Korean J Gastrointest Endosc > Volume 33(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(3): 159-162.
아르곤 플라즈마 응고법을 이용한 젠커게실 치료 1예
김진남·박종재·김승영·박재연·주문경·장진수·최도원·오성남·한우식·김연호·김재선·박영태
고려대학교 의과대학 내과학교실
A Case of Zenker's Diverticulum Treated by Argon Plasma Coagulation
Jin Nam Kim, M.D., Jong-Jae Park, M.D., Seung Young Kim, M.D., Jae Youn Park, M.D., Moon Kyoung Joo, M.D., Jin Soo Chang, M.D., Do Won Choi, M.D., Seong Nam Oh, M.D., Woo Sik Han, M.D., Youn Ho Kim, M.D., Jae Seon Kim, M.D. and Young-Tae Bak, M.D.
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Abstract
Zenker's diverticulum occurs mainly in elderly patients with typical symptoms including dysphagia, regurgitation, chronic cough, aspiration, and weight loss. A diagnosis is easily established on upper endoscopy or barium studies. The treatment is surgery or endoscopic cricopharyngeal myotomy. Endoscopic procedures include staple assisted diverticulostomy, CO2 laser, transparent oblique-endhood attached endoscopic diverticulostomy, and argon plasma coagulation. Minimally invasive endoscopic treatments are associated with a shorter operating time, shorter postoperative hospital stay, quicker resumption of oral intake, and fewer overall complications. Argon plasma coagulation can be performed in any regular endoscopy unit and is less invasive, economical, faster, and well-tolerated. In particular, older patients in a poor general condition, at high surgical risk or with contraindications to general anesthesia can be treated with argon plasma coagulation. (Korean J Gastrointest Endosc 2006;33:159⁣162)
Key Words: Zenker's diverticulum, Argon plasma coagulation
주요어: 젠커게실, 아르곤 플라즈마 응고법
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