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For: Kasle DA, Torabi SJ, Boey H, Sasaki CT. Hypopharyngeal Diverticulum: Toward a Unified Understanding of Its Etiopathogenesis. Dysphagia 2019;34:713-715. [PMID: 31230142 DOI: 10.1007/s00455-019-10030-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 05/16/2019] [Accepted: 06/10/2019] [Indexed: 11/30/2022]

For:	Kasle DA, Torabi SJ, Boey H, Sasaki CT. Hypopharyngeal Diverticulum: Toward a Unified Understanding of Its Etiopathogenesis. Dysphagia 2019;34:713-715. [PMID: 31230142 DOI: 10.1007/s00455-019-10030-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 05/16/2019] [Accepted: 06/10/2019] [Indexed: 11/30/2022]

Number

Cited by Other Article(s)

Brown J, McCoy N, Allen J, Altaye M, Amin M, Bayan S, Belafsky P, DeSilva B, Dion G, Ekbom D, Friedman A, Fritz M, Giliberto JP, Guardiani E, Johnson C, Kasperbauer J, Kim B, Krekeler BN, Kuhn M, Kwak P, Ma Y, Madden LL, Matrka L, Mayerhoff R, Piraka C, Rosen CA, Tabangin M, Wahab S, Wilson K, Wright C, Young VN, Postma G, Howell RJ. Surgical Nonresponders in Zenker Diverticulum and Lower Esophageal Pathology (POUCH Collaborative). Laryngoscope 2024;134:4897-4902. [PMID: 38979706 DOI: 10.1002/lary.31619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 06/11/2024] [Accepted: 06/20/2024] [Indexed: 07/10/2024]

Affiliation(s)

Johnathan Brown Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
Nicole McCoy Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
Jacqui Allen Department of Surgery, University of Auckland, Auckland, New Zealand
Mekibib Altaye Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Milan Amin Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA
Semirra Bayan Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Peter Belafsky Department of Otolaryngology-Head and Neck Surgery, University of California - Davis, Davis, California, USA
Brad DeSilva Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Greg Dion Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
Dale Ekbom Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Aaron Friedman Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
Mark Fritz Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, Kentucky, USA
John Paul Giliberto Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA
Elizabeth Guardiani Department of Otolaryngology-Head and Neck Surgery, University of Maryland, Baltimore, Maryland, USA
Christopher Johnson Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia at Augusta University Health, Augusta, Georgia, USA
Jan Kasperbauer Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Brandon Kim Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Brittany N Krekeler Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA Department of Neurology and Rehabilitation Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA Department of Communication Sciences and Disorders, College of Allied Health Sciences, University of Cincinnati, Cincinnati, Ohio, USA
Maggie Kuhn Department of Otolaryngology-Head and Neck Surgery, University of California - Davis, Davis, California, USA
Paul Kwak Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA
Yue Ma Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Lyndsay L Madden Department of Otolaryngology-Head and Neck Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
Laura Matrka Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Ross Mayerhoff Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan, USA
Cyrus Piraka Department of Gastroenterology/Hepatology, Henry Ford Health System, Detroit, Michigan, USA
Clark A Rosen Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Meredith Tabangin Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Shaun Wahab Department of Radiology, University of Cincinnati, Cincinnati, Ohio, USA
Keith Wilson Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA
Carter Wright Department of Otolaryngology-Head and Neck Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
VyVy N Young Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Gregory Postma Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia at Augusta University Health, Augusta, Georgia, USA
Rebecca J Howell Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA

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Howell R, Tang A, Allen J, Altaye M, Amin M, Bayan S, Belafsky P, Cervenka B, deSilva B, Dion G, Ekbom D, Friedman A, Fritz M, Giliberto JP, Guardiani E, Harmon J, Kasperbauer JL, Khosla S, Kim B, Kuhn M, Kwak P, Ma Y, Madden L, Matrka L, Mayerhoff R, Piraka C, Rosen C, Tabangin ME, Wahab SA, Wilson K, Wright SC, Young V, Yuen S, Postma GN. Killian Jamieson Diverticulum, the Great Mimicker: A Case Series and Contemporary Review. Laryngoscope 2023;133:2110-2115. [PMID: 36453465 DOI: 10.1002/lary.30508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 10/12/2022] [Accepted: 10/14/2022] [Indexed: 12/03/2022]

Abstract

OBJECTIVE

To assess barium esophagram (BAS) as a diagnostic marker for patients with Killian Jamieson diverticula (KJD).

