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Modern approaches to treating Zenker's diverticulum
Lucas Fair1,2,3, Marc A Ward1,2,4
1Department of Minimally Invasive Surgery, Baylor University Medical Center.
Current Opinion in Gastroenterology
|June 6, 2023
Summary
Zenker Per Oral Endoscopic Myotomy (ZPOEM) is a promising new endoscopic treatment for Zenker's diverticulum. This minimally invasive technique shows efficacy and advantages over other endoscopic options.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Zenker's diverticulum is a common hypopharyngeal condition requiring treatment.
- Surgical options include open and endoscopic approaches, with a trend towards less invasive methods.
Approach:
- This review evaluates surgical and endoscopic treatments for Zenker's diverticulum.
- Focus is placed on Zenker Per Oral Endoscopic Myotomy (ZPOEM), a novel endoscopic technique.
Key Points:
- Endoscopic approaches are now first-line therapy due to lower morbidity and faster recovery.
- ZPOEM is technically feasible, highly efficacious, and demonstrates low recurrence and adverse event rates.
- ZPOEM shows improved outcomes compared to other endoscopic treatments for Zenker's diverticulum.
Conclusions:
- ZPOEM is a valuable addition to the management of Zenker's diverticulum.
- Further long-term comparative studies are warranted, but ZPOEM is an excellent patient option.
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