1,549 results match your criteria: "Zenker Diverticulum"
Open Zenker's-peroral endoscopic myotomy: novel treatment for Zenker's diverticulum.
VideoGIE
December 2024
Department of Gastroenterology, Smt NHL Medical College, Ahmedabad, Gujrat, India.
Hiatal Hernia and Zenker's Diverticulotomy Outcomes.
Otolaryngol Head Neck Surg
December 2024
Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Objective: 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).
Study Design: Single institution retrospective review.
Setting: Tertiary care academic hospital.
Zenker's Per-Oral Endoscopic Myotomy (Z-POEM): The Ideal First Line Therapy for Treatment of Zenker's Diverticulum.
J Thorac Cardiovasc Surg
December 2024
Section of Thoracic Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; CancerCare Manitoba Research Institute, Winnipeg, Canada; Department of Physiology & Pathophysiology, University of Manitoba, Winnipeg, Canada; Department of Biomedical Engineering, University of Manitoba, Winnipeg, Canada. Electronic address:
Objective: Zenker's diverticulum is a mucosal herniation at the pharyngoesophageal junction. While open surgical myotomy is the conventional treatment, robust evidence on third-space flexible endoscopic myotomy is lacking. We assessed safety, effectiveness and patient-reported outcomes of per-oral endoscopic myotomy (Z-POEM) in the largest reported single-centre experience with this technique.
View Article and Find Full Text PDFModified overtube insertion technique to facilitate safe endoscopic cricopharyngeal myotomy for management of Zenker's diverticulum.
Endoscopy
December 2024
Advanced Therapeutic Endoscopy, St Michael's Hospital, Toronto, Canada.
Endoscopic Submucosal Tunneling Techniques versus Flexible Endoscopic Septotomy for Zenker's Diverticulum: A Systematic Review and Meta-Analysis.
Gastrointest Endosc
November 2024
Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Endoscopy Unit, Alfa Institute of Gastroenterology, Belo Horizonte, Brazil; Hospital Mater Dei Contorno, Belo Horizonte, Brazil.
Background And Aims: Zenker's diverticulum (ZD) is the most common type of esophageal diverticulum. We conducted a systematic review and meta-analysis aiming to compare the effectiveness and safety of endoscopic submucosal tunneling techniques (ESTT) and flexible endoscopic septotomy (FES) for treating patients with ZD, including subgroup analyses by follow-up duration (<12 months and ≥12 months), diverticulum size (<2.5cm and ≥2.
View Article and Find Full Text PDFEndoscopic management of a bleeding Zenker's diverticulum: A case report.
Int J Surg Case Rep
December 2024
Department of Surgery, Launceston General Hospital.
Introduction: Bleeding from a Zenker's diverticulum is a rare occurrence, and currently no formal guidelines exist for its management. It is a potentially life-threatening condition and an important consideration in the differential diagnosis of haemoptysis or haematemesis.
Presentation Of Case: A 63-year-old man presented with haemoptysis and haematemesis while on dual antiplatelet therapy for a recent NSTEMI.
A case of esophageal cancer in a diverticulum treated by surgical resection: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Surgery, Yokohama City University School of Medicine, 3-9 Fukuura Kanazawa-ku, Yokohama City, Kanagawa, Japan.
Background: An esophageal diverticulum is a relatively rare disease, with reports of treatment for esophageal cancer in the diverticulum even rarer.
Case Presentation: The case involved a 72-year-old male with a chief complaint of dysphagia. He was diagnosed with an esophageal diverticulum (Zenker's diverticulum) measuring 10 cm in diameter.
Double sticker over knife to assess myotomy and mucosectomy length during Zenker's peroral endoscopic myotomy for Zenker's diverticulum.
Endoscopy
December 2024
Gastroenterology and Hepatology Department, Clinical and Translational Research in Digestive Diseases, Valdecilla Research Institute (IDIVAL), Marqués de Valdecilla University Hospital, Santander, Spain.
Short-term clinical and technical outcomes of a modified Zenker's peroral endoscopic myotomy with mucosal flap incision.
Endoscopy
December 2024
Department of Gastroenterology and Hepatology, Johns Hopkins Medicine, Baltimore, United States.
Article Synopsis
The Endoscopic Management of Zenker's Diverticulum: A Comprehensive Review.
