Transoral flexible endoscopic therapy of Zenker's diverticulum: is it time for gastroenterologists to stick their necks out?

2013 ◽  
Vol 77 (5) ◽  
pp. 708-710 ◽  
Author(s):  
David A. Katzka ◽  
Todd H. Baron
2020 ◽  
Vol 99 (6) ◽  
pp. 244-248

Zenker’s diverticulum is the most common type of esophageal diverticulum with a prevalence of 0.01 to 0.11 %, usually found in middle-aged and older patients. The prevalent symptoms are dysphagia and regurgitation. Treatment is recommended in symptomatic patients and consists of myotomy of the cricopharyngeal muscle. Both surgical and endoscopic methods are used in the treatment of Zenker’s diverticulum. With technical advances, flexible endoscopy has come to the forefront in the treatment of Zenker’s diverticulum, especially in older polymorbid patients. Its advantages include lower morbidity and mortality, shorter surgery time, the possibility of performing the procedure without general anesthesia, and a shorter hospital stay, including early oral food intake. In this paper we present our own experience with endoscopic treatment of Zenker’s diverticulum and at the same time we provide a review of effectiveness with other methods of treatment.


2016 ◽  
Vol 83 (5) ◽  
pp. AB591-AB592
Author(s):  
Prashant R. Mudireddy ◽  
Poi Yu Sofia Yuen ◽  
Bernard Partiula ◽  
Gregory B. Haber

Gut ◽  
2013 ◽  
Vol 62 (Suppl 1) ◽  
pp. A4.1-A4
Author(s):  
M Smith ◽  
M Widlak ◽  
N Molony ◽  
S Ishaq

2020 ◽  
Vol 1 (3) ◽  
pp. 45-48
Author(s):  
Kanat Batyrbekov ◽  
◽  
Alexey Zelenyy ◽  
Ainur Galiakbarova ◽  
◽  
...  

Zenker's diverticulum tends to occur in the elderly and is generally a relatively rare disorder; the prevalence of Zenker's diverticulum is 1.5–5% of all esophageal diverticula. Men are affected 2-3 times more frequently than women. To date, Zenker's diverticulum is treated mostly by surgery in Kazakhstan, however, with the development of endoscopy the minimally invasive method, endoscopic diverticuloesophagostomy, is being implemented. The transoral treatment is aimed at creating the common cavity between the esophagus and the diverticulum in order to prevent food accumulation in the diverticulum. The anterior wall between these two structures consists of the diverticular wall, m. сricopharyngeus and esophagus wall, the septum transsection automatically ensures myotomy. Both open surgery and endoscopic transoral treatment of Zenker's diverticulum result in reduced symptoms in 94–100% of patients. The paper reports the first successful experience of the Zenker's diverticulum treatment by endoscopic submucosal tunnel dissection in Kazakhstan.


Endoscopy ◽  
2015 ◽  
Vol 47 (S 01) ◽  
pp. E430-E431 ◽  
Author(s):  
Helmut Neumann ◽  
Silke Löffler ◽  
Stefanie Rieger ◽  
Claudia Kretschmer ◽  
Andreas Nägel

2013 ◽  
Vol 30 (4-6) ◽  
pp. 393-393 ◽  
Author(s):  
Ryan Law ◽  
Todd H. Baron

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