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June 1938


Arch Otolaryngol. 1938;27(6):782-797. doi:10.1001/archotol.1938.00650030800010

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Diverticulum of the Esophagus. Presented by Dr. Louis T. Curry (by invitation).  Four cases of pulsion esophageal diverticula originating from the pharynx have been observed. There are great difficulties in treatment of the condition. During the past twenty years there has been controversy regarding the merits of operations in one or in two stages. The advocates of the latter assert that it entails less danger of mediastinitis. The defenders of the former believe that the patient is subjected to greater danger by two operations. There has been considerable discussion also about the disposal of the sac. Some have twisted it and anchored it high up in the wound. When not too large it has been successfully invaginated into the esophagus without extirpation.The symptoms of pharyngeal diverticulum are typical: dysphagia, regurgitation of fluids and later of solid foods, coughing and huskiness of voice and accumulation of saliva in the pharynx

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