A rare Giant Killian-Jamieson diverticulum in a 97-year-old female. Considerations and multidisciplinary treatments in a symptomatic patient

Salvatore Pardo, Francesco Cupido, Alfonso Maiorana, Giuseppe Agnello, Agnello, Pardo, Poma, Cremona, Cupido, Maiorana, Fabrizio Cremona, Salvatore Poma

Risultato della ricerca: Article

Abstract

The purpose of this publication is to describe the clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum (KJD) detected in a 97-year-old female patient and discuss diagnostic and therapeutic protocols to be implemented. The clinical history began implementing anamnesis and physical examination, followed by laryngoscopy, esophagogastroduodenoscopy, sonographic examination and subsequently a double-contrast pharyngoesophagram evaluations, to our symptomatic old patient with results of typically KJD, with maximal dimension of 5 cm. The KJD was successfully treated with a surgical approach, esophagomyotomy in addition to a diverticulopexy; these techniques were used for adequate visualization of the tissue bridge of the diverticulum and protection of the surrounding tissue during dissection of the tissue bridge. Our patient has benefit from the operation immediately, with resolution of the disease. The follow-up (on-going), up to now, showed no recurrence of the pathological and no complications, making sure the authors of the efficacy of the surgical treatment. According to the authors the surgical treatment was the only procedure to cure the patients and, to date, our successful experience suggests that only surgical approach can be a safe and effective method for the treatment of symptomatic giant KJD, due to its close proximity to the recurrent laryngeal nerve and the concern of possible nerve injury.
Lingua originaleEnglish
pagine (da-a)579-584
Numero di pagine6
RivistaDefault journal
Volume173
Stato di pubblicazionePublished - 2014

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Diverticulum
Digestive System Endoscopy
Recurrent Laryngeal Nerve
Therapeutics
Laryngoscopy
Physical Examination
Dissection
Recurrence
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cita questo

A rare Giant Killian-Jamieson diverticulum in a 97-year-old female. Considerations and multidisciplinary treatments in a symptomatic patient. / Pardo, Salvatore; Cupido, Francesco; Maiorana, Alfonso; Agnello, Giuseppe; Agnello; Pardo; Poma; Cremona; Cupido; Maiorana; Cremona, Fabrizio; Poma, Salvatore.

In: Default journal, Vol. 173, 2014, pag. 579-584.

Risultato della ricerca: Article

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abstract = "The purpose of this publication is to describe the clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum (KJD) detected in a 97-year-old female patient and discuss diagnostic and therapeutic protocols to be implemented. The clinical history began implementing anamnesis and physical examination, followed by laryngoscopy, esophagogastroduodenoscopy, sonographic examination and subsequently a double-contrast pharyngoesophagram evaluations, to our symptomatic old patient with results of typically KJD, with maximal dimension of 5 cm. The KJD was successfully treated with a surgical approach, esophagomyotomy in addition to a diverticulopexy; these techniques were used for adequate visualization of the tissue bridge of the diverticulum and protection of the surrounding tissue during dissection of the tissue bridge. Our patient has benefit from the operation immediately, with resolution of the disease. The follow-up (on-going), up to now, showed no recurrence of the pathological and no complications, making sure the authors of the efficacy of the surgical treatment. According to the authors the surgical treatment was the only procedure to cure the patients and, to date, our successful experience suggests that only surgical approach can be a safe and effective method for the treatment of symptomatic giant KJD, due to its close proximity to the recurrent laryngeal nerve and the concern of possible nerve injury.",
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T1 - A rare Giant Killian-Jamieson diverticulum in a 97-year-old female. Considerations and multidisciplinary treatments in a symptomatic patient

AU - Pardo, Salvatore

AU - Cupido, Francesco

AU - Maiorana, Alfonso

AU - Agnello, Giuseppe

AU - Agnello, null

AU - Pardo, null

AU - Poma, null

AU - Cremona, null

AU - Cupido, null

AU - Maiorana, null

AU - Cremona, Fabrizio

AU - Poma, Salvatore

PY - 2014

Y1 - 2014

N2 - The purpose of this publication is to describe the clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum (KJD) detected in a 97-year-old female patient and discuss diagnostic and therapeutic protocols to be implemented. The clinical history began implementing anamnesis and physical examination, followed by laryngoscopy, esophagogastroduodenoscopy, sonographic examination and subsequently a double-contrast pharyngoesophagram evaluations, to our symptomatic old patient with results of typically KJD, with maximal dimension of 5 cm. The KJD was successfully treated with a surgical approach, esophagomyotomy in addition to a diverticulopexy; these techniques were used for adequate visualization of the tissue bridge of the diverticulum and protection of the surrounding tissue during dissection of the tissue bridge. Our patient has benefit from the operation immediately, with resolution of the disease. The follow-up (on-going), up to now, showed no recurrence of the pathological and no complications, making sure the authors of the efficacy of the surgical treatment. According to the authors the surgical treatment was the only procedure to cure the patients and, to date, our successful experience suggests that only surgical approach can be a safe and effective method for the treatment of symptomatic giant KJD, due to its close proximity to the recurrent laryngeal nerve and the concern of possible nerve injury.

AB - The purpose of this publication is to describe the clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum (KJD) detected in a 97-year-old female patient and discuss diagnostic and therapeutic protocols to be implemented. The clinical history began implementing anamnesis and physical examination, followed by laryngoscopy, esophagogastroduodenoscopy, sonographic examination and subsequently a double-contrast pharyngoesophagram evaluations, to our symptomatic old patient with results of typically KJD, with maximal dimension of 5 cm. The KJD was successfully treated with a surgical approach, esophagomyotomy in addition to a diverticulopexy; these techniques were used for adequate visualization of the tissue bridge of the diverticulum and protection of the surrounding tissue during dissection of the tissue bridge. Our patient has benefit from the operation immediately, with resolution of the disease. The follow-up (on-going), up to now, showed no recurrence of the pathological and no complications, making sure the authors of the efficacy of the surgical treatment. According to the authors the surgical treatment was the only procedure to cure the patients and, to date, our successful experience suggests that only surgical approach can be a safe and effective method for the treatment of symptomatic giant KJD, due to its close proximity to the recurrent laryngeal nerve and the concern of possible nerve injury.

UR - http://hdl.handle.net/10447/104247

UR - http://www.minervamedica.it/en/journals/gazzetta-medica-italiana/issue.php?cod=R22Y2014N11

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