Khmara Artem Dmitrievich (Candidate of Medical Sciences, surgeon, Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation)
Polidanov Maxim Andreevich (specialist, assistant, University «Reaviz», Saint Petersburg, Russian Federation)
Osintsev Evgeny Yuryevich (Doctor of Medicine Sciences, Professor, Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation)
Konopatskova Olga Mikhailovna (Doctor of Medicine Sciences, Professor, Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation)
Gorbunova Elena Sergeevna (Candidate of Medical Sciences, Assistant, Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation)
Akopyan Ani Vardanovna (Resident, Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation)
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Esophageal diverticula, especially Cenker's diverticula, require timely diagnosis and choice of optimal treatment tactics due to the risk of aspiration complications and decreased quality of life in elderly patients. Goal. To demonstrate the features of diagnosis and surgical treatment of a major Cenker diverticulum in a patient with severe concomitant cardiological pathology. Materials and methods. Clinical observation of a 76-year-old patient with a 5×4 cm diverticulum. The diagnosis included radiography with barium suspension and endoscopy. An open diverticulectomy with a transcervical access with a cricopharyngeal muscle myotomy was performed. Results. The operation was performed successfully, the symptoms (regurgitation, dysphagia) were completely stopped. Postoperative period without complications, discharge on the 9th day. A true diverticulum with chronic esophagitis has been histologically confirmed. Conclusion. With large diverticulae (>4 cm), open diverticulectomy remains the method of choice even in elderly patients, provided careful preoperative preparation and an interdisciplinary approach.
Keywords:Zenker's diverticulum, diverticulectomy, dysphagia, barium swallow study, elderly age, comorbid cardiac pathology, chronic esophagitis
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Citation link:
Khmara A. D., Polidanov M. A., Osintsev E. Y., Konopatskova O. M., Gorbunova E. S., Akopyan A. V. CLINICAL CASE OF ESOPHAGEAL DIVERTICULA // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2026. -№02/2. -С. 206-210 DOI 10.37882/2223-2966.2026.02-2.29 |
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