Analysis of surgical treatment for esophageal diverticulum; A single center experience. CERRAH? TEDAV? UYGULANAN ?ZOFAGUS D?VERT?KüLLERN?N ANAL?Z?; TEK MERKEZ DENEY?M?.

摘要

This study aims to evaluate the outcomes and characteristics of patients who were operated for the diagnosis of esophageal diverticulum with current knowledge of literature. Methods: Between January 2007-March 2016, demographic data, side of placement, diverticulum type, applied surgery, complication and results of 7 patients (5 male, 2 female, mean age 64 years; range, 54 to 72 years) who underwent operation for esophageal diverticulum in our clinic were retrospectively reviewed Three of the diverticula (43%) in cervical esophagus, in one (14%) mid?zofagial and in three (43% ) were located in the distal. While the main symptom was dysphagia in five of the cases, the other two cases it was regurtation and reflux. Diagnosis was done barium esophagography and esophagoscopy. All of them was performed diverticulectomy with lineer stapler. Two (28%) complications were observed including anastomosis leakage and stricture on the operation area. Although they are rarely seen, esophageal diverticulum can cause major symptoms that affecting the functions of patient’s life. Because of nonsurgical treatments are limited we coclude that the operation can be performed with low mortality and morbidity in the symptomatic cases or diverticulum diameter greater than 5 cm, and also asymptomatic cases and small diverticulum. ?zet ?zofagus divertikülleri nadir g?rülen patolojilerdir. Bu ?al??mada ?zofagus divertikülü tan?s? ile opere etti?imiz hastalar?n ?zellikleri ve sonu?lar? güncel literatür bilgisi e?li?inde de?erlendirildi. ?al??ma plan?: Ocak 2007-Mart 2016 tarihleri aras?nda, klini?imizde ?zofagus divertikülü nedeniyle opere edilen 5 erkek, 2 kad?n; ortalama ya?lar? 64 y?l (54-72) olan 7 olgunun demografik verileri, divertikülün yeri, ?e?idi, yap?lan cerrahi, komplikasyonlar ve sonu?lar? retrospektif olarak de?erlendirildi. Divertiküllerin ü?ü (%43) servikal, biri (%14) mid?zofagial, ü?ü (%43) distal ?zofagusta yerle?imliydi. Olgular?n be?inde ana semptom disfaji iken, bir olguda ana semptom regurjitasyon, bir olguda reflü olarak tespit edildi. Tan? baryumlu pasaj grafisi ve ?zofagoskopi ile konuldu. Tüm olgulara lineer stapler ile divertikülektomi uyguland?. Bir olguda anastomoz ka?a?? ve bir olguda operasyon lojunda darl?k olmak üzere iki olguda (%28) komplikasyon geli?ti. Cerrahi mortalite izlenmedi. ?zofagus divertikülleri nadir g?rülmelerine ra?men hastalar?n ya?am fonksiyonlar?n? etkileyen semptomlara yol a?abilirler. Cerrahi d??? tedavilerin rolü s?n?rl? oldu?u i?in semptomatik veya 5 cm’nin üzerindeki divertiküllerin yan? s?ra, asemptomatik ve kü?ük divertiküllerde dahi operasyonun dü?ük mortalite ve morbidite ile ger?ekle?tirilebilece?ini dü?ünmekteyiz.