title: Management of Zenker's diverticulum in the endoscopic age: current practice patterns.
abstract: OBJECTIVE
  Zenker's diverticulum (ZD) is a common source of dysphagia with a well-established surgical treatment history. Variations may exist between practitioners in the preoperative, intraoperative, and postoperative management of patients with ZD because of recent evolutions in surgical approach toward an endoscopic technique.
  
  
  METHODS
  An online survey instrument was prepared and forwarded to the membership of the American Broncho-Esophagological Association (ABEA) to ascertain the current practice patterns of its members regarding numerous care parameters for patients with ZD.
  
  
  RESULTS
  Data on preoperative evaluation, operative care, postoperative management, and recalled incidence of complications, including mediastinitis, were evaluated. Subgroup analysis demonstrated significant differences in multiple care parameters for those surgeons who predominantly perform endoscopic operations (more than 80% willingness to perform endoscopic operations) compared to those who occasionally perform endoscopic operations (less than 80%), including average case number, advancement of oral intake, hospital discharge, use of antibiotics, and views on the efficacy of endoscopic surgical techniques. These changes were noted despite similar times since graduation from training for the two groups.
  
  
  CONCLUSIONS
  These data present a contemporary snapshot of clinical care patterns of the ABEA membership for patients with ZD and suggest differences in care patterns for surgeons with a higher enthusiasm for endoscopic techniques and larger case volumes.
authors.affiliation: Department of Otolaryngology and Communication Sciences, Division of Laryngology and Professional Voice, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Bock
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Van Daele
authors.forename: Nidhi
authors.initials: N
authors.lastname: Gupta
authors.forename: Joel H
authors.initials: JH
authors.lastname: Blumin
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000009:adverse effects / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D018579:Patient Selection; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D016672:Zenker Diverticulum / Q000175:diagnosis / Q000601:surgery*