A 91-year old woman with a several year history of dysphagia and gurgling in neck after eating. Unable to pass endoscope. The photographs shows the pouch displayed in the wound and then about to be stapled and excised.
Large pharyngeal pouches can be treated by excision, as shown here, or by endoscopic stapling. In the latter technique, a stapling instrument is passed down a rigid oesophagoscope and used to staple and cut a communication between the pouch and adjacent oesophagus. Small symptomatic pouches are best treated by cricopharyngeal myotomy.
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