Zenker's diverticulum surgery
|
Zenker's diverticulum Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Zenker's diverticulum surgery On the Web |
|
American Roentgen Ray Society Images of Zenker's diverticulum surgery |
|
Risk calculators and risk factors for Zenker's diverticulum surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
Overview
Surgery
- 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[1][2] (i.e. closing off the diverticulum via a stapler inserted through a tube in the mouth).
- This may be performed through a fibreoptic endoscope[3].
- Other non-surgical treatment modalities exist, such as endoscopic laser, which recent evidence suggests it less effective than stapling.[4]
References
- ↑ PMID 15453934 Endoscopic stapling of pharyngeal pouch, J Laryngol Otol. 2004 Aug;118(8):601-6
- ↑ 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
- ↑ 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
- ↑ PMID 16954989 The Endoscopic Management of Zenker Diverticulum: CO2 Laser versus Endoscopic Stapling, Laryngoscope. 2006 Sep;116(9):1608-11