δείτε την πρωτότυπη σελίδα τεκμηρίου στον ιστότοπο του αποθετηρίου του φορέα για περισσότερες πληροφορίες και για να δείτε όλα τα ψηφιακά αρχεία του τεκμηρίου*
Flexible endoscopic treatment for Zenker’s diverticulum: from the lumen to the third space
(EN)
Maselli, Roberta
Fugazza, Alessandroo
Cappello, Annalisa
Vespa, Edoardo
Ferrara, Elisa Chiara
Pellegatta, Gaia
Anderloni, Andrea
Carrara, Silvia
Di Leo, Milena
Belletrutti, Paul J.
Spadaccini, Marco
Galtieri, Piera Alessia
Repici, Alessandro
Zenker’s diverticulum (ZD) is a rare outpouching of the esophageal mucosa herniating posteriorly through Killian’s triangle. Treatments of ZD aim to dissect the cricopharyngeal muscle to remove the underlying dysfunctional condition. In the last decade, a septotomy performed utilizing a flexible endoscope has been reported as a safe and effective alternative to both open surgery and rigid endoscopic diverticulotomy. More recently, Li et al described a novel endoscopic technique to treat ZD, named “submucosal tunneling endoscopic septum division”, inspired by the peroral endoscopic myotomy (POEM) procedure developed for achalasia. Subsequently, the term Z-POEM was introduced and has become the most frequently used acronym to define the tunneling technique for ZD. This article describes the flexible therapeutic endoscopic strategies for treating ZD, including the novel third space approach, which seems to show promising potential in terms of clinical efficacy and safety.
Keywords Endoscopy, esophagus, Zenker’s diverticulum, third space, peroral endoscopic myotomy
Ann Gastroenterol 2021; 34 (2): 149-154
(EN)
Annals of Gastroenterology; Volume 34, No 2 (2021); 149
(EN)
Copyright (c) 2021 Annals of Gastroenterology
(EN)
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