title: Management of cricopharyngeal dysphagia with and without Zenker's diverticulum.
abstract: Cricopharyngeal dysphagia and Zenker 's diverticulum result from cricopharyngeal dysfunction, a failure of the upper esophageal sphincter to relax at the initiation of swallowing. The focus of surgical management involves a cricopharyngeal myotomy that is performed by either an open or an endoscopic approach. The endoscopic approach offers faster operating times, a shorter hospital stay, earlier time to oral intake, and lower complication rates, but a role for open cricopharyngeal myotomy remains.
authors: Division of Cardiothoracic Surgery, Oregon Health & Sciences University, 3181 Southwest Sam Jackson Park Road, L223, Portland, OR 97239-3098, USA. tieub@ohsu.edu
authors: Brandon H
authors: BH
authors: Tieu
authors: John G
authors: JG
authors: Hunter
mesh_terms: D019274:Botulinum Toxins, Type A / Q000008:administration & dosage; D002404:Catheterization; D003680:Deglutition Disorders / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D049631:Esophageal Sphincter, Upper / Q000503:physiopathology; D006801:Humans; D007267:Injections; D010609:Pharyngeal Muscles / Q000503:physiopathology / Q000601:surgery; D016672:Zenker Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*
chemical_list: D019274:Botulinum Toxins, Type A