Clinical and imaging findings of rare symptomatic giant killian-jamieson diverticulum (KJD)

Poma, S

Risultato della ricerca: Paper

Abstract

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. Methods. 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. Results. 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. Conclusion. The Authors note that believe in the surgical treatment as the only procedure to the cure of 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
Stato di pubblicazionePublished - 2014

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

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title = "Clinical and imaging findings of rare symptomatic giant killian-jamieson diverticulum (KJD)",
abstract = "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. Methods. 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. Results. 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. Conclusion. The Authors note that believe in the surgical treatment as the only procedure to the cure of 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.",
keywords = "Diverticolo gigante di Killian–Jamieson , Cine-esofagografia",
author = "{Poma, S} and Alfonso Maiorana and Giuseppe Agnello and Salvatore Pardo and Francesco Cupido and Fabrizio Cremona",
year = "2014",
language = "English",

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TY - CONF

T1 - Clinical and imaging findings of rare symptomatic giant killian-jamieson diverticulum (KJD)

AU - Poma, S

AU - Maiorana, Alfonso

AU - Agnello, Giuseppe

AU - Pardo, Salvatore

AU - Cupido, Francesco

AU - Cremona, Fabrizio

PY - 2014

Y1 - 2014

N2 - 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. Methods. 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. Results. 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. Conclusion. The Authors note that believe in the surgical treatment as the only procedure to the cure of 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 - 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. Methods. 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. Results. 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. Conclusion. The Authors note that believe in the surgical treatment as the only procedure to the cure of 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.

KW - Diverticolo gigante di Killian–Jamieson , Cine-esofagografia

UR - http://hdl.handle.net/10447/95593

M3 - Paper

ER -