Cricopharyngeal Myotomy and Stapling: Treatment of Choice for Zenker’s Diverticulum

  • Luigi Bonavina
  • Fulvio Bettineschi
  • Valentino Fontebasso
  • Alberto Ruol
  • Attilio Nosadini
  • Alberto Peracchia


The first successful excision of a pharyngoesophageal (Zenker’s) diverticulum was performed by Wheeler in 1885 [1]. This procedure has been repeatedly criticized because of the potential incidence of leakage from the suture line and recurrent pouch formation [2]. The addition of a cricopharyngeal myotomy, first proposed by Aubin [3], has been more recently advocated by many authors [4–7], although no prospective studies have definitely shown that this approach results in a decreased leak or recurrence rate.


Esophageal Manometry Esophageal Acid Exposure Pharyngeal Pressure Cricopharyngeal Myotomy Manometric Measurement 
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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Luigi Bonavina
  • Fulvio Bettineschi
  • Valentino Fontebasso
  • Alberto Ruol
  • Attilio Nosadini
  • Alberto Peracchia
    • 1
  1. 1.Istituto di Clinica Chirurgica IUniversity of Padova Medical SchoolPadovaItaly

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