Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl
Preferences help
Polish version English version Language
enabled [disable] Abstract
Number of results

Results found: 1

Number of results on page
first rewind previous Page / 1 next fast forward last

Search results

help Sort By:

help Limit search:
first rewind previous Page / 1 next fast forward last
1
Publication available in full text mode
Content available

Surgical treatment of cervical oesophageal diverticula

100%
Włodarczyk J., Obarski P., Hauer Ł.
Polish Journal of Surgery
|
2021
|
vol. 94
|
issue 1
1-7
EN
Aim: The aim of our study was to examine the results of surgical treatment of patients with cervical diverticula of the oesophagus over a period of 20 years. Materials and methods: The study was a retrospective analysis of 65 patients with cervical diverticula of the oesophagus treated between 2000 and 2020. Patients with symptoms such as dysphagia, vomiting, chocking, recurrent respiratory tract inflammation, as well as patients with diverticular recurrence or poor outcome of primary surgery, were qualified for surgical resection of the oesophageal diverticulum with myotomy using an open technique. Patients were evaluated for degree of dysphagia before and after surgery, associated perioperative complications, and overall comfort after surgical treatment. Results: Sixty-five patients underwent surgical treatment, 7 (10.7%) of whom were treated for diverticular recurrence or poor outcome of primary treatment. The predominant symptom was dysphagia, which was found in 55 (84.6%) patients, increasing over a period of 6 to 48 months with a mean of 17.6 months. The size of the diverticulum ranged from 2 to 6 cm with a mean of 4.8 cm. One patient (1.5%) who experienced suture line leak was treated conservatively, and the fistula healed. Another patient had permanent vocal cord damage while 1 (1.5%) patient had transient damage. The surgical outcome was very good in 38 (69.1%) patients, good in 15 (27.2%) patients, and poor in 2 (3.6%) patients. No postoperative death occurred. Conclusion: Transcervical method of treating diverticula is a safe way of dealing with an acceptable complication rate. It can be an alternative to endoscopic methods. It should be the method of choice in patients treated for recurrent diverticula after endoscopic treatment.
first rewind previous Page / 1 next fast forward last
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.