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Endoscopic Interventions for the Thoracic Esophagus: Zenker’s and Other Diverticula

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Abstract

True and false diverticula can occur at any portion of the esophagus. Zenker’s pharyngeal and epiphrenic distal diverticula are by far the most common. There are both surgical and endoscopic approaches to both, with differing indications. Most Zenker’s are today treated using a NOTES approach. There is growing interest in flexible endoscopic transoral diverticulectomy as opposed to the more common ridged transoral approach as it is applicable to all patients and involves no specialized equipment. The role of endoscopy in other esophageal diverticula is mostly as an adjunct to laparoscopic/thoracoscopic approaches—but this may change as endoscopic technology evolves.

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Author information

Authors and Affiliations

  1. GI and Minimally Invasive Surgery Division, Providence Portland Medical Center, Portland, OR, USA

    Emily A. Speer M.D.

  2. Institut Hospitalo Universitaire (IHU)—Strasbourg, 1, Place de l’Hôpital, c/o IRCAD, Strasbourg, 67000, France

    Lee L. Swanstrom M.D.

  3. GI/Minimally Invasive Surgery, The Oregon Clinic, Portland, OR, USA

    Lee L. Swanstrom M.D.

Authors
  1. Emily A. Speer M.D.
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  2. Lee L. Swanstrom M.D.
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Corresponding author

Correspondence to Lee L. Swanstrom M.D. .

Editor information

Editors and Affiliations

  1. Cleveland Clinic, Section of Surgical Endoscopy, Cleveland, Ohio, USA

    Matthew Kroh

  2. The Oregon Clinic, Division of Gastrointestinal Surgery, Portland, Oregon, USA

    Kevin M. Reavis

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Speer, E.A., Swanstrom, L.L. (2016). Endoscopic Interventions for the Thoracic Esophagus: Zenker’s and Other Diverticula. In: Kroh, M., Reavis, K. (eds) The SAGES Manual Operating Through the Endoscope. Springer, Cham. https://doi.org/10.1007/978-3-319-24145-6_18

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  • DOI: https://doi.org/10.1007/978-3-319-24145-6_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24143-2

  • Online ISBN: 978-3-319-24145-6

  • eBook Packages: MedicineMedicine (R0)

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