Shen Baile, Jiang Haizhong, Li Zhuoya, Wang Zheng, Song Haojun, Ding Xiaoyun
Medical School of Ningbo University.
Department of Gastroenterology, Ningbo First Hospital, Ningbo.
Medicine (Baltimore). 2020 Jan;99(5):e18659. doi: 10.1097/MD.0000000000018659.
Zenker's diverticulum (ZD) refers to a pouch-like structure similar to the esophageal lumen formed from the herniation of the esophageal mucosa; this structure makes it difficult for food to pass through the esophagus to the stomach. The development of endoscopic technology has made minimally invasive surgical treatments for ZD possible.
A female 72-year-old patient was admitted to our hospital due to recurrent dysphagia for more than 5 years. A 62-year-old female patient underwent a gastroscopic examination due to recurrent dysphagia for 10 years and aggravated dysphagia accompanied by bad breath for 1 year.
A significant diverticulum with food residue at the entrance of the esophagus was found on gastroscopy in both cases.
After completing a relevant examination and excluding surgical contraindications, both patients underwent submucosal tunneling endoscopic septum division.
Both patients were discharged after symptoms alleviated on postoperative day 4. A 3-month follow-up gastroscopy showed the disappearance of the diverticulum and recovery of the esophageal anatomical structure. No symptom relapse was found at the 6-month follow-up assessment.
Submucosal tunneling endoscopic septum division has become the most common minimally invasive treatment option. It is efficient and safe for relieving symptomatic ZD in the short term.
Zenker憩室（ZD）是指由食管黏膜疝出形成的类似食管腔的袋状结构；这种结构使食物难以通过食管进入胃。内镜技术的发展使ZD的微创手术治疗成为可能。
一名72岁女性患者因反复吞咽困难5年以上入院。一名62岁女性患者因反复吞咽困难10年，且吞咽困难加重伴口臭1年接受胃镜检查。
两例患者胃镜检查均发现食管入口处有一个有食物残渣的巨大憩室。
完成相关检查并排除手术禁忌证后，两名患者均接受了黏膜下隧道内镜憩室分隔术。
两名患者均在术后第4天症状缓解后出院。术后3个月的胃镜检查显示憩室消失，食管解剖结构恢复。6个月随访评估未发现症状复发。
黏膜下隧道内镜憩室分隔术已成为最常见的微创治疗选择。它在短期内缓解有症状的ZD方面高效且安全。
