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Transzervikale Operationen beim pharyngoösophagealen Divertikel

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Benigne Ösophaguserkrankungen

Zusammenfassung

Die Behandlung der pharyngoösophagealen Divertikel ist mit der Zunahme der therapeutischen Optionen erheblich komplexer geworden. Da es trotz der Vielzahl der offenen und endoskopischen Verfahren keine "ideale“ Behandlungsoption gibt, sollte sich ein moderner therapeutischer Ansatz an der individuellen Situation des betroffenen Patienten orientieren. Für die endoskopischen Verfahren sprechen die relativ einfache Vorgehensweise und die geringe eingriffsspezifische Morbidität. Auch hat die Vermeidung der zervikalen Inzision neben kosmetischen Aspekten Vorteile bei im Halsbereich voroperierten Patienten. Andererseits ist die Rate an Therapieversagern höher als bei offenen Operationen und häufig sind mehrere endoskopische Sitzungen bis zur Erreichung eines akzeptablen Ergebnisses erforderlich.Aus diesen Gründen besteht in unseren Augen bei relativ jungen oder junggebliebenen Patienten mit niedriger Komorbidität weiterhin eine gute Indikation für das transzervikale Vorgehen beim pharyngoösophagealen Divertikel.

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Literatur

  • Aggerholm K, Illum P (1990) Surgical treatment of Zenker’s diverticulum. J Laryngol Otol 104(4):312–314

    Article  CAS  PubMed  Google Scholar 

  • Allescher HD, Ravich WJ (1993) Medical treatment of esophageal motility disorders. Dysphagia 8(2):125–134

    Article  CAS  PubMed  Google Scholar 

  • Anagiotos A, Preuss SF, Koebke J (2010) Morphometric and anthropometric analysis of Killian’s triangle. Laryngoscope 120(6):1082–1088

    PubMed  Google Scholar 

  • Belsey R (1963) Functional disease of the oesophagus. Postgrad Med J 39:290–298

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bonafede JP, Lavertu P, Wood BG et al (1997) Surgical outcome in 87 patients with Zenker’s diverticulum. Laryngoscope 107(6):720–725

    Article  CAS  PubMed  Google Scholar 

  • Bonavina L, Bona D, Abraham M et al (2007) Long-term results of endosurgical and open surgical approach for Zenker diverticulum. World J Gastroenterol 13(18):2586–2589

    Article  PubMed  PubMed Central  Google Scholar 

  • Bowdler DA, Stell PM (1987) Surgical management of posterior pharyngeal pulsion diverticula: inversion versus one-stage excision. Br J Surg 74(11):988–990

    Article  CAS  PubMed  Google Scholar 

  • Brigand C, Ferraro P, Martin J et al (2007) Risk factors in patients undergoing cricopharyngeal myotomy. Br J Surg 94(8):978–983

    Article  CAS  PubMed  Google Scholar 

  • Broll R, Kramer T, Kalb K et al (1991) Zenker’s diverticulum. Long-term results after surgical therapy. Chirurg 62(9):668–672

    CAS  PubMed  Google Scholar 

  • Chang CW, Burkey BB, Netterville JL et al (2004) Carbon dioxide laser endoscopic diverticulotomy versus open diverticulectomy for Zenker’s diverticulum. Laryngoscope 114(3):519–527

    Article  PubMed  Google Scholar 

  • Colombo-Benkmann M, Unruh V, Krieglstein C, et al (2003) Cricopharyngeal myotomy in the treatment of Zenker’s diverticulum. J Am Coll Surg 196(3):370–377; discussion 377; author reply 378

    Google Scholar 

  • Crescenzo DG, Trastek VF, Allen MS et al (1998) Zenker’s diverticulum in the elderly: is operation justified? Ann Thorac Surg 66(2):347–350

    Article  CAS  PubMed  Google Scholar 

  • Dennis S, Mal RK (2002) Pharyngeal pouch surgery in Weston-super-Mare from 1974 to 1999. CME Bulletin Otorhinolaryngology, Head and Neck Surgery 6:35

    Google Scholar 

  • Ellis FH, Jr., Gibb SP, Williamson WA (1996) Current status of cricopharyngeal myotomy for cervical esophageal dysphagia. Eur J Cardiothorac Surg 10(12):1033–8; discussion 1038–1039

