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Flexible Endoscopic Zenker’s Diverticulotomy

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NOTES and Endoluminal Surgery

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Zenker’s diverticulum (ZD) often presents with symptoms of dysphagia, regurgitation, choking, and coughing. Open approaches to repairing the diverticulum have been plagued by high morbidity, leaving surgeons to search for other alternatives. Rigid endoscopic approaches are typically safe and produce good results, although they require the use of a diverticuloscope and the need for the patient to extend their neck. Using lessons learned from per-oral endoscopic myotomy (POEM), flexible endoscopic approaches have begun to be described. Although highly operator dependent, the flexible approach may have the highest success rate and the lowest morbidity rate.

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Abbreviations

APC:

Argon plasma coagulator

CP:

Cricopharyngeal

ENT:

Otorhinolaryngology (“ear, nose, and throat”)

ESD:

Endoscopic submucosal dissection

NG:

Nasogastric

NPO:

Nil per os

NOTES:

Natural orifice, translumenal, endoscopic surgery

POEM:

Per-oral endoscopic myotomy

ZD:

Zenker’s diverticulum

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Author information

Authors and Affiliations

  1. Gastroenterology Division, Department of Medicine, Baystate Health, 759 Chestnut Street, Springfield, MA, 01199, USA

    Vikram Budhraja & David J. Desilets

Authors
  1. Vikram Budhraja
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  2. David J. Desilets
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Corresponding author

Correspondence to David J. Desilets .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    John R. Romanelli

  2. Division of Gastroenterology, University of Massachusetts / Baystate Medical Center, Springfield, Massachusetts, USA

    David J. Desilets

  3. Lowell Surgical Associates , North Chelmsford, Massachusetts, USA

    David B. Earle

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Budhraja, V., Desilets, D.J. (2017). Flexible Endoscopic Zenker’s Diverticulotomy. In: Romanelli, J., Desilets, D., Earle, D. (eds) NOTES and Endoluminal Surgery. Clinical Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-50610-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-50610-4_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-50608-1

  • Online ISBN: 978-3-319-50610-4

  • eBook Packages: MedicineMedicine (R0)

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