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| {{SK}} Hypopharyngeal diverticulum, pharyngoesophageal diverticulum, pharyngeal pouch. | | {{SK}} Hypopharyngeal diverticulum, pharyngoesophageal diverticulum, pharyngeal pouch. |
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| ==Histopathological Findings: Esophagus; Zenker's diverticulum==
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| <youtube v=CEYU0Dq9n2s/>
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| ==Treatment==
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| If small and asymptomatic, no treatment is necessary. Larger, symptomatic cases of Zenker's diverticulum have been traditionally treated by neck [[surgery]] to resect the [[diverticulum]] and incise the [[cricopharyngeus]] muscle. However, in recent times non-surgical endoscopic techniques have gained more importance (as they allow for much faster recovery), and the currently preferred treatment is endoscopic stapling<ref>PMID 15453934 Endoscopic stapling of pharyngeal pouch, J Laryngol Otol. 2004 Aug;118(8):601-6</ref><ref>PMID 12782805 Endoscopic staple diverticulostomy for Zenker's diverticulum: review of literature and experience in 159 consecutive cases, Laryngoscope. 2003 Jun;113(6):957-65</ref> (i.e. closing off the diverticulum via a stapler inserted through a tube in the mouth). This may be performed through a fibreoptic endoscope<ref>PMID 15966520 Fiberoptic endoscopic-assisted diverticulotomy: a novel technique for the management of Zenker's diverticulum, Ann Otol Rhinol Laryngol. 2005 May;114(5):347-51</ref>. Other non-surgical treatment modalities exist, such as endoscopic laser, which recent evidence suggests it less effective than stapling.<ref>PMID 16954989 The Endoscopic Management of Zenker Diverticulum: CO2 Laser versus Endoscopic Stapling, Laryngoscope. 2006 Sep;116(9):1608-11</ref>
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| ==References ==
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| {{Reflist|2}}
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| {{Gastroenterology}} | | {{Gastroenterology}} |
For patient information, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Hypopharyngeal diverticulum, pharyngoesophageal diverticulum, pharyngeal pouch.
Template:Gastroenterology
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it:Diverticolo di Zenker
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