Diagnostics (Basel)
September 2024
Gastroenterology and Gastrointestinal Endoscopy Division, IRCCS San Raffaele Institute, Via Olgettina 60, 20132 Milan, Italy.
Article Synopsis
- Zenker's Diverticulum (ZD) is a common throat condition caused by a herniation of tissue, leading to difficulty swallowing (dysphagia) in most patients.
- Traditional surgery for ZD has high technical challenges and can result in significant complications, prompting interest in less invasive endoscopic methods.
- Newer endoscopic techniques like Zenker-POEM and Per Oral Endoscopic Septomyotomy offer alternative treatment options, which are discussed along with their pros, cons, and potential future developments.
How I do It: Zenker's Per Oral Endoscopic Myotomy with Partial Mucosal Septum Division Modification.
Laryngoscope
October 2024
Department of Medicine, Division of Digestive and Liver Diseases, University of Texas Southwestern Medical School, Dallas, Texas, U.S.A.
We describe our current approach for flexible endoscopic management of Zenker's diverticulum. This approach utilizes the latest techniques in flexible Zenker's surgery including submucosal division of the muscular common wall, partial mucosal wall division, and watertight closure. Laryngoscope, 2024.
View Article and Find Full Text PDFCongenital and Iatrogenic Esophageal Diverticula in Infants and Children: A Case Series of Four Patients.
Cureus
September 2024
Department of Surgery, Hamad Medical Corporation, Doha, QAT.
Article Synopsis
- Esophageal diverticulum (ED) is a rare but serious condition in kids, especially in the neck area, that usually shows up after they're born.
- The study from a hospital in Cuba looked at four cases between 2003 and 2020 and found symptoms like trouble swallowing, regurgitation, and breathing issues.
- Most kids with ED needed surgery to fix it, but some did well after treatment, while one baby unfortunately died due to another health issue.
Flexible endoscopic treatment of Zenker's diverticulum-a retrospective, observational multicenter study.
Surg Endosc
November 2024
Department of Medicine and Gastroenterology, Evangelisches Diakoniekrankenhaus Freiburg, Academic Teaching Hospital, University of Freiburg, Freiburg, Germany.
Background: The European Society of Gastroenterology and Endoscopy recommends a primarily flexible endoscopic approach for the treatment of Zenker's diverticulum. Due to the rarity of the disorder, evidence for its effectiveness and safety comes mainly from small, retrospective, single-center studies.
Methods: In this retrospective, observational, multicenter cohort study, data from six German tertiary referral centers were analyzed.
Tunnel-free peroral endoscopic myotomy reduces procedural time and maintains efficacy in Zenker's diverticulum.
Ann Gastroenterol
July 2024
CentraCare, Interventional Endoscopy Program, St. Cloud Hospital, St Cloud, Minnesota, USA (Fateh Bazerbachi).
Article Synopsis
- Z-POEM is a special procedure to treat a problem called Zenker's diverticulum (ZD) and can be done in different ways that might be quicker and safer.
- In a study with 20 patients, they tried three methods and found that the new techniques (single-tunnel and tunnel-free) took less time than the standard method.
- All patients got better from their swallowing problems, and the new methods showed good results and safety, suggesting they could be better options for treating ZD.
Comparative analysis of CO2 laser and ultracision harmonic scalpel for endoscopic treatment of Zenker's diverticulum using a propensity score: A retrospective observational study.
Am J Otolaryngol
December 2024
CHU Rouen, Department of Otorhinolaryngology and Head and Neck Surgery, F-76000 Rouen, France. Electronic address:
Objectives: Zenker's diverticulum (ZD) is a progressive condition that can cause dysphagia and aspiration. Endoscopic cricopharyngeal myotomy (ECPM) is the gold standard treatment for ZD, but there are various techniques available. We aimed to compare the efficacy and safety of the ultrasonic harmonic scalpel (UHS) versus the CO2 laser (CO2L) for ECPM in ZD.
View Article and Find Full Text PDFComparison of flexible endoscopic needle-knife septotomy and peroral endoscopic myotomy for treatment of Zenker's diverticulum.
Gastrointest Endosc
January 2025
Department of Gastroenterology and Hepatology, Indiana University Health Medical Center, Indianapolis, Indiana, USA.
Article Synopsis
- This study compares the effectiveness and safety of two treatments for Zenker's diverticulum: flexible endoscopic needle-knife septotomy (FENKS) and peroral endoscopic myotomy (Z-POEM).
