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Minerva Gastroenterology 2021 Jun 18

DOI: 10.23736/S2724-5985.21.02948-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Peroral endoscopic myotomy and septotomy (Z-POEM/POES) for Zenker’s diverticulum

Rami EL ABIAD 1 , Elizabeth BRINDISE 1, Michael BEJJANI 2, Bachir GHANDOUR 2, Mouen KHASHAB 2

1 Division of Gastroenterology and Hepatology, Department of Medicine, University of Iowa, Iowa City, IA, USA; 2 Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA


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Zenker’s diverticulum (ZD) is the most common hypopharyngeal diverticulum seen often in septuagenarian and octogenarian males. Oropharyngeal dysphagia is the most common presenting symptom. Treatment of ZD has been advancing with the introduction of a wide variety of accessory devices, primarily focusing on obliteration of the septum by complete transection of the cricopharyngeus muscle to recreate the common cavity and restore normal pharyngo-esophageal bolus outflow. This review aims to provide an overview of the various surgical and endoscopic treatment options for ZD, while focusing specifically on Z-POEM.


KEY WORDS: Zenker’s diverticulum; POEM; Myotomy

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