Functional disease of the esophagus

Belsey, Ronald

doi:10.1016/s0022-5223(19)43430-2

Cited by 278 publications

(54 citation statements)

References 16 publications

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“…The reported rate in most large surgical series is 1–1·5 per cent12, 13, 16–18, doubled in the case of reoperation. Originally advocated by Belsey19 as a means of preventing contamination and fistula formation, there is no consensus among surgeons regarding the addition of myotomy as first line of treatment for Zenker's diverticulum20. Cook and colleagues21 noted that the cricopharyngeus creates an abnormal restriction at the level of the upper oesophageal sphincter, citing this as an argument for myotomy.…”

Section: Discussionmentioning

confidence: 99%

Risk factors in patients undergoing cricopharyngeal myotomy

Brigand

Ferraro

Martin

et al. 2007

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Risk factors in patients undergoing cricopharyngeal myotomy

Brigand

Ferraro

Martin

et al. 2007

British Journal of Surgery

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“…Early attempts in the late 1800s and early 1900s consisted of excising the diverticle or diverticulopexy, which was thought to be the most promising way of treatment. In the 1960s, cricopharyngeal myotomy became part of the transcervical surgical treatment 11 . There is no common consensus as to the best approach.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment of a Zenker’s diverticulum using argon plasma coagulation in a patient with massive cachexia and esophageal obstruction: a case report and review of literature

Geisler

Storr

Fritsch

et al. 2002

Diseases of the Esophagus

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A case report is presented of an 86-year-old man in a very poor general condition with a 10-year history of a Zenker's diverticulum as a cause of a complete obstruction of the esophagus with subsequent aphagia and massive cachexia. Because of high surgical risk and contraindications to general anesthesia, an approach with the flexible endoscope to perform cricopharyngeal myotomy was undertaken. Several attempts with the flexible endoscope by experienced investigators had been performed until the esophageal inlet was intubated and argon plasma coagulation could be applied in several sessions to divide the tissue bridge between the esophagus and the Zenker diverticulum to successfully restore the pharyngoesophageal passage.

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“…Achalasia or cricopharyngeal spasm, cricopharyngeal incoordination or congenital weakness have been implicated. 12,13 Because gastroesophageal reflux (GER) leads to cricopharyngeal spasm, it may have a role in ZD formation. 14 A variety of abnormalities in UES function have been described such as increased pressure, decreased pressure, uncoordinated contraction, premature contraction and relaxation.…”

Section: Anatomy Etiology and Pathophysiologymentioning

confidence: 99%

Zenker's diverticula: pathophysiology, clinical presentation, and flexible endoscopic management

Ferreira

Simmons

Baron

2008

Diseases of the Esophagus

228

191

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Zenker's diverticulum (ZD) is the most common type of diverticulum in the upper gastrointestinal tract. Most patients are elderly and present with symptoms of dysphagia. Serious complications include aspiration and malnutrition. The most common treatments are open surgical diverticulectomy with or without cricopharyngeal myotomy and rigid endoscopic myotomy. Recently, cricopharyngeal myotomy using flexible endoscopes has been described as a treatment option for symptomatic ZD. In this article we describe the pathophysiology, clinical presentation and review the techniques and outcome following flexible endoscopic management of Zenker's diverticulum.

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Functional disease of the esophagus

Cited by 278 publications

References 16 publications

Risk factors in patients undergoing cricopharyngeal myotomy

Risk factors in patients undergoing cricopharyngeal myotomy

Endoscopic treatment of a Zenker’s diverticulum using argon plasma coagulation in a patient with massive cachexia and esophageal obstruction: a case report and review of literature

Zenker's diverticula: pathophysiology, clinical presentation, and flexible endoscopic management

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