Zenker's diverticulum surgery

Jump to navigation Jump to search

Zenker's diverticulum Microchapters


Patient Information


Historical Perspective




Differentiating Zenker's diverticulum from other Diseases

Epidemiology and Demographics

Risk Factors


Natural History, Complications and Prognosis


History and Symptoms

Physical Examination

Laboratory Findings


X Ray




Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Zenker's diverticulum surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Zenker's diverticulum surgery

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Zenker's diverticulum surgery

CDC on Zenker's diverticulum surgery

Zenker's diverticulum surgery in the news

Blogs on Zenker's diverticulum surgery

Directions to Hospitals Treating Zenker's diverticulum

Risk calculators and risk factors for Zenker's diverticulum surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD[2]]


Surgery is the most definitive therapy for the Zenker's diverticulum (ZD). If small and asymptomatic, no treatment is necessary. Larger, symptomatic cases of Zenker's diverticulum have been traditionally treated by neck surgery to resect the diverticulum and incise the cricopharyngeus muscle. However, in recent times non-surgical endoscopic techniques have gained more importance, and the currently preferred treatment is endoscopic stapling i.e. closing of the diverticulum via a stapler inserted through a tube in the oral cavity. This may be performed through a fiberoptic endoscope. Other non-surgical treatment modalities exist, such as endoscopic laser, but recent evidence has shown it to be less effective than stapling.


Rigid endoscopic diverticulotomy

Four types of procedures are performed using rigid scope

1.Endoscopic electrocautery

Endoscopic electrocautery may be used as a treatment option for Zenker's diverticulum:[5][6]


2.Endoscopic CO2 laser technique

Endoscopic CO2 laser technique may also be used as a treatment option for Zenker's diverticulum:[7][8]

  • This technique offers high energy and high focused beam.
  • Very minimal tissue trauma.
  • It also provides a better visualization of the diverticular bridge and easier control of the operation.


3.Endoscopic stapling

Endoscopic stapling is one the preferred treatment options for Zenker's diverticulum:[9]

4.Endoscopic harmonic scalpel

Flexible Endoscopic Diverticulotomy

Complications of the Endoscopic procedures[10]


  1. PMID 12782805 Endoscopic staple diverticulostomy for Zenker's diverticulum: a review of literature and experience in 159 consecutive cases, Laryngoscope. 2003 Jun;113(6):957-65
  2. PMID 15453934 Endoscopic stapling of the pharyngeal pouch, J Laryngol Otol. 2004 Aug;118(8):601-6
  3. PMID 15966520 Fiberoptic endoscopic-assisted diverticulotomy: a novel technique for the management of Zenker's diverticulum, Ann Otol Rhinol Laryngol. 2005 May;114(5):347-51
  4. PMID 16954989 The Endoscopic Management of Zenker Diverticulum: CO2 Laser versus Endoscopic Stapling, Laryngoscope. 2006 Sep;116(9):1608-11
  5. Costa RC (1969). "[Use of proteolytic enzymes, isolated or in combination with antibiotics, in orthopedics and in injuries]". Rev Bras Med (in Portuguese). 26 (11): 696–9. PMID 5396435.
  6. Mirza S, Dutt SN, Minhas SS, Irving RM (2002). "A retrospective review of pharyngeal pouch surgery in 56 patients". Ann R Coll Surg Engl. 84 (4): 247–51. PMC 2504214. PMID 12215027.
  7. "Surgical Treatment of Zenker's Diverticulum - FullText - Digestive Surgery 2013, Vol. 30, No. 3 - Karger Publishers".
  8. "Endoscopic electrocautery dilation of benign anastomotic colonic strictures: a single-center experience. - PubMed - NCBI".
  9. "Outcome and quality of life after open surgery versus endoscopic stapler-assisted esophagodiverticulostomy for Zenker's diverticulum. - PubMed - NCBI".
  10. "www.karger.com".

Template:WH Template:WS