title: Pharyngoesophageal diverticulum: evaluation of treatment results.
abstract: OBJECTIVE
  To evaluate the postoperative outcome of patients with pharyngoesophageal diverticulum submitted to surgical and endoscopic treatments.
  
  
  METHODS
  We retrospectively analyzed 36 patients with pharyngo-esophageal diverticulum treated at the Hospital of the Medical School of Botucatu - UNESP. Patients were divided into two groups, depending on the treatment: group 1 (n = 24): diverticulectomy associated myotomy through a left cervicotomy; group 2 (n = 12): endoscopic diverticulostomy with linear stapler.
  
  
  RESULTS
  Operative mortality was zero in both groups. Early complications: group 1 - two patients developed cervical fistula and two, hoarseness; group 2 - none. Late complications: group 1 - none; group 2: recurrence of dysphagia in four patients (p = .01). Mean follow-up was 33 months for group 1 and 28 months for group 2.
  
  
  CONCLUSIONS
  Both procedures were effective in remission of dysphagia. Surgical treatment showed superiority to endoscopy, with resolution of dysphagia with a single procedure. Endoscopic treatment should be reserved for the elderly and those with comorbidities.
authors.affiliation: Department of Surgery and Orthopedics, Medical School of Botucatu-Paulista State University, Botucatu, São Paulo State, Brazil. rhenry@ibb.unesp.br
authors.forename: Maria Aparecida Coelho de Arruda
authors.initials: MA
authors.lastname: Henry
authors.forename: Mauro Masson
authors.initials: MM
authors.lastname: Lerco
authors.forename: José Vicente
authors.initials: JV
authors.lastname: Tagliarini
authors.forename: Emanuel Celice
authors.initials: EC
authors.lastname: Castilho
authors.forename: Fabiola Trocoli
authors.initials: FT
authors.lastname: Novaes
authors.forename: Vania Cristina
authors.initials: VC
authors.lastname: Lamonica
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D016672:Zenker Diverticulum / Q000601:surgery*