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Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance

Zenker’s diverticulum is a form of esophageal and pharyngeal obstruction located at the Killian-Laimer triangle. It is relatively common in elderly man (seventh or eighth decade of life), and its pathophysiology is not completely understood, albeit theories regarding dysfunction of the upper esophag...

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Autores principales: Leite, Tulio F., Chagas, Carlos A. A., Pires, Lucas A. S., Cisne, Rafael, Babinski, Marcio A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051033/
https://www.ncbi.nlm.nih.gov/pubmed/27785316
http://dx.doi.org/10.14740/gr696w
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author Leite, Tulio F.
Chagas, Carlos A. A.
Pires, Lucas A. S.
Cisne, Rafael
Babinski, Marcio A.
author_facet Leite, Tulio F.
Chagas, Carlos A. A.
Pires, Lucas A. S.
Cisne, Rafael
Babinski, Marcio A.
author_sort Leite, Tulio F.
collection PubMed
description Zenker’s diverticulum is a form of esophageal and pharyngeal obstruction located at the Killian-Laimer triangle. It is relatively common in elderly man (seventh or eighth decade of life), and its pathophysiology is not completely understood, albeit theories regarding dysfunction of the upper esophageal sphincter were reported. The main symptoms are dysphagia and odynophagia, but it can complicate to aspiration and perforation of the pharyngeal pouch; also, it can be asymptomatic. Diagnosis is provided through a barium esophagogram. Treatment can be performed through endoscopic surgery, diverticulopexy and myotomy of the cricopharyngeus muscle, although there is no consensus among surgeons regarding the treatment of choice. We report a case of pharyngeal obstruction due to Zenker’s diverticulum which caused massive weight loss in a 76-year-old male.
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spelling pubmed-50510332016-10-26 Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance Leite, Tulio F. Chagas, Carlos A. A. Pires, Lucas A. S. Cisne, Rafael Babinski, Marcio A. Gastroenterology Res Case Report Zenker’s diverticulum is a form of esophageal and pharyngeal obstruction located at the Killian-Laimer triangle. It is relatively common in elderly man (seventh or eighth decade of life), and its pathophysiology is not completely understood, albeit theories regarding dysfunction of the upper esophageal sphincter were reported. The main symptoms are dysphagia and odynophagia, but it can complicate to aspiration and perforation of the pharyngeal pouch; also, it can be asymptomatic. Diagnosis is provided through a barium esophagogram. Treatment can be performed through endoscopic surgery, diverticulopexy and myotomy of the cricopharyngeus muscle, although there is no consensus among surgeons regarding the treatment of choice. We report a case of pharyngeal obstruction due to Zenker’s diverticulum which caused massive weight loss in a 76-year-old male. Elmer Press 2015-12 2015-12-31 /pmc/articles/PMC5051033/ /pubmed/27785316 http://dx.doi.org/10.14740/gr696w Text en Copyright 2015, Leite et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Leite, Tulio F.
Chagas, Carlos A. A.
Pires, Lucas A. S.
Cisne, Rafael
Babinski, Marcio A.
Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title_full Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title_fullStr Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title_full_unstemmed Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title_short Pharyngoesophageal Obstruction on the Killian-Laimer Triangle by Zenker’s Diverticulum: Case Report and Clinical Significance
title_sort pharyngoesophageal obstruction on the killian-laimer triangle by zenker’s diverticulum: case report and clinical significance
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051033/
https://www.ncbi.nlm.nih.gov/pubmed/27785316
http://dx.doi.org/10.14740/gr696w
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