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Surgery of Zenkerís diverticulum; single center experience

Sukru Colak, Bunyamin Gurbulak, Ekrem Cakar, Hasan Bektas.

Aim: Zenkerís diverticulum is most frequently seen in esophageal diverticula. Zenkerís 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 Zenkerís 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 Zenkerís diverticulum were evaluated retrospectively. The mean age of the patients was 67.5 (47-77). Because of the dysphagia, initial evaluation was performed with upper gastrointestinal system endoscopy (UGSE). All patients were examinedbarium esophagography and some patients with tomography.Dysphagia levels of the patients were evaluated before and after the operation. Patients were checked by endoscopy 1 and 6 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: Surgical diverticulectomy and cricomyotomy operations in Zenkerís diverticulum are effective and safe procedures.

Key words: Zenkerís Diverticulum; Dysphagia; Cricopharyngeal Myotomy.

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