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Flexible endoscopic clip-assisted Zenker's diverticulotomy (with videos)

2008; Elsevier BV; Volume: 67; Issue: 4 Linguagem: Inglês

10.1016/j.gie.2007.11.006

1097-6779

Shou‐jiang Tang, Luis F. Lara,

Tracheal and airway disorders

In treating Zenker's diverticulum (ZD), there are potential risks associated with flexible endoscopic diverticulotomy without suturing or stapling. Rigid endoscopic stapler-assisted diverticulotomy has limitations. The septum is usually not completely dissected with either technique.Our purpose was to evaluate the feasibility of flexible endoscopic clip-assisted diverticulotomy (ECD) for complete septum dissection.Case report.Academic center.An elderly male with symptomatic residual ZD.After 1 endoclip (InScope multiclip applier, Ethicon Endo-Surgery) was placed on each side of the cricopharyngeal bar, the septum was easily and completely dissected between these 2 clips down to the bottom of the diverticulum into the esophageal mucosa with a needle-knife.Symptom resolution and complications.Complete esophageal symptom resolution without complications.Case report.ECD is feasible, easy, safe, and effective for complete septum dissection. This is the first reported case of ECD. ECD provides another option in managing ZD with flexible endoscopy.