Therapy of Zenker’s diverticulum: Endoscopic Diverticulotomy

Pharyngeal pouch: which technique?

“…Weerda et al . reported a post-operative fever rate of 53 per cent, and mediastinitis in one case 8 . Koch et al .…”

“…reported a leak rate of 6 per cent 11 . After stapling, the leak rates tend to be much lower, and are reported at between 0 and 8 per cent 8 , 9 , 12 – 14 . Roth et al .…”

“…The modern surgeon has a variety of treatment choices. Several studies have compared various techniques: laser endoscopic versus stapled procedures, 8 , 9 endoscopic versus external procedures 10 – 12 and, more recently, stapled versus harmonic procedures 6 …”

“…Reported recurrence rates for external, stapled and laser procedures are 2–9 per cent, 11–26 per cent and 5–18 per cent respectively 8 , 11 – 15 . Amongst the external procedure cases, there is probably also a difference in recurrence rates between the cases where the pouch was resected and those where a pexis or simple myotomy was performed.…”