Endocopic diverticuloesophagotomy in dysphagia of combined genesis in aged patient (clinical case)
Irina E. Sudovykh1, Evgeniy A. Drobyazgin1,2, Yuriy V. Chikinev3
1State Novosibirsk Regional Clinical Hospital, Novosibirsk, Russia
isudovykh@gmail.com
2Novosibirsk State Medical University of Minzdrav of Russia
evgenyidrob@inbox.ru
3Novosibirsk State Medical University of Minzdrav of Russia, Novosibirsk, Russia
chilinev@inbox.ru
Keywords: дивертикул Ценкера, эндоскопическая дивертикулоэзофагостомия, эндоскопия, гибкая эндоскопия, дисфагия, Zenker’s diverticulum, endoscopic diverticuliesophagostomy, endoscopy, эндоскопия, flexible endoscopyб dysphagia
Abstract
Zenker’s pharyngeal-esophageal diverticulum is more common in elderly patients, manifests itself with dysphagia and is dangerous with aspiration complications. The clinical case describes a combination of the first detected large Zenker diverticulum, pneumonia, neurological symptoms in an 86-year-old patient with aphagia. Despite the combination of aggravating factors, oral endoscopic ventriculostomy was performed using a flexible endoscope. After surgery: there are no violations of the act of swallowing. The patient eats liquid and semi-liquid food. No complaints of dysphagia were presented. At x-ray control, there is some delay of the contrast agent in the diverticulum, which does not prevent its emptying. The case demonstrates the effectiveness of endoscopic intervention in large-sized Zenker diverticulum, the possibility of its implementation in age-related patients with combined pathology, including neurological deficiency, preserving the patient’s chance of recovery.
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