Hiatal Hernia and Zenker's Diverticulotomy Outcomes

• Published in: Otolaryngology-head and neck surgery 2024-12
• Main Authors: Wallerius, Katherine P, Peraza, Lazaro R, Ali, Hawa M, O'Byrne, Thomas J, Awadallah, Andrew S, Bayan, Semirra L, Song, Louis Wong Kee, Ekbom, Dale C
• Format: Article
• Language: English
• ISSN: 1097-6817; 1097-6817
• DOI: 10.1002/ohn.1086

To compare reflux symptoms, Zenker's diverticulum recurrence, and clinical outcomes in patients with and without a history of hiatal hernia who underwent Zenker's diverticulotomy (ZD). Single institution retrospective review. Tertiary care academic hospital. A retrospective review of patients with and without a history of hiatal hernia who underwent ZD via an open stapler, rigid endoscopic CO laser, stapler, or harmonic scalpel technique from January 2006 to December 2020 was performed. Data were abstracted for patient demographics, reflux symptoms, and rates of adverse events and symptomatic recurrence. A total of 426 patients were included in the study, 97 (22.8%) of which had a history of hiatal hernia. Eleven patients (11.3%) with a history of hiatal hernia had undergone Nissen fundoplication prior to ZD. Patients with a history of hiatal hernia showed less symptomatic improvement postoperatively. Significant differences were noted in the change in the Eating Assessment Tool (EAT-10) (P