Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation

Bangoura Mohamed Saliou; Bouraoui Ridjial Hadar; Toure Alpha Oumar; Yattara Abdoulaye; Seck Mamadou; Cisse Mamadou; Soumaoro Labilé Togba; Toure Aboubacar; Dieng Madieng

doi:doi:10.11648/j.js.20221005.19

Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation

Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Toure Alpha Oumar, Yattara Abdoulaye, Seck Mamadou, Cisse Mamadou, Soumaoro Labilé Togba, Toure Aboubacar, Dieng Madieng

Published in Journal of Surgery (Volume 10, Issue 5)

Received: 16 September 2022 Accepted: 18 October 2022 Published: 28 October 2022

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Abstract

Introduction: Zenker’s diverticulum is a rare pathological entity characterized as is a herniation of the pharyngoesophageal mucosa by impulse, developed through a dehiscence of the muscular wall of the pharyngoesophageal junction located above the upper esophageal sphincter. The mainly digestive symptomatology is a high dysphagia with regurgitation. For patients with symptoms, surgery remains the only treatment option. The objective of this work was to highlight the difficulties of surgery in the management of an inflammatory zenker’s diverticulum managed in the general surgery department of the Aristide Le Dantec hospital. Observation: herein we reported the observation of 61-year-old hypertensive patient known to be on treatement, dialyzed for 5 years for chronic end-stage renal faillure, referred from nephrology for the management of an inflamed zenker s diverticulum. She had performed a cervical tomodensitometry and a barium enema which come back in favor of a zenker’s diverticulum, she benefited from a suture of the neck of the diverticulum and the aftemath was enamelled with complications of pneumopathy. Conclusion: Zenker’s diverticulum is a rare pathology occurring in the elderly. The diagnosis is suggested by certain clinical signs such as regurgitation and dysphagia; the definitive treatment remains surgery.

Published in	Journal of Surgery (Volume 10, Issue 5)
DOI	10.11648/j.js.20221005.19
Page(s)	187-189
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Difficulties Surgery, Zenker’s, Inflammatory

References

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[2]	BREIL P. Surgical treatment of pharyngo-oesophageal diverticula. EMC Tech Chir App Dig, Masson 2014; 40-185: 2-5.
[3]	BOUCHER S, BREHERET R, LACCOURREYE L. Importance of undernutrition and associated pathologies in the management of Zenker's diverticulum. Ann Franc ORL Pathol Cervic 2015, 132 (3): 118 -122.
[4]	CASANOVA A. Surgical treatment of Zenker's diverticula: short and long term results about 70 cases. Thesis of human medicine and pathology 2015; 3007: 13-30.
[5]	DHOUIB H, MNEJJA M, SELLAMI M, KALLEL S. CHAKROUN AD, GHORBEL A. Zenker's pharyngo-oesophageal diverticulum about five cases. Jim Sfax 2009, 17/18: 19-24.²BREIL P. Surgical treatment of pharyngo-oesophageal diverticula. EMC Tech Chir App Dig, Masson 2014; 40-185: 2-5.
[6]	LEVARD H, BLAIN A, GAYET B. Esophageal diverticula. EMC Pneumology 2005; 6-048-C-20: 166-169.
[7]	BRIGAND C, BAJCZ K, ELAMRANI H, DAN S, ROHR S, MEYER C. Treatment of Zenker's diverticulum by diverticulopexy. J Chir 2008; 145 (4): 341-345.
[8]	GUTSCHOW CA, HAMOIR M, ROMBAUX P, OTTE JB, GONCETTE L, COLLARD JM. Management of pharyngoesophageal (Zenker's) diverticulum: which technique? Ann Thorac surg 2002; 74: 1677-1683.
[9]	LEPORRIER J, SALAME E, GIGNOUX M, SEGOL P. Zenker's diverticulum: diverticulopexy versus diverticulectomy. Ann Chir 2001; 126 (1): 42-45.
[10]	CASSIVI SD, DESCHAMPS C, NICHOLS FC 3RD, ALLEN MS, PAIROLERO PC. Diverticula of the esophagus. Surg Clin North Am 2005; 85 (3): 495-503.
[11]	CHEN JR, MINGHANI HA, JAFARI A, CROURY OD, PERIE S, LACON J, GULY JL. The "Tide sign": its role in the diagnosis of Zenker's diverticulum and the evaluation of surgical results. Ann ORL Pathol Cervicofac 2013; 130 (6): 314-317.
[12]	LERUT T, VAN RAEMDONCK D, GUELINCKX P, DOM R, GEBOES K. Zenker's diverticulum: Is a myotomy of the cricopharyngeus useful? How long should it be? Hepato-gastroenterol 1992; 39 (2): 127-131.
[13]	MAKHLOUFI EL. Zenker's diverticulum: Pathophysiology and endoscopic treatment using a modified self-suturing forceps. Medical thesis, Geneva 2008; 10552: 29-3.
[14]	SIDERIS L, CHEN LQ, FERRARO P, DURANCEAU AC. The treatment of Zenker’s diverticula: a review. Semin Thorac Cardiovasc Surg 1999; 11 (4): 337-51.
[15]	BIZZOTTO A, LACOPINI F, LANDI R, COSTAMAGNA G Zenker’s diverticula: exploring treatment options Acta Otorhinolaryngol Ital 2013; 33 (4): 219-29.