METHODS

Prospective, multicenter cohort study of individuals enrolled in the Prospective OUtcomes of Cricopharyngeus Hypertonicity (POUCH) Collaborative. Patient demographics, comorbidities, radiographic imaging reports, laryngoscopy findings, patient-reported outcome measures (PROM), and operative reporting were abstracted from a REDCap database and summarized using means, medians, percentages, frequencies. Paired t-tests and Wilcoxon Signed Rank test were used to test pre- to post-operative differences in RSI, EAT-10, and VHI-10 scores. Diagnostic test evaluation including sensitivity, specificity, positive, and negative predictive value with 95% confidence intervals were calculated comparing BAS findings to operative report.

RESULTS

A total of 287 persons were enrolled; 13 (4%) patients were identified with confirmed KJD on operative reports. 100% underwent open transcervical excision. BAS has a 46.2% (95% confidence interval [CI]: 23.2, 70.9) sensitivity and 97.8% (95% CI: 95.3, 99.0) specificity in detecting a KJD and 50% (95% CI: 25.4, 74.6) positive predictive value but 97.4% (95%CI: 94.8, 98.7) negative predictive value. Preoperatively, patients reported mean (SD) RSI and EAT-10 of 19.4 (9) and 8.3 (7.5) accordingly. Postoperatively, patients reported mean (SD) RSI and EAT-10 as 5.4 (6.2) and 2.3 (3.3). Both changes in RSI and EAT-10 were statistically significant (p = 0.008, p = 0.03).

CONCLUSION

KJD are rare and represent <5% of hypopharyngeal diverticula undergoing surgical intervention. Open transcervical surgery significantly improves symptoms of dysphagia. BAS has high specificity but low sensitivity in detecting KJD.

LEVEL OF EVIDENCE

4 Laryngoscope, 133:2110-2115, 2023.

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Affiliation(s)

Rebecca Howell Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Alice Tang Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Jacqui Allen Department of Surgery, University of Auckland, Auckland, New Zealand
Mekibib Altaye Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Milan Amin Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA
Semirra Bayan Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Peter Belafsky Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Davis, California, USA
Brian Cervenka Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Brad deSilva Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Greg Dion Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Dale Ekbom Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Aaron Friedman Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Mark Fritz Department of Otolaryngology-Head and Neck Surgery, University of Kentucky, Lexington, Kentucky, USA
John Paul Giliberto Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA
Elizabeth Guardiani Department of Otolaryngology-Head and Neck Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
Jeffrey Harmon Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Jan L Kasperbauer Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA
Sid Khosla Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Brandon Kim Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Maggie Kuhn Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Davis, California, USA
Paul Kwak Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA
Yue Ma Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Lyndsay Madden Department of Otolaryngology-Head and Neck Surgery, Wake Forest University, Winston-Salem, North Carolina, USA
Laura Matrka Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA
Ross Mayerhoff Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, Detroit, Michigan, USA
Cyrus Piraka Department of Gastroenterology/Hepatology, Henry Ford Health System, Detroit, Michigan, USA
Clark Rosen Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Meredith E Tabangin Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Shaun A Wahab Department of Radiology, University of Cincinnati, Cincinnati, Ohio, USA
Keith Wilson Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
S Carter Wright Department of Otolaryngology-Head and Neck Surgery, Wake Forest University, Winston-Salem, North Carolina, USA Department of Otolaryngology-Head and Neck Surgery, University of Maryland, Baltimore, Maryland, USA
Vyvy Young Department of Otolaryngology-Head and Neck Surgery, University of California - San Francisco, San Francisco, California, USA
Sonia Yuen Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA
Gregory N Postma Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia at Augusta University Health, Augusta, Georgia, USA

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Epping H, Ziachehabi A, Spaun G, Wewalka F, Maieron A, Schöfl R. Flexible diverticulotomy for Zenker's diverticulum - a bicentric study. ZEITSCHRIFT FUR GASTROENTEROLOGIE 2022;60:1320-1325. [PMID: 35148563 DOI: 10.1055/a-1690-7863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]