Journal article
Management of Zenker's diverticulum in the endoscopic age: current practice patterns
Annals of otology, rhinology & laryngology, Vol.120(12), pp.796-806
12/2011
DOI: 10.1177/000348941112001205
PMID: 22279951
Abstract
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.
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.
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.
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.
Details
- Title: Subtitle
- Management of Zenker's diverticulum in the endoscopic age: current practice patterns
- Creators
- Jonathan M Bock - Department of Otolaryngology and Communication Sciences, Division of Laryngology and Professional Voice, Medical College of Wisconsin, Milwaukee, Wisconsin, USADouglas J Van DaeleNidhi GuptaJoel H Blumin
- Resource Type
- Journal article
- Publication Details
- Annals of otology, rhinology & laryngology, Vol.120(12), pp.796-806
- Publisher
- United States
- DOI
- 10.1177/000348941112001205
- PMID
- 22279951
- ISSN
- 0003-4894
- eISSN
- 1943-572X
- Language
- English
- Date published
- 12/2011
- Academic Unit
- Radiation Oncology; Medicine Administration; Otolaryngology
- Record Identifier
- 9984006424302771
Metrics
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