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자동위장문합기(GIA : Gastrointestinal Autostapler)를 이용한 젠커게실 치험 1예

Gastrointestinal Autostapler(GIA)-Assisted Zenker`s Diverticulectomy

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주제분류이비인후과학

초록

Zenker diverticulum is rare and symptoms of diverticulum are atypical. This is most commonly seen at the Killian’s triangle. This is caused by altered motility, which results in abnormal intraluminal pressure and the pushing of the mucosa through weakness of the wall. Treatment is surgical via an endoscopic or external approach. Previous external approaches are associated with high com-plication rates and morbidity. We report a new external surgical approach using the gastrointestinal autostapler (GIA) instrument. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:292-5)

Abstract

Zenker diverticulum is rare and symptoms of diverticulum are atypical. This is most commonly seen at the Killian’s triangle. This is caused by altered motility, which results in abnormal intraluminal pressure and the pushing of the mucosa through weakness of the wall. Treatment is surgical via an endoscopic or external approach. Previous external approaches are associated with high com-plication rates and morbidity. We report a new external surgical approach using the gastrointestinal autostapler (GIA) instrument. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:292-5)

참고문헌 (13)

  1. Siddiq MA, "Pharyngeal pouch(Zenker's diverticulum)", Postgrad Med J, 77(910), pp.506~511 (2001)
  2. Ludlow A, "A case of obstructed deglution from a preternatural dilatation of and bag formed in the pharynx. 2nd ed", pp.85~101, T. Cadell
  3. Zenker FA, "Krankheiten des Oesophagus, in : Handbuch der Speciellen Pathologie and Therapie. Vol7(suppl)", pp.1~87 (1877), FCW Vogel
  4. Bonafede JP, "Surgical outcome in 87 patients with Zenker’s diverticulum", Laryngoscope, 107(6), pp.720~725 (1997)
  5. Killian G, "The mouth of the esophagus", Laryngoscope, 17, pp.421~428 (1907)
  6. Aly A, "Evolution of surgical treatment for pharyngeal pouch", Br J Surg, 91(6), pp.657~664 (2004)
  7. Altman JI, "Fiberoptic endoscopic-assisted diverticulotomy: A novel technique for the management of Zenker’s diverticulum", Ann Otol Rhinol Laryngol, 114(5), pp.347~351 (2005)
  8. Veenker E, "Current trends in management of Zenker diverticulum", Curr Opin Otolaryngol Head Neck Surg, 11(3), pp.160~165 (2003)
  9. Song SK, "A clinical analysis of gastrointestinal surgery with auto-suture staplers", J Korean Surgical Society, 27(1), pp.61~70 (1984)
  10. Nance FC, "New techniques of gastrointestinal anastomoses with the EEA stapler", Ann Surg, 189(5), pp.587~600 (1979)
  11. Chang CW, "Carbon dioxide laser endoscopic diverticulotomy versus open diverticulectomy for Zenker’s diverticulum", Laryngoscope, 114(3), pp.519~527 (2004)
  12. Koay CB, "Endoscopic stapling diverticulotomy for pharyngeal pouch", Clin Otolaryngol Allied Sci, 21(4), pp.371~376 (1996)
  13. Miller FR, "The endoscopic management of Zenker diverticulum: CO2 laser versus endoscopic stapling", Laryngoscope, 116(9), pp.1608~1611 (2006)

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