    Google Scholar 

  • Feeley MA, Righi PD, Weisberger EC et al (1999) Zenker’s diverticulum: analysis of surgical complications from diverticulectomy and cricopharyngeal myotomy. Laryngoscope 109(6):858–861

    Article  CAS  PubMed  Google Scholar 

  • Fraczek M, Karwowski A, Krawczyk M et al (2017) Results of surgical treatment of cervical esophageal diverticula. Dis Esophagus 11(1):55–57

    Article  CAS  PubMed  Google Scholar 

  • Gage-White L (1988) Incidence of Zenker’s diverticulum with hiatus hernia. Laryngoscope 98(5):527–530

    Article  CAS  PubMed  Google Scholar 

  • Greene CL, McFadden PM, Oh DS et al (2015) Long-term outcome of the treatment of Zenker’s diverticulum. Ann Thorac Surg 100(3):975–978

    Article  PubMed  Google Scholar 

  • Gutschow CA, Hamoir M, Rombaux P, et al (2002) Management of pharyngoesophageal (Zenker’s) diverticulum: which technique? Ann Thorac Surg 74(5):1677–1682; discussion 1682–1683

    Google Scholar 

  • Hecker A, Junginger T (1996) Esophageal diverticulum–perioperative risks and long-term follow-up. Zentralbl Chir 121(3):201–206

    CAS  PubMed  Google Scholar 

  • Herbella FA, Patti MG (2012) Modern pathophysiology and treatment of esophageal diverticula. Langenbecks Arch Surg 397(1):29–35

    Article  PubMed  Google Scholar 

  • Jackson B, Ahmad Z, Morton RP (2016) Utility of transcervical management of Zenker’s diverticulum. J Laryngol Otol 130(Suppl 1):S16-19

    Article  PubMed  Google Scholar 

  • Jougon J, Le Taillandier-de-Gabory L, Raux F et al (2003) Plea in favour of external cervicotomy approach of Zenker’s diverticulum: 73 cases reported. Ann Chir 128(3):167–172

    Article  CAS  PubMed  Google Scholar 

  • Kannabiran VR, Gooey J, Fisichella PM (2015) A Tailored approach to the surgical treatment of Zenker’s diverticula. J Gastrointest Surg 19(5):949–954

    Article  PubMed  Google Scholar 

  • Keck T, Rozsasi A, Grun PM (2010) Surgical treatment of hypopharyngeal diverticulum (Zenker’s diverticulum). Eur Arch Otorhinolaryngol 267(4):587–592

    Article  PubMed  Google Scholar 

  • Khan AS, Dwivedi RC, Sheikh Z et al (2014) Systematic review of carcinoma arising in pharyngeal diverticula: a 112-year analysis. Head Neck 36(9):1368–1375

    PubMed  Google Scholar 

  • Koch M, Mantsopoulos K, Velegrakis S et al (2011) Endoscopic laser-assisted diverticulotomy versus open surgical approach in the treatment of Zenker’s diverticulum. Laryngoscope 121(10):2090–2094

    Article  PubMed  Google Scholar 

  • Konowitz PM, Biller HF (1989) Diverticulopexy and cricopharyngeal myotomy: treatment for the high-risk patient with a pharyngoesophageal (Zenker’s) diverticulum. Otolaryngol Head Neck Surg 100(2):146–153

    Article  CAS  PubMed  Google Scholar 

  • Laccourreye O, Menard M, Cauchois R et al (1994) Esophageal diverticulum: diverticulopexy versus diverticulectomy. Laryngoscope 104(7):889–892

    Article  CAS  PubMed  Google Scholar 

  • Laing MR, Murthy P, Ah-See KW et al (1995) Surgery for pharyngeal pouch: audit of management with short- and long-term follow-up. J R Coll Surg Edinb 40(5):315–318

    CAS  PubMed  Google Scholar 

  • Leibowitz JM, Fundakowski CE, Abouyared M, et al (2014) Surgical techniques for Zenker’s diverticulum: a comparative analysis. Otolaryngol Head Neck Surg 151(1):52–58

    Google Scholar 

  • Leong SC, Wilkie MD, Webb CJ (2012) Endoscopic stapling of Zenker’s diverticulum: establishing national baselines for auditing clinical outcomes in the United Kingdom. Eur Arch Otorhinolaryngol 269(8):1874–1877

