Ferreira L E V V C, Simmons D T, Baron T H
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Dis Esophagus. 2008;21(1):1-8. doi: 10.1111/j.1442-2050.2007.00795.x.
Zenker's diverticulum (ZD) is the most common type of diverticulum in the upper gastrointestinal tract. Most patients are elderly and present with symptoms of dysphagia. Serious complications include aspiration and malnutrition. The most common treatments are open surgical diverticulectomy with or without cricopharyngeal myotomy and rigid endoscopic myotomy. Recently, cricopharyngeal myotomy using flexible endoscopes has been described as a treatment option for symptomatic ZD. In this article we describe the pathophysiology, clinical presentation and review the techniques and outcome following flexible endoscopic management of Zenker's diverticulum.
Zenker憩室（ZD）是上消化道最常见的憩室类型。大多数患者为老年人，表现为吞咽困难症状。严重并发症包括误吸和营养不良。最常见的治疗方法是开放性手术憩室切除术，可伴有或不伴有环咽肌切开术以及硬质内镜下肌切开术。最近，使用软性内镜进行环咽肌切开术已被描述为有症状ZD的一种治疗选择。在本文中，我们描述了Zenker憩室的病理生理学、临床表现，并回顾了软性内镜治疗Zenker憩室的技术和结果。
