Westrin K M, Ergün S, Carlsöö B
Department of Oto-Rhino-Laryngology, Karolinska Institute, Huddinge University Hospital, Sweden.
Acta Otolaryngol. 1996 May;116(3):351-60. doi: 10.3109/00016489609137857.
More than 200 years have passed since the pulsion diverticulum of hypopharynx was first described. This paper reviews different opinions on its etiology over the centuries. The German pathologist F.A. von Zenker, who successfully pursued research on a variety of topics, is often associated with this diverticulum through his classical work from 1867 "Krankheiten des Oesophagus", which deals with the pathogenesis and clinical presentations of this herniation of the posterior mucosal wall. Numerous surgical techniques, which have been practised mainly during this century, are also reviewed. Different options of endoscopic surgery, which is presently the preferred approach at many medical centers, are described and discussed. Our own experience of endoscopic surgery in patients with Zenker's diverticulum is also presented.
自下咽膨出憩室首次被描述以来，已经过去了200多年。本文回顾了几个世纪以来关于其病因的不同观点。德国病理学家F.A.冯·岑克尔在多个领域都成功开展了研究，他在1867年的经典著作《食管疾病》中论述了这种后壁黏膜疝的发病机制和临床表现，因而常与这种憩室联系在一起。本文还回顾了主要在本世纪应用的多种手术技术。描述并讨论了目前在许多医疗中心作为首选方法的不同内镜手术方案。同时也介绍了我们自己对患有岑克尔憩室患者进行内镜手术的经验。
