Role of the “rising tide sign” in the diagnosis and assessment of the results of surgery for Zenker's diverticulum - 06/12/13
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 3 |
| Iconographies | 1 |
| Vidéos | 0 |
| Autres | 0 |
Summary |
Objective |
To evaluate the role of the videoendoscopic “rising tide sign” (RTS) in the diagnosis and assessment of surgical repair of Zenker's diverticulum.
Study design: Retrospective.
Subjects and methods |
A total of 148 patients with Zenker's diverticulum underwent surgery in our department. A videoendoscopic swallowing study (VESS) was performed pre- and postoperatively, and the two examinations compared for the presence of the RTS. VESS characteristics based on the time to RTS onset and the size of diverticulum, as seen on a barium swallow, were also compared in a subset of 38 patients.
Results |
All patients presented with the RTS on preoperative VESS. No correlation was observed between the time to onset of the sign and size of the diverticulum. Follow-up data were available for 121 patients (mean follow-up: 8months): 111 patients were significantly improved during follow-up, with complete disappearance of the RTS. Recurrence of symptoms was observed at this time in 10 patients. Seven of these 10 patients had concomitant recurrence of the RTS and required repeat surgery after a mean follow-up of 37months.
Conclusion |
The RTS observed by videoendoscopy is a supplementary tool for the diagnosis of Zenker's diverticulum and for evaluation of the efficacy of surgery during the postoperative follow-up.
Le texte complet de cet article est disponible en PDF.Keywords : Zenker's diverticulum, Swallowing, “Rising tide sign”, Videoendoscopy swallowing study
Plan
Vol 130 - N° 6
P. 309-311 - décembre 2013 Retour au numéro
Article précédent
- Anterior semicircular canal benign paroxysmal positional vertigo: A series of 20 patients
- S. Imbaud-Genieys
- Success and failure factors for hearing-aid prescription: Results of a French national survey
- A. Abdellaoui, P. Tran Ba Huy
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?