Endoscopic Zenker's diverticulotomy. (Esophagoscopy Clinic).A 45-year-old, otherwise healthy woman came to us with an 8-month history of progressive dysphagia dysphagia /dys·pha·gia/ (-fa´jah) difficulty in swallowing. dys·pha·gia or dys·pha·gy n. Difficulty in swallowing or inability to swallow. , regurgitation regurgitation /re·gur·gi·ta·tion/ (re-ger?ji-ta´shun) 1. flow in the opposite direction from normal. 2. vomiting. , and occasional aspiration, during which time she had lost 7 lbs. A flexible endoscopic evaluation of her swallowing detected regurgitation of methylene methylene /meth·y·lene/ (meth?i-len) the bivalent hydrocarbon radical —CH2— or CH2dbond. meth·yl·ene n. blue-impregnated apple sauce from the left pyriform pyriform pear-shaped. pyriform apparatus pair of triangular structures in the eggs of anoplocephalid tapeworms surrounding the oncosphere. sinus (figure, A). Barium esophagography revealed the presence of a medium-sized Zenker's diverticulum (figure, B). Preoperatively, a soft nasogastric tube was placed distally in the esophagus as the patient remained awake (figure, C). Then the defect was stapled (figure, D). The patient was discharged the following day eating a normal diet and has had no further symptoms. From the Center for Voice Disorders, Department of Otolaryngology, Wake Forest University Medical Center, Winston-Salem, NC.; www.thevoicecenter.org |
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