Modern approaches to treating Zenker's diverticulum.

IF 2.6 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Current Opinion in Gastroenterology Pub Date : 2023-07-01 DOI:10.1097/MOG.0000000000000941

Lucas Fair, Marc A Ward

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Abstract

Purpose of review: Zenker's diverticulum is the most common hypopharyngeal diverticulum. Patients with Zenker's diverticulum may require surgical treatment, which can be performed via an open surgical or endoscopic approach. A new endoscopic technique that is now being used for Zenker's diverticulum is Zenker Per Oral Endoscopic Myotomy (ZPOEM). ZPOEM has demonstrated promising results, and may have certain advantages over the other endoscopic treatments. The purpose of this review article is to evaluate the various surgical and endoscopic treatment options for Zenker's diverticulum, while specifically focusing on ZPOEM.

Recent findings: Endoscopic approaches have become the first-line therapy for Zenker's diverticulum, replacing the traditional open approach, because of the less invasive nature of the endoscopic procedures, improved rates of morbidity, and quicker recovery times. Recent studies evaluating ZPOEM have demonstrated that it is technically feasible and highly efficacious. In addition, it has a low rate of clinical recurrence and adverse events. When compared with other endoscopic techniques for treating Zenker's diverticulum, ZPOEM appears to have improved outcomes.

Summary: ZPOEM has been recently implemented in the algorithm of Zenker's diverticulum management. Further comparative and prospective studies focusing on long-term follow-up are still needed; however, ZPOEM appears to be an excellent option for patients suffering from Zenker's diverticulum.

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治疗Zenker憩室的现代方法。

综述目的:Zenker憩室是最常见的下咽憩室。Zenker憩室患者可能需要手术治疗，可以通过开放手术或内窥镜方法进行。目前用于Zenker憩室的一种新的内窥镜技术是Zenker Per Oral内镜肌切开术(ZPOEM)。ZPOEM已经显示出良好的效果，并且可能比其他内窥镜治疗有一定的优势。本综述的目的是评估Zenker憩室的各种手术和内镜治疗方案，同时特别关注ZPOEM。最近的研究发现:内窥镜入路已成为Zenker憩室的一线治疗方法，取代了传统的开放入路，因为内窥镜手术的侵入性更小，发病率更高，恢复时间更快。最近评估ZPOEM的研究表明，它在技术上是可行的和高效的。此外，它具有低的临床复发率和不良事件。与其他内窥镜技术治疗Zenker憩室相比，ZPOEM似乎有更好的结果。摘要:ZPOEM最近在Zenker憩室管理算法中得到了实现。仍然需要进一步的比较和前瞻性研究，重点是长期随访;然而，对于患有Zenker憩室的患者来说，ZPOEM似乎是一个很好的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Gastroenterology 医学-胃肠肝病学

CiteScore

5.30

自引率

0.00%

发文量

137

审稿时长

6-12 weeks

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.

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