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Die Therapie der pharyngoösophagealen Divertikel hat sich in den letzten 20–30 Jahren erheblich gewandelt. Bei den klassischen transzervikalen Operationen ist die Notwendigkeit einer Myotomie zur Unterbrechung des Pathomechanismus mittlerweile allgemein akzeptiert und fest etabliert. Auf der anderen Seite hat die rasche Verbreitung der endoskopischen Verfahren dazu geführt, dass pharyngoösophageale Divertikel immer häufiger nicht mehr vom Chirurgen, sondern vom Gastroenterologen oder Otorhinolaryngologen behandelt werden, dies oftmals mit Hinweis auf die deutlich einfachere und schonendere endoskopische Vorgehensweise. Ob diese Entwicklung auch mit einer höheren Behandlungsqualität einhergeht, ist angesichts der Vielzahl der technischen Varianten nur schwer zu beurteilen. Ziel dieses CME-Beitrages ist es, die komplexe Pathophysiologie, Diagnostik und Therapie der pharyngoösophagealen Divertikel anhand der aktuellen Literatur zusammenzufassen und dem Kliniker einen zeitgemäßen Leitfaden zu Diagnostik und Therapie an die Hand geben.
Der Chirurg – Springer Journals
Published: Jul 20, 2017
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