Flexible endoscopic diverticulotomies for bilateral Zenker's Diverticula (with videos).
OBJECTIVE
Zenker's diverticulum (ZD) is the posterior pulsion diverticulum below the esophageal introitus through or above the cricopharyngeal muscle. We report a unique case of bilateral ZD that was successfully treated with an endoscopic diverticulotomies on the bilateral cricopharyngeal bars.


METHODS
Case report at a tertiary referral center.


METHODS
A patient with bilateral ZD who failed surgery underwent two endoscopic diverticulotomies on the bilateral cricopharyngeal bars. Outcome measures were symptomatic improvement and radiological measurements.


RESULTS
After up to 18 months follow-up, the patient enjoys near complete symptomatic resolution with associated radiological improvements.


CONCLUSIONS
Endotherapy can disrupt the circular muscle of the cricopharyngeal bar, decrease the depth of bar, increase the esophageal ZD diameter, and create an opening of the diverticulum allowing diverticular drainage into the esophagus.
Tang
Shou-jiang
SJ
Department of Gastroenterology, Hepatology and Endoscopy, Trinity Mother Frances Hospitals and Clinics, Tyler, Texas 75702, USA. tangs@tmfhs.org
Myers
Larry L
LL
D000368:Aged; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D014743:Videotape Recording; D016672:Zenker Diverticulum / Q000601:surgery*