Expanding the therapeutic options for Zenker’s diverticulum: from open diverticulectomy to transoral septoplasty

Abstract

Significant technical changes and a shift toward a transoral approach have occurred in the management of Zenker’s diverticulum over the past three decades. Transoral stapling is already an established and commonly performed procedure. Zenker peroral endoscopic myotomy (Z-POEM) and Zenker peroral endoscopy septotomy (Z-POES) are innovative techniques that are rapidly spreading and replacing more traditional therapeutic options. This review provides an overview of the current status of minimally invasive transoral management to assess whether a tailored approach is feasible and safe and may improve quality of life and reduce recurrence rates.

Keywords

Zenker diverticulum / cricopharyngeal myotomy / rigid endoscopy / flexible endoscopy / peroral endoscopic myotomy / Z-POEM / Z-POES

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