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Management of Zenker and Hypopharyngeal Diverticula pp 77–91Cite as

Non-staple Endoscopic Management of Zenker Diverticulum

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Abstract

With the introduction of modern equipment, imaging, and surgical techniques, many surgeons now treat Zenker diverticula via endoscopic approaches. Newer equipment and imaging systems have allowed adequate exposure of the esophagodiverticular wall which contains the cricopharyngeal muscle enabling its division by various means. This chapter addresses these methods, including laser-assisted diverticulotomy, stapler-assisted diverticulotomy, harmonic scalpel-assisted diverticulotomy, and bipolar diathermic electrocoagulation division of the party wall. Perioperative treatment is directed at avoiding mediastinitis in all of the endoscopic approaches. Treatment outcomes for endoscopic approaches to Zenker diverticula have consistently been excellent with first-treatment success and low complication rates. Zenker diverticula can be safely and effectively managed with endoscopic techniques for the majority of patients. Large Zenker diverticula should be treated with stapler-assisted technique. Treatment of smaller Zenker diverticula or difficult-to-expose diverticula should be attempted with laser-assisted diverticulotomy.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology—Head and Neck Surgery, Oregon Health and Science University, Portland, OR, USA

    Keith A. Chadwick, Joshua S. Schindler & Natalie A. Krane

Authors
  1. Keith A. Chadwick
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  2. Joshua S. Schindler
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  3. Natalie A. Krane
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Corresponding author

Correspondence to Joshua S. Schindler .

Editor information

Editors and Affiliations

  1. ENT Procedure Innovation and Development, Olympus Corporation of the Americas, Southborough, Massachusetts, USA

    Richard Scher

  2. Otolaryngology, Jacobi Medical Center, Department of Surgery, Bronx, New York, USA

    David Myssiorek

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Chadwick, K.A., Schindler, J.S., Krane, N.A. (2018). Non-staple Endoscopic Management of Zenker Diverticulum. In: Scher, R., Myssiorek, D. (eds) Management of Zenker and Hypopharyngeal Diverticula. Springer, Cham. https://doi.org/10.1007/978-3-319-92156-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-92156-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-92155-6

  • Online ISBN: 978-3-319-92156-3

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