Relationship between posterior pharyngeal pouch and hiatus hernia

Smiley, Tom; Caves, Philip K.; Porter, D. C.

doi:10.1136/thx.25.6.725

Cited by 69 publications

(8 citation statements)

References 14 publications

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“…Gastro‐oesophageal reflux has been implicated in some studies on the basis that there is a low incidence of pharyngeal pouch in communities in which gastro‐oesophageal reflux is uncommon23. Others have noted an association between these two conditions24–26, although this is an inconsistent finding20.…”

Section: Pathophysiologymentioning

confidence: 97%

Evolution of surgical treatment for pharyngeal pouch

Aly

Devitt

Jamieson

2004

British Journal of Surgery

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Background: The development of endoscopic techniques, particularly endoscopic stapling, has led to a re-evaluation of the treatment of pharyngeal pouch. The pathophysiology and treatment of the condition is reviewed.Methods: An electronic literature search was undertaken on the pathophysiology, history and surgery of pharyngeal pouch (Zenker's diverticulum). These last two terms were used to the search the Cochrane, Medline and Embase databases (from 1966 to date) and the bibliographies of extracted articles. Results and conclusion:With recognition of the central role of the cricopharyngeus muscle in the pathogenesis of pouch formation, the emphasis on treatment has shifted from diverticulectomy to cricopharyngeal myotomy. Minimally invasive techniques have become established since the advent of endoscopic stapling devices. Although randomized controlled data are lacking, the endoscopic approach appears to offer advantages in terms of a shorter duration of anaesthesia, more rapid resumption of oral intake, shorter hospital stay and quicker recovery. It is associated with excellent success rates and minimal morbidity.

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Section: Pathophysiologymentioning

confidence: 97%

Evolution of surgical treatment for pharyngeal pouch

Aly

Devitt

Jamieson

2004

British Journal of Surgery

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“…The question of the association between GERD and ZD began in 1970 when Smiley et al reported an increased incidence of hiatal hernia in the patients with ZD [34]. The same year, the group also reported that the increased cricopharyngeal pressure decreased after the repair of hiatal hernia [35].…”

Section: Gastroesophageal Reflux Disease and Zdmentioning

confidence: 99%

Flexible endoscopic and surgical management of Zenker's diverticulum

Dzeletovic

Ekbom

Baron

2012

Expert Review of Gastroenterology & Hepatology

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“…Gastroesophageal reflux (GER) may contribute to cricopharyngeal spasm and formation of a ZD. The association between GER and ZD has been debated since 1970, when Smiley et al14 noted an increased incidence of hiatal hernia among patients with ZD. Smiley also cited his clinical experience of finding reflux esophagitis by endoscopy in 28 of 30 patients with a pharyngeal pouch (unpublished data, 1967).…”

Section: Gastroesophageal Reflux: Cp Dysfunction and Zd Formationmentioning

confidence: 99%

Cricopharyngeal spasm and Zenker's diverticulum

2003

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Cricopharyngeal spasm and Zenker's diverticulum represent disorders of the pharyngoesophageal junction for which a unifying theory of etiology has yet to be established. There is, however, a large body of evidence that supports an association with gastroesophageal reflux. Cricopharyngeal myotomy is the key to successful management of both disorders. Newer transoral endoscopic techniques of management have a lower overall morbidity than traditional open approaches in appropriately selected patients and are therefore gaining popularity as the preferred method of treatment.

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Relationship between posterior pharyngeal pouch and hiatus hernia

Abstract: The formation of posterior pharyngeal pouches is generally attributed to dysfunction of the cricopharyngeal sphincter.

Cited by 69 publications

References 14 publications

Evolution of surgical treatment for pharyngeal pouch

Evolution of surgical treatment for pharyngeal pouch

Flexible endoscopic and surgical management of Zenker's diverticulum

Cricopharyngeal spasm and Zenker's diverticulum

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