diverticulum; Single center experience
Sukru Colak, Bunyamin Gurbulak, Ekrem Cakar, Hasan Bektas
Istanbul Training and Research Hospital, Department of General Surgery, Istanbul, Turkey
Aim: Zenker’s diverticulum is the most frequently seen esophageal diverticula. Zenker’s diverticulum should be considered that the patients have symptoms such as dysphagia, regurgitation of undigested food, turbulence sound, chronic cough, weight loss, and halytosis. We aimed to evaluate the patients whom underwent diverticulectomy and cricomyotomy due to Zenker’s diverticulum located in the proximal esophagus in terms of demographic features, operative type, postoperative complications and recurrence.
Material and Methods: Between January 2013 and 2018, 10 patients (9 female and 1 male) who underwent surgery due to dysphagia because of the Zenker’s diverticulum were evaluated retrospectively. The median age of the patients was 67.5 (47-77). Because of the dysphagia was the most frequently symptom, initial evaluation was performed with upper gastrointestinal system endoscopy (UGSE). All patients were examined barium esophagography and some patients with tomography.Dysphagia levels of the patients were evaluated before and after the operation. Patients were followed-by endoscopy 1 and 6th. months after surgery.
Results: Complications, mortality and morbidity were not seen in postoperative early and late periods. Only 1 patient had recurrence. When compared the dysphasia scores of the patients before and after surgery were significantly improved after operation.
Conclusion: Diverticulectomy and cricomyotomy operations in Zenker’s diverticulum are effective and safe procedures.