Experience and Technique for Zenker's Diverticulum Per Oral Endoscopic Myotomy: Z-POEM

Thorac Cardiovasc Surg. 2021 Apr;69(3):228-230. doi: 10.1055/s-0040-1717127. Epub 2020 Oct 21.

Abstract

Objective: With the advent of minimally invasive surgery, incisionless surgery, and third-space endoscopy, the treatment for Zenker's diverticulum has also moved toward less invasive techniques METHODS: New incisionless per oral techniques can be applied for cricopharyngeal myotomy in Zenker's diverticulum.

Results: Five patients underwent Zenker's diverticulum per oral endoscopic myotomy (Z-POEM) without complications, minimal discomfort, and narcotic consumption, with complete resolution of their symptoms by history and Eckardt scores.

Conclusions: Z-POEM is performed entirely endoscopically with very little associated pain or complication rates, with short-term follow-up having excellent functional and symptomatic results.

MeSH terms

  • Aged
  • Clinical Competence
  • Female
  • Humans
  • Learning Curve
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Pyloromyotomy* / adverse effects
  • Retrospective Studies
  • Treatment Outcome
  • Zenker Diverticulum / diagnostic imaging
  • Zenker Diverticulum / surgery*