zenker

אני מתיחס לתשובתך בנושא ZENKER DIVERTICULA מיום 17/03/2001 שאלתי ב 09/03/2001 אם ידוע למישהו מכון בארץ שיש לו נסיון בטיפול אנדוסקופי בהפרעה זאת. להלן קטע מאתר של אוניברסיטת YALE. מה דעתך - האם זה רציני New Endoscopic Technique Treats Swallowing Disorder Zenker’s Diverticulum Now Treated Endoscopically Imagine the simple act of swallowing food and drink becoming difficult and painful. For hundreds of Americans with Zenker’s diverticulum, or a pouch in the upper esophagus, eating and swallowing is no longer easy. Now surgeons at Yale offer a minimally invasive technique to remove the pouch in the throat. Dr. Clarence Sasaki and Dr. Douglas Ross, both otolaryngologists at Yale, perform surgery endoscopically to remove the pouch through a small incision. The endoscopic procedure is called stapler assisted esophagodiverticulostomy. Zenker’s diverticulum occurs when a pouch forms in the lining of the esophagus. "Food easily becomes trapped in the pouch, making it difficult to swallow and causes regurgitation," explained Clarence Sasaki, MD, Chief of Yale Otolaryngology. Symptoms include discomfort and pain when swallowing, hoarseness and loss of voice. "And the problem becomes more serious in the elderly or infirm when large pouches can lead to choking, pneumonia, and malnourishment," Sasaki said. "This approach is a real breakthrough because it alleviates the need for invasive and often risky surgery directly through the neck or down the throat," explained Douglas Ross, MD, Yale Otolaryngologist. "We now use a special endoscope to enter the throat to view the pouch. The endoscope is then used to remove the pouch and repair the throat lining with a stapler assisted device. Patients recover quickly and are home in a few days. "My patients are ecstatic in being able to eat the day after surgery, too," Dr. Ross said. According to Dr. Sasaki, patients who had Zenker’s surgery can hardly believe how good they feel being able to drink and eat without pain. "My patients are relieved to know that there was a treatment that didn’t require a painful operation. To me, it was a miracle procedure." To contact Dr. Sasaki and Dr. Ross of Yale Otolaryngology, call (203) 785-2593. — Clarence Sasaki, M.D., Yale Otolaryngologist Revised: Wed, Oct 13, 1999 © 1998 Yale University. All rights reserved. Site URL: http://www.med.yale.edu/yfp/

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