Management of pharyngoesophageal (Zenker’s) diverticulum: which technique? Christian A Gutschow, MD, Marc Hamoir, MD, Philippe Rombaux, MD, Jean-Bernard.

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Presentation transcript:

Management of pharyngoesophageal (Zenker’s) diverticulum: which technique? Christian A Gutschow, MD, Marc Hamoir, MD, Philippe Rombaux, MD, Jean-Bernard Otte, MD, Louis Goncette, MD, Jean-Marie Collard, MD The Annals of Thoracic Surgery Volume 74, Issue 5, Pages 1677-1683 (November 2002) DOI: 10.1016/S0003-4975(02)03931-0

Fig 1 Symptomatic outcome after open (blank columns) and endoscopic (hatched columns) treatments according to whether diverticulum was smaller than 3 cm (left) or 3 cm or larger (right). The Annals of Thoracic Surgery 2002 74, 1677-1683DOI: (10.1016/S0003-4975(02)03931-0)

Fig 2 Symptomatic outcome after endoscopic stapling (blank columns) and laser (hatched columns) division according to whether diverticulum was smaller than 3 cm (left) or 3 cm or larger (right). The Annals of Thoracic Surgery 2002 74, 1677-1683DOI: (10.1016/S0003-4975(02)03931-0)

Fig 3 Symptomatic outcome after resection without cricomyotomy (blank columns) and open techniques including a cricomyotomy (hatched columns) according to whether diverticulum was smaller than 3 cm (left) or 3 cm or larger (right). The Annals of Thoracic Surgery 2002 74, 1677-1683DOI: (10.1016/S0003-4975(02)03931-0)

Fig 4 Radiographs showing a large diverticulum before resection without myotomy (left), a small pseudopouch caused by the imprint of the cricopharyngeal muscle (arrow) 1 year later (center), and the reappearance of a large diverticulum 22 years after the operation (right). The Annals of Thoracic Surgery 2002 74, 1677-1683DOI: (10.1016/S0003-4975(02)03931-0)