Endoscopic treatment of Zenker's diverticulum

We report our experience in the endoscopic (flexible) treatment of Zenker's diverticulum. Three patients with medium-sized Zenker's diverticula were treated by endoscopic cricopharyngeal myotomy with a modified needle-knife sphincterotome through a therapeutic gastroscope. The procedure wa...

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Bibliographic Details
Published in:	Cirugia Española Vol. 78; no. 4; p. 256
Main Authors:	de la Morena, Emilio, Pérez-Arellano, Elena, Carreño, Ramiro, Tomás, Esperanza, González-Lama, Yago
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-10-2005
Subjects:	Aged Aged, 80 and over Female Gastroscopy Humans Male Zenker Diverticulum - surgery
Online Access:	Get more information
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Summary:	We report our experience in the endoscopic (flexible) treatment of Zenker's diverticulum. Three patients with medium-sized Zenker's diverticula were treated by endoscopic cricopharyngeal myotomy with a modified needle-knife sphincterotome through a therapeutic gastroscope. The procedure was performed in the digestive endoscopy unit under conscious sedation without anesthetic support. Endoscopic cricopharyngeal myotomy was completed in a single session without immediate or late complications. In all three patients dysphagia disappeared and all were discharged at 48 hours with a solid diet. After 12, 18 and 17 months of follow-up there has been no recurrence of dysphagia or other symptoms attributable to Zenker's diverticulum. Flexible endoscopic cricopharyngeal myotomy is a simple, effective and safe treatment of Zenker's diverticulum that avoids the need for open cervical surgery and general anesthesia.
ISSN:	0009-739X