Esophageal Diverticula

Cross, Frederick S.

doi:10.1001/archsurg.1961.01300160037005

Cited by 68 publications

(7 citation statements)

References 4 publications

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“…Over the years, numerous theories on the pathogenesis of ZD have been proposed. Either manometry or fluoroscopy, or a combination of the two, has generally been used to demonstrate the dynamics of this condition in ZD patients [1,4,6]. Although the results of these earlier studies yielded different hypotheses, the most widely accepted theory is that ZD is a pulsion diverticulum caused by increased bolus pressure.…”

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“…Although the results of these earlier studies yielded different hypotheses, the most widely accepted theory is that ZD is a pulsion diverticulum caused by increased bolus pressure. This pressure is the result of a malfunction of the upper esophageal sphincter (UES), such as premature contraction, spasms, or poor relaxation during swallowing [1,4,13].Current surgical management of ZD always includes pharyngoesophageal myotomy accompanied by diverticulectomy or diverticulopexy; this treatment provides very good long-term results after surgery [1,8]. The same principle is also used in the endoscopic treatment of ZD.…”

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Endoscopic stapling diverticulostomy for Zenker's diverticulum

et al. 1999

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Endoscopic stapling diverticulostomy (ESD) using an endostapler is a modification of the standard endoscopic treatment of Zenker's diverticulum (ZD). It is characterized by complete myotomy of the upper esophageal sphincter, with division of the common wall between diverticulum and esophagus, followed by immediate simultaneous closure of the divided edges with the staples. ESD was performed on 21 patients with ZD between January 1996 and October 1997. The results were then evaluated. Operation time averaged 22 min. Wide opening of the diverticulum and excellent hemostasis were achieved. All of the patients but one, who died postoperatively of myocardial infarction, resumed oral intake without any evidence of cervical sepsis or mediastinitis. Complete relief of dysphagia was achieved in all 20 patients. Hospital stay averaged 4.7 days (range, 2-7 days). The patients were followed up after ESD for a median time period of 12 months. No relapses were recorded. ESD is an effective endoscopic treatment for ZD that entails a low risk of complications and requires only a short period of hospitalization.

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Endoscopic stapling diverticulostomy for Zenker's diverticulum

et al. 1999

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“…However, the presence of achalasia in 5 of 24 patients with pulsion-type diverticula in our study hints at a possible role of achalasia in the development of the diverticulum, e.g. via an elevation of intraluminal pressure due to functional obstruction (5,11).…”

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confidence: 60%

Association of midoesophageal diverticula with oesophageal motor disorders

et al. 1997

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“…Already in 1947, D'Aubreu [6] suggested that esophageal motor dysfunction could be the pathophysiologic basis of diverticula formation. In 1961, Cross et al [5] gave the manometric proof for this hypothesis. Later reports confirmed these findings: Manometrically detected motility disorders were found in 10% (1/11) to 100% (12/12) of patients [4,7,12].…”

Section: Discussionmentioning

confidence: 99%