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  • 1
    Electronic Resource
    Electronic Resource
    Surgical therapy of Zenker's diverticulum: Low risk and high efficiency (1990)
    Springer
    Dysphagia 5 (1990), S. 13-19 
    Details
    ISSN: 1432-0460
    Keywords: Zenker's diverticulum ; Cervical myotomy ; Diverticulectomy ; Deglutition ; Deglutition disorders
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Surgery for the treatment of Zenker's diverticulum was performed at our institution in a total of 43 patients over 6½ years. Cervical myotomy with diverticulectomy was performed in 32 of the patients and myotomy alone in 11. Mortality totaled 0%, with a reversible lesion of the recurrent nerve occurring in 7%. In 60% of the cases investigated preoperatively (N=40), motility disorders of the upper esophageal sphincter (UES) could be demonstrated using manometry as well as with cineradiography in 92% of the patients. Follow-up studies in 39 of the cases 25 months (mean) postprocedure indicated 82% of the patients to be symptom-free, with the remaining 18% demonstrating a marked improvement. Postoperative manometry as well as cineradiography carried out in 12 patients revealed the presence of UES motility dyscoordination in 8% and 25%, respectively. There were, however, no signs of recurrence of the diverticulum. The high number of patients in our study group demonstrating motility disorders of the UES emphasizes the need for cervical myotomy as part of the surgical therapy for Zenker's diverticulum.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02407389
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  • 2
    Electronic Resource
    Electronic Resource
    Traditionelle extraluminale Operation des Zenker-Divertikels (1999)
    Springer
    Der Chirurg 70 (1999), S. 753-756 
    Details
    ISSN: 1433-0385
    Keywords: Key words: Zenker's diverticulum ; Cervical myoptomy ; Diverticulectomy ; Diverticulopexy. ; Schlüsselwörter: Zenker Divertikel ; cervikale Myotomie ; Divertikulektomie ; Divertikulopexie
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Die klassische chirurgische Behandlung des Zenker-Divertikels umfaßt die Abtragung des Divertikels und die cervicale Myotomie. Bei sehr kleinen Divertikeln ist die alleinige Myotomie ausreichend. Die Komplikationsrate des Eingriffs ist akzeptabel; die langfristigen funktionellen Ergebnisse sind mit einer Erfolgswahrscheinlichkeit von 90 % über 5 Jahre gut. Trotz der zunehmenden Bedeutung alternativer Verfahren wird die konventionelle extraluminale Operation das Verfahren der Wahl bei Divertikeln der Stadien I–III bleiben.
    Notes: Summary. The classical surgical approach for the treatment of Zenker's diverticulum consists of diverticulectomy and cervical myotomy. In very small diverticula myotomy alone is sufficient. The complication rate of the procedure is tolerable. Long-term functional results are good in as much as 90 % and more. Despite the increasing importance of alternative approaches, the conventional extraluminal surgical operation for Zenker's diverticulum will remain the treatment of choice in stage I–III cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001040050716
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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