Affiliation:
1. University Department of Otorhinolaryngology, Royal Liverpool Hospital, Prescot Street, PO Box 147, Liverpool L69 3BX, UK
Abstract
Abstract
At present one-stage excision of the posterior pharyngeal pulsion diverticulum is the most popular method of treatment in the UK and the USA. We have reviewed 53 patients who have presented to this unit between 1968 and 1986, to compare the results of different surgical techniques. Of these, 21 underwent excision and myotomy, 20 inversion and myotomy, and 9 myotomy alone. The results show that the mortality for the whole group was 4 per cent, but there were no deaths in either the inversion or myotomy group. The excision group had a complication rate of 52 per cent, compared with 30 per cent for inversion, and also had more major problems such as fistula. Median hospital stay was shorter for inversion than for excision, at 7 and 10 days respectively. In summary we believe that inversion of the posterior pharyngeal pulsion diverticula is now the surgical treatment of choice.
Publisher
Oxford University Press (OUP)
Reference33 articles.
1. A case of obstructed deglutition, from a preternatural dilatation of, and bag formed in the pharynx;Ludlow;Medical Observations and Enquiries,1769
2. Pharyngocoele and dilation of pharynx, with existing diverticulum at lower portion of pharynx lying posterior to the oesophagus, cured by pharyngotomy, being the first case of the kind recorded;Wheeler;Dublin J Med Sci,1886
3. The radical extirpation of pharyngo-oesophageal pressure diverticula;Stetten;Ann Surg,1910
4. Du traitement des diverticules de l'oesophage;Girard;Cong Franc de Chir,1896
5. Diverticula of the oesophagus;Halstead;Ann Surg,1904
Cited by
25 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献