    Article  Google Scholar 

  • Leporrier J, Salame E, Gignoux M et al (2001) Zenker’s diverticulum: diverticulopexy versus diverticulectomy. Ann Chir 126(1):42–45

    Article  CAS  PubMed  Google Scholar 

  • Lerut T, van Raemdonck D, Guelinckx P et al (1992) Zenker’s diverticulum: is a myotomy of the cricopharyngeus useful? How long should it be? Hepatogastroenterology 39(2):127–131

    CAS  PubMed  Google Scholar 

  • Lippert BM, Werner JA (1995) Results and surgical experiences in web transsection of hypopharyngeal (Zenker) diverticulum with the CO2 laser. HNO 43(10):605–610

    CAS  PubMed  Google Scholar 

  • Luckhaupt H, Rose KG (1984) Treatment and treatment results of Zenker’s diverticulum. HNO 32(1):35–37

    CAS  PubMed  Google Scholar 

  • Ludlow AA (1769) A case of obstructed deglutition from a preternatural dilation of and bag formed in the pharynx. Med Observ Inq 3:85–101

    Google Scholar 

  • Maurer KP, Junginger T, Kaltenborn H (1991) Results of surgical therapy of cervical diverticulum. Chirurg 62(9):673–676

    CAS  PubMed  Google Scholar 

  • Mirza S, Dutt SN, Minhas SS et al (2002) A retrospective review of pharyngeal pouch surgery in 56 patients. Ann R Coll Surg Engl 84(4):247–251

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Molins L, Lluis J, Galofre M (1992) Zenker’s diverticulum. The clinical manifestations and treatment. Rev Esp Enferm Dig 81(5):313–315

    CAS  PubMed  Google Scholar 

  • Morse CR, Fernando HC, Ferson PF et al (2007) Preliminary experience by a thoracic service with endoscopic transoral stapling of cervical (Zenker’s) diverticulum. J Gastrointest Surg 11(9):1091–1094

    Article  PubMed  Google Scholar 

  • Morton RP, Bartley JR (1993) Inversion of Zenker’s diverticulum: the preferred option. Head Neck 15(3):253–256

    Article  CAS  PubMed  Google Scholar 

  • Munoz AA, Shapiro J, Cuddy LD et al (2007) Videofluoroscopic findings in dysphagic patients with cricopharyngeal dysfunction: before and after open cricopharyngeal myotomy. Ann Otol Rhinol Laryngol 116(1):49–56

    Article  PubMed  Google Scholar 

  • Nguyen HC, Urquhart AC (1997) Zenker’s diverticulum. Laryngoscope 107(11 Pt 1):1436–1440

    Article  CAS  PubMed  Google Scholar 

  • Ochando Cerdan F, Moreno Gonzalez E, Hernandez Garcia D et al (1998) Diagnostic and treatment of Zenker’s diverticulum: review of our series pharyngo-esophageal diverticula. Hepatogastroenterology 45(20):447–450

    CAS  PubMed  Google Scholar 

  • Payne WS (1992) The treatment of pharyngoesophageal diverticulum: the simple and complex. Hepatogastroenterology 39(2):109–114

    CAS  PubMed  Google Scholar 

  • Puma F, Vannucci J, Fioroni C et al (2014) Surgical treatment for Zenker’s diverticulum: comparison between diverticulectomy and diverticulopexy. Esophagus 11(1):64–71

    Article  Google Scholar 

  • Rizzetto C, Zaninotto G, Costantini M, et al (2008) Zenker’s diverticula: feasibility of a tailored approach based on diverticulum size. J Gastrointest Surg 12(12):2057–2064; discussion 2064–2065

    Google Scholar 

  • Ruiz-Tovar J, Perez de Oteyza J, Collado MV et al (2006) 20 years experience in the management of Zenker’s diverticulum in a third-level hospital. Rev Esp Enferm Dig 98(6):429–435

    Article  CAS  PubMed  Google Scholar 

  • Shahawy S, Janisiewicz AM, Annino D et al (2014) A comparative study of outcomes for endoscopic diverticulotomy versus external diverticulectomy. Otolaryngol Head Neck Surg 151(4):646–651

    Article  PubMed  PubMed Central  Google Scholar 

  • Simic A, Radovanovic N, Stojakov D et al (2009) Surgical experience of the national institution in the treatment of Zenker’ diverticula. Acta Chir Iugosl 56(1):25–33

