지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.10
- 수록면
- 250 - 256 (7page)
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초록· 키워드
오류제보하기
Purpose: Clinical presentation and surgical results of the esophageal diverticula were analyzed.
Methods: Ten patients who underwent esophageal diverticulectomy with myotomy from May 1999 to May 2008 were reviewed retrospectively.
Results: Three pharyngoesophageal, one midesophageal and six epiphrenic diverticula were observed and transcervical, right transthoracic and left transthoracic surgical approach were used respectively. All of these cases were pulsion type and diverticulectomy with esophageal myotomy were done. For those who had leiomyoma, enucleation was performed simultaneously. One postoperative leakage was observed and resolved with conservative management. At 3 months after surgery, all patients enjoyed satisfactory results except two patients. One patient still suffered dysphagia which was not improved after surgery and the other patient had asymptomatic gastroesophageal reflux disease which was found on the follow up esophagography.
Conclusion: Crucial factors in the treatment of esophageal diverticulum are high index of suspicion indicated by clinical symptoms, differential diagnosis with other disease and confirmatory diagnosis with esophagography. Diverticulectomy with esophageal myotomy is an essential procedure for the low recurrence of diverticulum.
Methods: Ten patients who underwent esophageal diverticulectomy with myotomy from May 1999 to May 2008 were reviewed retrospectively.
Results: Three pharyngoesophageal, one midesophageal and six epiphrenic diverticula were observed and transcervical, right transthoracic and left transthoracic surgical approach were used respectively. All of these cases were pulsion type and diverticulectomy with esophageal myotomy were done. For those who had leiomyoma, enucleation was performed simultaneously. One postoperative leakage was observed and resolved with conservative management. At 3 months after surgery, all patients enjoyed satisfactory results except two patients. One patient still suffered dysphagia which was not improved after surgery and the other patient had asymptomatic gastroesophageal reflux disease which was found on the follow up esophagography.
Conclusion: Crucial factors in the treatment of esophageal diverticulum are high index of suspicion indicated by clinical symptoms, differential diagnosis with other disease and confirmatory diagnosis with esophagography. Diverticulectomy with esophageal myotomy is an essential procedure for the low recurrence of diverticulum.
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REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Lee GY / 1992 / Surgical treatment of the esophageal diverticula / Korean J Thorac Cardiovasc Surg 25 : 1537 ~ 1541
2. [학술지(정기간행물)] - Kim KH / 1989 / A clinical evaluation of surgical treatment of esophageal diverticulum / Korean J Thorac Cardiovasc Surg 22 : 141 ~ 145
3. [학술지(정기간행물)] - Kim JH / 1989 / Surgical treatment of esophageal diverticulum / Korean J Thorac Cardiovasc Surg 22 : 265 ~ 271
4. [학술지(정기간행물)] - 이종대 / 2006 / 성대마비를 동반한 갑상선 종양으로 오인된 Zenker게실 치험 1예 / 대한이비인후과학회지 두경부외과학 49 (2) : 241 ~ 245
5. [단행본] - Postlethwait RW / 1986 / Surgery of the Esophagus. 2nd ed / Appleton-Century-Crofts
2. [학술지(정기간행물)] - Kim KH / 1989 / A clinical evaluation of surgical treatment of esophageal diverticulum / Korean J Thorac Cardiovasc Surg 22 : 141 ~ 145
3. [학술지(정기간행물)] - Kim JH / 1989 / Surgical treatment of esophageal diverticulum / Korean J Thorac Cardiovasc Surg 22 : 265 ~ 271
4. [학술지(정기간행물)] - 이종대 / 2006 / 성대마비를 동반한 갑상선 종양으로 오인된 Zenker게실 치험 1예 / 대한이비인후과학회지 두경부외과학 49 (2) : 241 ~ 245
5. [단행본] - Postlethwait RW / 1986 / Surgery of the Esophagus. 2nd ed / Appleton-Century-Crofts
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