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APA Style

Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Toure Alpha Oumar, Yattara Abdoulaye, Seck Mamadou, et al. (2022). Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. Journal of Surgery, 10(5), 187-189. https://doi.org/10.11648/j.js.20221005.19

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ACS Style

Bangoura Mohamed Saliou; Bouraoui Ridjial Hadar; Toure Alpha Oumar; Yattara Abdoulaye; Seck Mamadou, et al. Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. J. Surg. 2022, 10(5), 187-189. doi: 10.11648/j.js.20221005.19

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AMA Style

Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Toure Alpha Oumar, Yattara Abdoulaye, Seck Mamadou, et al. Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. J Surg. 2022;10(5):187-189. doi: 10.11648/j.js.20221005.19

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@article{10.11648/j.js.20221005.19,
  author = {Bangoura Mohamed Saliou and Bouraoui Ridjial Hadar and Toure Alpha Oumar and Yattara Abdoulaye and Seck Mamadou and Cisse Mamadou and Soumaoro Labilé Togba and Toure Aboubacar and Dieng Madieng},
  title = {Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation},
  journal = {Journal of Surgery},
  volume = {10},
  number = {5},
  pages = {187-189},
  doi = {10.11648/j.js.20221005.19},
  url = {https://doi.org/10.11648/j.js.20221005.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.19},
  abstract = {Introduction: Zenker’s diverticulum is a rare pathological entity characterized as is a herniation of the pharyngoesophageal mucosa by impulse, developed through a dehiscence of the muscular wall of the pharyngoesophageal junction located above the upper esophageal sphincter. The mainly digestive symptomatology is a high dysphagia with regurgitation. For patients with symptoms, surgery remains the only treatment option. The objective of this work was to highlight the difficulties of surgery in the management of an inflammatory zenker’s diverticulum managed in the general surgery department of the Aristide Le Dantec hospital. Observation: herein we reported the observation of 61-year-old hypertensive patient known to be on treatement, dialyzed for 5 years for chronic end-stage renal faillure, referred from nephrology for the management of an inflamed zenker s diverticulum. She had performed a cervical tomodensitometry and a barium enema which come back in favor of a zenker’s diverticulum, she benefited from a suture of the neck of the diverticulum and the aftemath was enamelled with complications of pneumopathy. Conclusion: Zenker’s diverticulum is a rare pathology occurring in the elderly. The diagnosis is suggested by certain clinical signs such as regurgitation and dysphagia; the definitive treatment remains surgery.},
 year = {2022}
}

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TY  - JOUR
T1  - Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation
AU  - Bangoura Mohamed Saliou
AU  - Bouraoui Ridjial Hadar
AU  - Toure Alpha Oumar
AU  - Yattara Abdoulaye
AU  - Seck Mamadou
AU  - Cisse Mamadou
AU  - Soumaoro Labilé Togba
AU  - Toure Aboubacar
AU  - Dieng Madieng
Y1  - 2022/10/28
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221005.19
DO  - 10.11648/j.js.20221005.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 187
EP  - 189
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221005.19
AB  - Introduction: Zenker’s diverticulum is a rare pathological entity characterized as is a herniation of the pharyngoesophageal mucosa by impulse, developed through a dehiscence of the muscular wall of the pharyngoesophageal junction located above the upper esophageal sphincter. The mainly digestive symptomatology is a high dysphagia with regurgitation. For patients with symptoms, surgery remains the only treatment option. The objective of this work was to highlight the difficulties of surgery in the management of an inflammatory zenker’s diverticulum managed in the general surgery department of the Aristide Le Dantec hospital. Observation: herein we reported the observation of 61-year-old hypertensive patient known to be on treatement, dialyzed for 5 years for chronic end-stage renal faillure, referred from nephrology for the management of an inflamed zenker s diverticulum. She had performed a cervical tomodensitometry and a barium enema which come back in favor of a zenker’s diverticulum, she benefited from a suture of the neck of the diverticulum and the aftemath was enamelled with complications of pneumopathy. Conclusion: Zenker’s diverticulum is a rare pathology occurring in the elderly. The diagnosis is suggested by certain clinical signs such as regurgitation and dysphagia; the definitive treatment remains surgery.
VL  - 10
IS  - 5
ER  -

