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Pharyngeal pouch: which technique?

Published online by Cambridge University Press:  25 February 2015

D Veivers
D Veivers*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal North Shore Hospital, Sydney, and Discipline of Surgery, University of Sydney, New South Wales, Australia
*
Address for correspondence: Dr David Veivers, 30 Cocupara Avenue, Lindfield, NSW 2070, Australia Fax: 61 2 9906 4355, E-mail: daveveivers@iprimus.com.au
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Abstract

Background:

Pharyngeal pouches have been recognised as a cause of dysphagia for centuries and have been treated in a variety of ways over that time.

Objective:

This article aimed to analyse the results of surgery by a variety of techniques, as performed by one surgeon.

Method:

A retrospective analysis of a case series was conducted, analysing the variables of patient age, sex, type of surgery, length of hospital stay, leak, recurrence and other complications.

Results:

A total of 121 patients were treated by 135 operations. There were no leaks in the group treated by endoscopic stapling and this group also had a significantly shorter hospital stay. As for recurrence, the lowest rate appeared to be in the group treated by excision of the pouch.

Conclusion:

The techniques used by the author all still seem to have a role in the management of pharyngeal pouch, with the endoscopic stapling approach associated with a low rate of complications and short hospital stay.

Keywords

Zenker's DiverticulumEsophagopharyngeal Diverticulum
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Supplement S3 , July 2015 , pp. S30 - S34
Copyright
Copyright © JLO (1984) Limited 2015 

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