Esophageal Diverticula

Lahey, Frank H.

doi:10.1001/archsurg.1940.01210050078005

Cited by 31 publications

(20 citation statements)

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“…A two-stage operation was therefore developed; inversion or diverticulopexy of the pouch at initial surgery, allowing it to empty into the esophagus, followed by diverticulectomy a few weeks later [69]. The two-stage approach was later replaced with a single-stage technique [70]; the same group from the Mayo Clinic subsequently added cricopharyngeal myotomy to the pouch excision [10,71].…”

Section: Open Surgerymentioning

confidence: 99%

Flexible endoscopic and surgical management of Zenker's diverticulum

Dzeletovic

Ekbom

Baron

2012

Expert Review of Gastroenterology & Hepatology

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Section: Open Surgerymentioning

confidence: 99%

Flexible endoscopic and surgical management of Zenker's diverticulum

Dzeletovic

Ekbom

Baron

2012

Expert Review of Gastroenterology & Hepatology

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“…The two‐stage procedure evolved primarily to avoid an uncontrolled pharyngocutaneous salivary fistula and the resulting morbidity and mortality 3. The two‐stage diverticulectomy was the preferred operation used by surgeons such as Charles Mayo in the 1920s and Frank Lahey through the 1950s 14, 15. Although the two‐stage procedure decreased morbidity and mortality associated with earlier surgical treatment of Zenker's diverticulum, long hospitalizations and poor outcomes remained common.…”

Section: Introductionmentioning

confidence: 99%

Evolution of endoscopic surgical therapy for Zenker's diverticulum

Hillel

Flint

2008

The Laryngoscope

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Zenker's diverticulum is a rare anatomic defect that physicians have confronted for almost 250 years. Its location at the interface of the pharynx, neck, and mediastinum makes surgical access difficult and risks severe morbidity. Minimally invasive endoscopic surgical repair of Zenker's diverticulum has been attempted for more than a century as an alternative to reduce morbidity of an open transcervical approach. However, limitations due to available antibiotics, instrumentation, and laryngoscopes, as well as a general discomfort with a sutureless closure of the mucosal excision, have delayed widespread adoption of minimally invasive repair until the last 10 to 15 years. This manuscript will detail the historical evolution of endoscopic surgical therapy for Zenker's diverticulum and highlight the work of two otolaryngologists, Chevalier Jackson and Gosta Dohlman, who were critical in advancing the surgical technique and reducing morbidity. Lastly, this manuscript will analyze the delay in widespread application of endoscopic surgical repair of Zenker's diverticulum.

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“…1-: 3,1969 The Armed Forces Institute of Pathology and the American Academy of Ophthalmology and Otolaryngology are sponsoring a Symposium on Pathology of the Nose and Adjoining Cavities funded by a grant from the National Institute of Neurological Diseases and Stroke. 1-: 3,1969 The Armed Forces Institute of Pathology and the American Academy of Ophthalmology and Otolaryngology are sponsoring a Symposium on Pathology of the Nose and Adjoining Cavities funded by a grant from the National Institute of Neurological Diseases and Stroke.…”

Section: Symposium On Nose and Adjoixixg Cavitiesmentioning

confidence: 99%