- A total of 60 patients underwent these procedures, and while both had a high technical success rate, FENKS resulted in more complications and hospitalizations compared to Z-POEM.
- Overall, Z-POEM showed to be a safer option with similar clinical success in the short and mid-term follow-ups.
Traditional septotomy or Z-POEM for Zenker's diverticulum.
Best Pract Res Clin Gastroenterol
August 2024
Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland; Department of Gastroenterological Oncology, Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland; Clinical Effectiveness Research Group, University of Oslo, Oslo, Norway; Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland. Electronic address:
Article Synopsis
- * It happens because of muscle spasms and issues with how the esophagus opens, leading to food getting stuck or coming back up.
- * Doctors treat ZD using special methods that involve making small cuts in the muscle, with two modern techniques called FES and Z-POEM being less invasive and effective.
Zenker's diverticulum: A case study of dysphagia in an elderly gentleman.
Radiol Case Rep
October 2024
Manmohan Cardiothoracic Vascular and Transplant center, Institute of Medicine, Kathmandu, Nepal.
Article Synopsis
- Zenker's diverticulum (ZD) is a condition where part of the throat sticks out because of pressure, often happening in older people.
- A 91-year-old man from Nepal has been struggling with swallowing and coughing for 25 years, and doctors found ZD using a special scan.
- Although surgery is the best way to treat ZD, the patient chose not to have it because he is very old and has other health problems.
Critical analysis of outcomes after surgical management of Zenker diverticulum.
J Gastrointest Surg
November 2024
Department of Surgery, University of Tennessee Health Science Center, Memphis, TN, United States; Division of Thoracic Surgery, University of Tennessee Health Science Center, Memphis, TN, United States. Electronic address:
The safety and efficacy of endoscopic approaches for the management of Zenker's diverticulum: a multicentre retrospective study.
Surg Endosc
October 2024
Digestive Diseases & Surgical Institute, Cleveland Clinic London, London, UK.
Article Synopsis
- Minimally invasive endoscopic procedures are safe and effective alternatives to surgery for treating a condition called Zenker's diverticulum (ZD), but there isn’t one best method agreed upon.
- Researchers studied three different endoscopic techniques over ten years and found that flexible diverticulotomy (FD) and Zenker's peroral endoscopic myotomy (Z-POEM) had very high success rates.
- Overall, these endoscopic methods work well and should be tried before considering surgery, which has more complications and can be less successful.
Per-oral endoscopic septotomy in a pacemaker-dependent patient with Zenker's diverticulum using a novel bipolar device.
Indian J Gastroenterol
August 2024
Asian Institute of Gastroenterology, Hyderabad, 500 082, India.
Seven-Year Experience of Intramural Surgery in the Middle East: A Safety and Feasibility Analysis.
J Clin Med
July 2024
Department of General Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi 112412, United Arab Emirates.
Article Synopsis
- New surgery techniques like E-POEM, G-POEM, and Z-POEM are minimally invasive methods that help people with swallowing problems.
- A study looked at 119 patients in the Middle East and North Africa to see if these surgeries are safe and effective, showing that they worked well for most people.
- There were some minor complications, but overall, these surgeries had low risks, and the results in this area are similar to studies from other parts of the world.
445nm Blue Laser for Cricopharyngeal Myotomy/Zenker's Diverticulotomy: Proof of Concept and Use.
Laryngoscope
November 2024
Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, Massachusetts, U.S.A.
Objective(s): Treatment for Zenker's diverticulum and cricopharyngeal dysfunction has evolved to include flexible endoscopic approaches. Currently, no flexible modalities combine the precision cutting of CO laser and the hemostasis of knife electrocautery. We present the first series describing fiber-based 445nm blue light (BL) laser for endoscopic cricopharyngeal myotomy/Zenker's diverticulotomy.
View Article and Find Full Text PDFCricopharyngomyotomy: Outcomes of flexible endoscopic management of small and medium sized Zenker's diverticulum.
Am J Surg
December 2024
Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address:
Article Synopsis
- Zenker's diverticulum (ZD) is a condition that used to be treated through a big surgery but now can be treated with a smaller procedure called flexible endoscopic cricopharyngomyotomy (FEC).
- In a study of 30 patients, they compared small diverticula (under 1.5 cm) and medium diverticula and found that the results were similar in both groups.
- FEC had a very high success rate of 96.7%, especially for smaller diverticula, and there were no major complications after the procedure.