    Article  CAS  PubMed  Google Scholar 

  • Smejkal M, Smejkal P, Pazdro A et al (2007) Our experience with diverticulectomy in symptomatic Zenker’s diverticulum. Zentralbl Chir 132(6):504–508

    Article  CAS  PubMed  Google Scholar 

  • Smith SR, Genden EM, Urken ML (2002) Endoscopic stapling technique for the treatment of Zenker diverticulum vs standard open-neck technique: a direct comparison and charge analysis. Arch Otolaryngol Head Neck Surg 128(2):141–144

    Article  PubMed  Google Scholar 

  • Sydow BD, Levine MS, Rubesin SE et al (2001) Radiographic findings and complications after surgical or endoscopic repair of Zenker’s diverticulum in 16 patients. AJR Am J Roentgenol 177(5):1067–1071

    Article  CAS  PubMed  Google Scholar 

  • van Eeden S, Lloyd RV, Tranter RM (1999) Comparison of the endoscopic stapling technique with more established procedures for pharyngeal pouches: results and patient satisfaction survey. J Laryngol Otol 113(3):237–240

    Article  PubMed  Google Scholar 

  • Veivers D (2015) Pharyngeal pouch: which technique? J Laryngol Otol 129(Suppl 3):S30–S34

    Article  PubMed  Google Scholar 

  • Verdonck J, Morton RP (2015) Systematic review on treatment of Zenker’s diverticulum. Eur Arch Otorhinolaryngol 272(11):3095–3107

    Article  PubMed  Google Scholar 

  • Visser LJ, Hardillo JA, Monserez DA et al (2016) Zenker’s diverticulum: Rotterdam experience. Eur Arch Otorhinolaryngol 273(9):2755–2763

    Article  CAS  PubMed  Google Scholar 

  • von Zenker FZ (1878) Dilatations of the esophagus. Cyclopaedia of the practice of medicine. Low, Marston, Searle & Rivington, London, S 46–68

    Google Scholar 

  • Welch AR, Stafford F (1985) Comparison of endoscopic diathermy and resection in the surgical treatment of pharyngeal diverticula. J Laryngol Otol 99(2):179–182

    Article  CAS  PubMed  Google Scholar 

  • Westmore GA (1990) Staple gun in the surgery of hypopharyngeal diverticula. J Laryngol Otol 104(7):553–556

    Article  CAS  PubMed  Google Scholar 

  • Wheeler W (1886) Pharyngocoele and dilation of the pharynx, with existing diverticulum at lower portion of pharynx lying posterior to the oesophagus, cured by pharyngotomy, being the first of the kind recorded. Dublin J Med Sci 82:349–356

    Article  Google Scholar 

  • Wirth D, Kern B, Guenin MO et al (2006) Outcome and quality of life after open surgery versus endoscopic stapler-assisted esophagodiverticulostomy for Zenker’s diverticulum. Dis Esophagus 19(4):294–298

    Article  CAS  PubMed  Google Scholar 

  • Witterick IJ, Gullane PJ, Yeung E (1995) Outcome analysis of Zenker’s diverticulectomy and cricopharyngeal myotomy. Head Neck 17(5):382–388

    Article  CAS  PubMed  Google Scholar 

  • Yuan Y, Zhao YF, Hu Y et al (2013) Surgical treatment of Zenker’s diverticulum. Dig Surg 30(3):207–218

    Article  PubMed  Google Scholar 

  • Zaninotto G, Narne S, Costantini M et al (2003) Tailored approach to Zenker’s diverticula. Surg Endosc 17(1):129–133

    Article  CAS  PubMed  Google Scholar 

  • Zbaren P, Schar P, Tschopp L et al (1999) Surgical treatment of Zenker’s diverticulum: transcutaneous diverticulectomy versus microendoscopic myotomy of the cricopharyngeal muscle with CO2 laser. Otolaryngol Head Neck Surg 121(4):482–487

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich, Zürich, Schweiz

    Christian A. Gutschow & Henner Schmidt

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  1. Christian A. Gutschow
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  2. Henner Schmidt
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Correspondence to Christian A. Gutschow .

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  1. Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, Leipzig, Germany

    Ines Gockel

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Gutschow, C.A., Schmidt, H. (2021). Transzervikale Operationen beim pharyngoösophagealen Divertikel. In: Gockel, I. (eds) Benigne Ösophaguserkrankungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60455-7_18

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