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Author Information

Bangoura Mohamed Saliou

Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea
Bouraoui Ridjial Hadar

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
Toure Alpha Oumar

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
Yattara Abdoulaye

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
Seck Mamadou

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
Cisse Mamadou

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal
Soumaoro Labilé Togba

Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea
Toure Aboubacar

Department of General Surgery, Ignace Deen National Hospital, University Hospital of Conakry, Conakry, Guinea
Dieng Madieng

Department of General Surgery, Aristide Le Dantec Hospital, Dakar, Senegal

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APA Style

Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Toure Alpha Oumar, Yattara Abdoulaye, Seck Mamadou, et al. (2022). Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. Journal of Surgery, 10(5), 187-189. https://doi.org/10.11648/j.js.20221005.19

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ACS Style

Bangoura Mohamed Saliou; Bouraoui Ridjial Hadar; Toure Alpha Oumar; Yattara Abdoulaye; Seck Mamadou, et al. Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. J. Surg. 2022, 10(5), 187-189. doi: 10.11648/j.js.20221005.19

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AMA Style

Bangoura Mohamed Saliou, Bouraoui Ridjial Hadar, Toure Alpha Oumar, Yattara Abdoulaye, Seck Mamadou, et al. Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation. J Surg. 2022;10(5):187-189. doi: 10.11648/j.js.20221005.19

Copy | Download

@article{10.11648/j.js.20221005.19,
  author = {Bangoura Mohamed Saliou and Bouraoui Ridjial Hadar and Toure Alpha Oumar and Yattara Abdoulaye and Seck Mamadou and Cisse Mamadou and Soumaoro Labilé Togba and Toure Aboubacar and Dieng Madieng},
  title = {Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation},
  journal = {Journal of Surgery},
  volume = {10},
  number = {5},
  pages = {187-189},
  doi = {10.11648/j.js.20221005.19},
  url = {https://doi.org/10.11648/j.js.20221005.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221005.19},
  abstract = {Introduction: Zenker’s diverticulum is a rare pathological entity characterized as is a herniation of the pharyngoesophageal mucosa by impulse, developed through a dehiscence of the muscular wall of the pharyngoesophageal junction located above the upper esophageal sphincter. The mainly digestive symptomatology is a high dysphagia with regurgitation. For patients with symptoms, surgery remains the only treatment option. The objective of this work was to highlight the difficulties of surgery in the management of an inflammatory zenker’s diverticulum managed in the general surgery department of the Aristide Le Dantec hospital. Observation: herein we reported the observation of 61-year-old hypertensive patient known to be on treatement, dialyzed for 5 years for chronic end-stage renal faillure, referred from nephrology for the management of an inflamed zenker s diverticulum. She had performed a cervical tomodensitometry and a barium enema which come back in favor of a zenker’s diverticulum, she benefited from a suture of the neck of the diverticulum and the aftemath was enamelled with complications of pneumopathy. Conclusion: Zenker’s diverticulum is a rare pathology occurring in the elderly. The diagnosis is suggested by certain clinical signs such as regurgitation and dysphagia; the definitive treatment remains surgery.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Difficulties of Surgery in the Management of an Inflammatory Zenker's Diverticula: Report of an Observation
AU  - Bangoura Mohamed Saliou
AU  - Bouraoui Ridjial Hadar
AU  - Toure Alpha Oumar
AU  - Yattara Abdoulaye
AU  - Seck Mamadou
AU  - Cisse Mamadou
AU  - Soumaoro Labilé Togba
AU  - Toure Aboubacar
AU  - Dieng Madieng
Y1  - 2022/10/28
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221005.19
DO  - 10.11648/j.js.20221005.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 187
EP  - 189
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221005.19
AB  - Introduction: Zenker’s diverticulum is a rare pathological entity characterized as is a herniation of the pharyngoesophageal mucosa by impulse, developed through a dehiscence of the muscular wall of the pharyngoesophageal junction located above the upper esophageal sphincter. The mainly digestive symptomatology is a high dysphagia with regurgitation. For patients with symptoms, surgery remains the only treatment option. The objective of this work was to highlight the difficulties of surgery in the management of an inflammatory zenker’s diverticulum managed in the general surgery department of the Aristide Le Dantec hospital. Observation: herein we reported the observation of 61-year-old hypertensive patient known to be on treatement, dialyzed for 5 years for chronic end-stage renal faillure, referred from nephrology for the management of an inflamed zenker s diverticulum. She had performed a cervical tomodensitometry and a barium enema which come back in favor of a zenker’s diverticulum, she benefited from a suture of the neck of the diverticulum and the aftemath was enamelled with complications of pneumopathy. Conclusion: Zenker’s diverticulum is a rare pathology occurring in the elderly. The diagnosis is suggested by certain clinical signs such as regurgitation and dysphagia; the definitive treatment remains surgery.
VL  - 10
IS  - 5
ER  -

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