Clinical Case Database / Category: Case Based Discussion

Pharyngeal pouch / zenker diverticulum

Publication details

Dr G Dimbleby MBChB, Dr Osama Hamarneh SpR ENT
Foundation Years Journal, volume 4, issue 7, p.40 (123Doc Education, London, July 2010)


This case based discussion focuses on the presentation and management options of a pharyngeal pouch in a 72-year-old woman.

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Dr G Dimbleby MBChB

Foundation Year 1 ENT
Royal Wolverhampton Hospital
Wednesfield road
Wolverhampton, WV10 0QP

Dr Osama Hamarneh SpR ENT

New Cross Hospital


1. Emedicine Specialities. Zenker diverticulum.
2. Siddiq MA, Sood S, Strachan D. (2001) Pharyngeal pouch (Zenker's diverticulum). Postgrad Med J. 77(910):506-511.
3. Emedicine Specialities. Dysphagia.
4. Nemechek AJ, Amedee RG. (1996) Zenker's diverticula. J La State Med Soc. 148(2):49-53
5. Casso C, Lalam M, Ghosh S et al. (2006) Endoscopic stapling diverticulotomy: an audit of difficulties, outcome, and patient satisfaction. Otolaryngology Head Neck Surg. 134(2): 288-293
6. Weller MD, Porter MJ, Rowlands J. (2004) an audit of pharyngeal pouch surgery using endoscopic stapling. The patient's view point. Eur Arch Otolarnygology. 261(6): 331-333
7. Janfaza PNJ, Galla RJ, Fabian RL, et al. (2001) Surgical Anatomy of the Head and Neck. London: Lippincott, Williams, and Wilkins.
8. Siddiq MA, Sood S. (2004) Current management in pharyngeal pouch surgery by UK otorhinolaryngologists. Ann R Coll Surg Engl. 86(4):247-252.
9. VV Raut, Primrose WJ. (2002) Long-term results of endoscopic stapling diverticulotomy for pharyngeal pouches. Otolaryngol Head Neck Surg. 127(3): 225-229.
10. Acharya A, Jennings S, Douglas S et al. (2006) Carcinoma arising in a pharyngeal pouch previously treated by endoscopic stapling. Laryngoscope. 116(6): 1043-1045


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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