Post written by Lucas Monteiro Delgado from the Universidade Federal de Minas Gerais, Belo Horizonte, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Zenker’s diverticulum is the most common type of esophageal diverticulum, predominantly affecting elderly men. Although its incidence is low, it is expected to rise …
Tag: Zenker’s diverticulum
Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum
Post written by Kapil Sharma, DM, from the Department of Gastroenterology, Sarvodaya Hospital and Medical Research Centre, Faridabad, Haryana, India. We describe a novel approach to managing a case of absolute dysphagia caused by a large Zenker’s diverticulum (ZD) in an elderly man. The procedure, termed open Zenker’s-peroral endoscopic myotomy (OZ-POEM), incorporates submucosal tunneling to conduct cricopharyngeal …
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Peroral endoscopic septotomy for Zenker’s diverticulum with additional cut of mucosal flap: step by step
Post written by Harold Benites-Goñi, MD, from San Ignacio de Loyola University and Edgardo Rebagliati Martins National Hospital, Lima, Perú. The final goal of treatment of Zenker’s diverticulum is cutting the cricopharyngeal muscle to eliminate the septum. In our video, we show a variant of peroral endoscopic myotomy for the management of Zenker’s diverticulum. This case …
Endoscopic management of recurrent Zenker diverticula after failed surgical repairs
Post written by Sanjay Palat, MD, from Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, USA. This case involves a 65-year-old man with a Zenker diverticulum that recurred after 2 unsuccessful surgeries, transoral staple myotomy and revisional transcervical cricopharyngeal myotomy. He noted the recurrence of dysphagia, regurgitation, and weight loss beginning 1 month after his second …
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Tunneling-free peroral endoscopic septotomy for Zenker diverticulum
Post written by Maria Manuela Estevinho, MD, and Rolando Pinho, MD, from the Department of Gastroenterology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal. We report on a modified Zenker peroral endoscopic myotomy (Z-POEM) technique (tunneling-free) that was carried out on 4 patients. Initially, a mucosal incision was made over the septum …
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Outpatient flexible endoscopic diverticulotomy for the management of Zenker’s diverticulum: a retrospective analysis of a large single-center cohort
Post written by Christopher Teshima, MD, PhD, from the Center for Advanced Therapeutic Endoscopy and Endoscopic Oncology, Division of Gastroenterology and Hepatology, Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We evaluated the outcomes of 240 patients who underwent endoscopic therapy for Zenker’s diverticulum over a 6-year study period at our center. …
Clinical utility of cricopharyngeal distensibility measurements during endoscopic myotomy for Zenker’s diverticulum
Post written by Linda Yun Zhang, MBBS, FRACP, from the Department of Gastroenterology & Hepatology, St George Hospital, Sydney, New South Wales, Australia. Flexible endoscopic cricopharyngeal myotomy allows minimally invasive treatment of patients with Zenker’s diverticulum. Despite its wide uptake there is a substantial retreatment rate, which is at least partly due to the lack …
Submucosal per-oral endoscopic myotomy for a large Zenker’s diverticulum
Post written by Valerio Balassone, MD, PhD, from the Universita Campus Bio-Medico di Roma, Rome, Italy. This is a preliminary experience with an innovative technique to treat large Zenker’s diverticulum. It demonstrates innovative tools and techniques to separate the mucosa from the septum in order to achieve a complete septum division without the concern of …
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Flexible endoscopic management of Zenker’s diverticulum
Post written by Kondal Kyanam Kabir Baig, MBBS, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. We described a case of an elderly gentleman with cardiac comorbidities with symptomatic Zenker’s diverticulum and, in particular, a history of undergoing a Heimlich maneuver for choking. We used …
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Difficult intubation of a Zenker’s diverticulum with an acute angle
Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. We present this video case report of a 94-year-old woman referred with oropharyngeal dysphagia and previously failed intubation. Barium swallow had revealed Zenker’s diverticulum (ZD) and cricopharyngeal hypertrophy (CPH). Conventional intubation was unsuccessful despite multiple attempts. Eventually, a transparent cap was attached …
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