Endoscopic stapled diverticulotomy: a real advance in the treatment of hypopharyngeal diverticulum.
Between November 1993 and May 1996, 51 patients with a hypopharyngeal diverticulum were treated by endoscopic stapled diverticulotomy. Normal swallowing was resumed within 36 h of surgery in 73%, and in 93% by 72 h. Two patients required nasogastric feeding for 5-7 days. There were no operative deaths or serious operative morbidity, and there have been no recorded cases of clinical recurrence of pouches to date (maximum follow-up 562 days: 46 cases over 12 months). The low morbidity, short hospital stay and early return to normal feeding, combined with a relative absence of complications or pouch recurrence, make endoscopic stapled diverticulotomy the treatment of choice for the majority of patients.
Department of Otolaryngology/Head and Neck Surgery, Southmead Hospital, Bristol, UK.
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Baldwin
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Toma
D000368:Aged; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007013:Hypopharynx / Q000601:surgery*; D008297:Male; D013528:Surgical Staplers; D017792:Surgical Stapling; D013997:Time Factors; D016672:Zenker Diverticulum / Q000601:surgery*