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Войти в исследования Frontiers in surgery · 2026
Zenker's peroral endoscopic myotomy for treating zenker's diverticulum in an elderly patient: a case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Fan Xiao, Pang Jianhua, Wang Junmin, Zhu Xinying, Jiao Li, Ma Huan, Meng Xia
Аннотация
BACKGROUND: Zenker's diverticulum (ZD) is a rare esophageal disorder, and traditional surgical interventions are associated with significant trauma and poor tolerance in elderly patients.
CASE SUMMARY: An 85-year-old female presented with a one-year history of progressive dysphagia, accompanied by regurgitation, coughing, and a 5 kg weight loss. Diagnostic evaluations, including barium esophagography, chest computed tomography (CT), and endoscopy, confirmed an upper esophageal ZD (3 cm in diameter).
TREATMENT: The patient underwent submucosal tunneling endoscopic septum division (STESD), which is widely standardized in current literature as Zenker's peroral endoscopic myotomy (Z-POEM). Key procedural steps included mucosal incision, submucosal tunneling, complete septum myotomy, and mucosal closure using titanium clips. Postoperative recovery was uneventful, with no complications such as bleeding or perforation.
CONCLUSION: Z-POEM demonstrates minimally invasive advantages, safety, and efficacy in treating ZD, particularly for elderly patients with high surgical risks. This technique represents a promising therapeutic option in this population.
CASE SUMMARY: An 85-year-old female presented with a one-year history of progressive dysphagia, accompanied by regurgitation, coughing, and a 5 kg weight loss. Diagnostic evaluations, including barium esophagography, chest computed tomography (CT), and endoscopy, confirmed an upper esophageal ZD (3 cm in diameter).
TREATMENT: The patient underwent submucosal tunneling endoscopic septum division (STESD), which is widely standardized in current literature as Zenker's peroral endoscopic myotomy (Z-POEM). Key procedural steps included mucosal incision, submucosal tunneling, complete septum myotomy, and mucosal closure using titanium clips. Postoperative recovery was uneventful, with no complications such as bleeding or perforation.
CONCLUSION: Z-POEM demonstrates minimally invasive advantages, safety, and efficacy in treating ZD, particularly for elderly patients with high surgical risks. This technique represents a promising therapeutic option in this population.