title: Zenker diverticulum.
abstract: This article introduces the pathogenesis and relevant anatomy of Zenker diverticulum. The clinical symptoms and relevant investigation are presented along with the various therapeutic interventions including open and endoscopic approaches. Techniques to perform the myotomy and diverticulectomy are expanded on and include traditional suture ligation, endoscopic stapling devices, microlaryngoscopic CO2 laser and flexible LISA laser. The article concludes with a management algorithm for this entity based on the size of the diverticulum.
authors.affiliation: Division of Otolaryngology Head and Neck Surgery, Gordon and Leslie Diamond Health Care Centre, Vancouver General Hospital, University of British Columbia, 4th Floor-2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada. Electronic address: eitan.prisman@gmail.com.
authors.forename: Eitan
authors.initials: E
authors.lastname: Prisman
authors.forename: Eric M
authors.initials: EM
authors.lastname: Genden
mesh_terms: D000367:Age Factors; D003680:Deglutition Disorders / Q000209:etiology; D019468:Disease Management; D004724:Endoscopy / Q000379:methods*; D049631:Esophageal Sphincter, Upper / Q000503:physiopathology*; D006209:Halitosis / Q000209:etiology; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000209:etiology; D017063:Outcome Assessment, Health Care; D010609:Pharyngeal Muscles / Q000503:physiopathology / Q000601:surgery; D012737:Sex Factors; D016672:Zenker Diverticulum / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy
keywords: CO(2) laser; Diverticulectomy; Diverticulum; Endoscopic stapling; Killian triangle; Myotomy; Zenker diverticulum