Current status of minimally invasive endoscopicmanagement for Zenker diverticulum

• 作者: Alberto Aiolfi Federica Scolari Greta Saino Luigi Bonavina
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ZENKER DIVERTICULUM Endoscopic STAPLING Cricopharyngeal MYOTOMY DIVERTICULECTOMY Interventionalflexible ENDOSCOPY
• 年，卷（期）: 2015,（2）
• 页码范围: 87-94
• 页数: 8页
• 分类号: R

摘要

Surgical resection has been the mainstay of treatment ofpharyngoesophageal （Zenker） diverticula over the pastcentury. Developments in minimally invasive surgeryand new endoscopic devices have led to a paradigmchange. The concept of dividing the septum betweenthe esophagus and the pouch rather than resecting thepouch itself has been revisited during the last threedecades and new technologies have been investigatedto make the transoral operation safe and effective. Theinternal pharyngoesophageal myotomy accomplished through the transoral stapling approach has been shown to effectively relieve outflow obstruction and restore physiological bolus transit in patients with medium size diverticula. Transoral techniques, either through a rigid device or by flexible endoscopy, are gaining popularity over the open surgical approach due the low morbidity, the fast recovery time and the fact that the procedure can be safely repeated. We provide an analysis of the the current status of minimally invasive endoscopic management of Zenker diverticulum.