{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:49:30Z","timestamp":1789573770915,"version":"build-2803163510"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"910","license":[{"start":{"date-parts":[[2001,8,1]],"date-time":"2001-08-01T00:00:00Z","timestamp":996624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2001,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pharyngeal pouches occur most commonly in elderly patients (over 70 years) and typical symptoms include dysphagia, regurgitation, chronic cough, aspiration, and weight loss. The aetiology remains unknown but theories centre upon a structural or physiological abnormality of the cricopharyngeus. A diagnosis is easily established on barium studies. Treatment is surgical via an endoscopic or external cervical approach and should include a cricopharyngeal myotomy. Unfortunately pharyngeal pouch surgery has long been associated with significant morbidity, partly due to the surgery itself and also to the fact that the majority of patients are elderly and often have general medical problems. External approaches are associated with higher complication rates than endoscopic procedures. Recently, treatment by endoscopic stapling diverticulotomy has becoming increasingly popular as it has distinct advantages, although long term results are not yet available. The small risk of developing carcinoma within a pouch that is not excised remains a contentious issue and is an argument for long term follow up or treating the condition by external excision, particularly in younger patients.<\/jats:p>","DOI":"10.1136\/pmj.77.910.506","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T10:38:40Z","timestamp":1027766320000},"page":"506-511","source":"Crossref","is-referenced-by-count":161,"title":["Pharyngeal pouch (Zenker's diverticulum)"],"prefix":"10.1093","volume":"77","author":[{"given":"M A","family":"Siddiq","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Bradford Royal Infirmary , Duckworth Lane, Bradford BD9 6RJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Bradford Royal Infirmary , Duckworth Lane, Bradford BD9 6RJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Strachan","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Bradford Royal Infirmary , Duckworth Lane, Bradford BD9 6RJ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2001,8,1]]},"reference":[{"key":"2023042613270190200_B1","first-page":"85","article-title":"A case of obstructed deglutition from a preternatural dilatation of and bag formed in the pharynx.","volume":"3","author":"Ludlow","year":"1769","journal-title":"Medical observations and enquiries by a society of physicians in London."},{"key":"2023042613270190200_B2","first-page":"1","article-title":"Krankheiten des Oesophagus.","volume-title":"Handbuch der Speciellen Pathologie and Therapie. 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