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Type:
Educational Exhibit
Keywords:
Gastrointestinal tract, Ear / Nose / Throat, Conventional radiography, Fluoroscopy, Ultrasound, Surgery, Technical aspects, Diverticula, Eating disorders
Authors:
S. pardo, A. M. Maiorana, F. Cremona, F. Cupido, S. Poma, G. Agnello; Palermo/IT
DOI:
10.1594/ecr2014/C-0561
Conclusion
The Authors emphasize the importance of an accurate clinical and imaging examination,
as a fundamental act for exclude other cervical esophageal disease,
principally the more commonly known Zenker’s diverticulum,
and help to clarify its etiology.
We believe its pathophysiology is similar to Zenker’s diverticulum,
which is to say that Killian-Jamieson diverticulum is the result of a functional esophageal obstruction.
The symptoms observed in our symptomatic old patient may be due to an underlying abnormal oral and or pharyngeal phase of swallowing.
We believe that an esophagomyotomy must be part of its surgical treatment,
in addition to a diverticulopexy.
Furthermore,
we recommend that this diverticulum be approached transcutaneously to prevent and protect recurrent laryngeal nerve injury and other surrounding tissue during dissection of the tissue bridge.
The Authors note that believe in the surgical treatment as the only procedure to the cure of the patients and,
to date,
our successful experience suggests that only surgical approach can be a safe and effective method for the treatment of symptomatic giant KJD.
Recently,
traditional open surgery for a symptomatic KJD is being challenged by the development of new endoscopic techniques and devices.
The follow-up (on-going),
up to now,
showed no recurrence of the pathological and no complications,
making sure the authors of the efficacy of the surgical treatment