Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Unusual Location of Esophageal Diverticulum

비전형적인 위치에 발생한 상부 식도 게실

  • Kim, Tae-Hoo (Department of Otolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Heo, Chul-Young (Department of Otolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Kim, Beom-Gyu (Department of Otolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Kim, Yong-Bok (Department of Otolaryngology-Head & Neck Surgery, Hallym University College of Medicine) ;
  • Park, Il-Seok (Department of Otolaryngology-Head & Neck Surgery, Hallym University College of Medicine)
  • 김태후 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 허철영 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김범규 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김용복 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박일석 (한림대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2009.12.30
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Abstract

Esophageal diverticulum is a rare entity, the true incidence of which is unknown, mainly because there are usually no clinical symptoms. Most esophageal diverticulum are found incidentally during an endoscopic or radiologic examination. Their classification is based on anatomical location; namely, upper third(Zenker or pharyngoesophageal), middle third(thoracic), or lower third(epiphrenic). Here we report a 52-years-old female presenting with dysphagia and regurgitation. Esophagogram showed esophageal diveticulum at lower cervical esophagus. Its positional aspect, it is different from Zenker's diveticulum. Treatment is surgical via an endoscopic or external approach. In view of the patient's age and anatomical location, various surgical approaches were considered as a therapeutic option for the management. This paper presents our experience in the management of esophageal diverticulum which was unusual location and stapled open resection without sternotomy.

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