Pugliese Francesco, Dioscoridi Lorenzo, Italia Angelo, Forgione Antonello, Cintolo Marcello, Forti Edoardo, Bonato Giulia, Massad Mutaz, Mutignani Massimiliano
Digestive and Interventional Endoscopy Unit.
Mininvasive and Oncological Surgery Unit, Niguarda Hospital, ASST Niguarda, Milan, Italy.
Surg Laparosc Endosc Percutan Tech. 2020 Oct;30(5):e30-e32. doi: 10.1097/SLE.0000000000000814.
Endoscopic diverticulotomy associated with cricopharyngeal myotomy is a well-known and safe treatment for Zenker diverticulum. We describe our first 5 consecutive cases treated by a new variant of the technique that allows a deeper and longer myotomy than the standard one. Technical success was achieved in all the cases. All patients showed a significant improvement and relevant disappearance of preoperative dysphagia. Tips for the technique are described in the paper. This variant of peroral endoscopic diverticulotomy for Zenker diverticulum is feasible, effective, and guarantees a complete myotomy in selected patients.
内镜下憩室切开术联合环咽肌切开术是治疗Zenker憩室的一种广为人知且安全的方法。我们描述了连续5例采用该技术新变体治疗的病例，该变体允许进行比标准手术更深、更长的肌切开术。所有病例均取得了技术成功。所有患者术前吞咽困难均有显著改善且明显消失。本文介绍了该技术的要点。这种用于Zenker憩室的经口内镜憩室切开术变体是可行、有效的，并且能确保在选定患者中完成完整的肌切开术。
