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March 1929


Arch Otolaryngol. 1929;9(3):266. doi:10.1001/archotol.1929.00620030284005

A method of inverting pulsion diverticulum through the endoscope and ligating it, was presented before this society last year. Three cases in which operation was performed by this method were reported at that time.

Since then, four other cases with pulsion diverticulum have been studied. One patient who was operated on by the method of inversion of the sac and ligation, unfortunately died from lobar pneumonia five days later. A mediastinitis did not seem to be present, but as autopsy was not performed, this fact cannot be proved. It was felt, moreover, that if a patient with a pulsion diverticulum is past middle life, the safest methods of operation should be employed. If this apparently simple procedure can cure a patient of his symptoms, it should be used, but only after a proper explanation of its possibilities and limitations.

Because of the danger of esophageal trauma and the possibility of

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