TY - JOUR
T1 - Flexible Zenker's per-oral endoscopic myotomy
AU - Ian Dhar, Shumon
AU - Tomkies, Anna
N1 - Publisher Copyright:
© 2023 Elsevier Inc.
PY - 2024
Y1 - 2024
N2 - Zenker's diverticulum is a pulsion-type pseudodiverticulum of the pharyngoesophageal segment. Endoscopic surgery is primarily directed at dividing the common wall between the esophagus and diverticulum. Rigid exposure with diverticuloscopes has allowed for common wall division with staplers, lasers, and advanced energy sealers, however, not all patients can be successfully treated with rigid instrumentation. As a result, flexible endoscopic surgery provides another option for patients. This technique employs various instrumentation through the working channel of a gastroscope to not only divide the common wall but seal the incision, which if done appropriately, results in a symptom resolution with complication rates comparable to rigid techniques. Flexible endoscopic surgery requires the surgeon to perform technically challenging submucosal dissection through a gastroscope as well as possess expertise with advanced energy delivery systems and instrumentation. However, with time, surgeons can build these skills to offer a breadth of surgical options tailored to the individual patient.
AB - Zenker's diverticulum is a pulsion-type pseudodiverticulum of the pharyngoesophageal segment. Endoscopic surgery is primarily directed at dividing the common wall between the esophagus and diverticulum. Rigid exposure with diverticuloscopes has allowed for common wall division with staplers, lasers, and advanced energy sealers, however, not all patients can be successfully treated with rigid instrumentation. As a result, flexible endoscopic surgery provides another option for patients. This technique employs various instrumentation through the working channel of a gastroscope to not only divide the common wall but seal the incision, which if done appropriately, results in a symptom resolution with complication rates comparable to rigid techniques. Flexible endoscopic surgery requires the surgeon to perform technically challenging submucosal dissection through a gastroscope as well as possess expertise with advanced energy delivery systems and instrumentation. However, with time, surgeons can build these skills to offer a breadth of surgical options tailored to the individual patient.
KW - Cricopharyngeus muscle dysfunction
KW - Flexible approaches
KW - Peroral endoscopic myotomy
KW - Zenker's diverticulum
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U2 - 10.1016/j.otot.2023.12.002
DO - 10.1016/j.otot.2023.12.002
M3 - Article
AN - SCOPUS:85181844385
SN - 1043-1810
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
ER -