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Management of Zenker's diverticulum in the endoscopic age: current practice patterns. Ann Otol Rhinol Laryngol 2011 Dec;120(12):796-806

Date

01/28/2012

Pubmed ID

22279951

DOI

10.1177/000348941112001205

Scopus ID

2-s2.0-83255164658 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

OBJECTIVES: Zenker's diverticulum (ZD) is a common source of dysphagia with a well-established surgical treatment history. Variations may exist between practitioners in the preoperative, intraoperative, and postoperative management of patients with ZD because of recent evolutions in surgical approach toward an endoscopic technique.

METHODS: An online survey instrument was prepared and forwarded to the membership of the American Broncho-Esophagological Association (ABEA) to ascertain the current practice patterns of its members regarding numerous care parameters for patients with ZD.

RESULTS: Data on preoperative evaluation, operative care, postoperative management, and recalled incidence of complications, including mediastinitis, were evaluated. Subgroup analysis demonstrated significant differences in multiple care parameters for those surgeons who predominantly perform endoscopic operations (more than 80% willingness to perform endoscopic operations) compared to those who occasionally perform endoscopic operations (less than 80%), including average case number, advancement of oral intake, hospital discharge, use of antibiotics, and views on the efficacy of endoscopic surgical techniques. These changes were noted despite similar times since graduation from training for the two groups.

CONCLUSIONS: These data present a contemporary snapshot of clinical care patterns of the ABEA membership for patients with ZD and suggest differences in care patterns for surgeons with a higher enthusiasm for endoscopic techniques and larger case volumes.

Author List

Bock JM, Van Daele DJ, Gupta N, Blumin JH

Authors

Joel H. Blumin MD Chief, Professor in the Otolaryngology and Communication Sciences department at Medical College of Wisconsin
Jonathan Bock MD Professor in the Otolaryngology and Communication Sciences department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Endoscopy
Health Care Surveys
Humans
Patient Selection
Postoperative Care
Postoperative Complications
Practice Patterns, Physicians'
Zenker Diverticulum