Surgical management of recurrent Zenker's diverticulum: A multi-institutional cohort study.
Am J Otolaryngol
; 42(1): 102755, 2021.
Article
en En
| MEDLINE
| ID: mdl-33099230
ABSTRACT
OBJECTIVE:
This study identifies how recurrent Zenker's diverticula are treated.METHODS:
A retrospective chart review was performed from four tertiary referral academic voice and swallowing centers to identify individuals who underwent surgery for recurrent Zenker's diverticulum. Demographic data, surgical modalities for primary and revision surgery, symptoms pre and post revision and complications were recorded.RESULTS:
56 individuals met inclusion criteria. Primary surgery was open in 30.3% (n = 17) and endoscopic in 69.6% (n = 39). Revision surgery was performed via an open approach in 37.5% of cases (N = 21) and via an endoscopic approach in 62.5% of cases (N = 35). Revision surgical technique was based on pouch size, patient age and comorbidities, as well as patient and surgeon preference. There were no major complications and few minor complications.CONCLUSION:
Zenker's diverticulum symptoms can recur regardless of primary treatment modality. Both endoscopic and open approaches can safely treat recurrent Zenker's diverticula.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos del Sistema Digestivo
/
Divertículo de Zenker
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Idioma:
En
Revista:
Am J Otolaryngol
Año:
2021
Tipo del documento:
Article