Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Department of Digestive and Liver Diseases, Columbia University Medical Center/New York-Presbyterian Medical Center, New York, New York, USA.
Gastrointest Endosc. 2021 Jul;94(1):3-13. doi: 10.1016/j.gie.2021.02.020. Epub 2021 Apr 27.
Zenker's diverticulum (ZD) has traditionally been treated with open surgery or rigid endoscopy. With the advances in endoscopy, alternative flexible endoscopic treatments have been developed.
This document reviews current endoscopic techniques and devices used to treat ZD.
The endoscopic techniques may be categorized as the traditional flexible endoscopic septal division and the more recent submucosal tunneling endoscopic septum division, also known as peroral endoscopic myotomy for ZD. This document also addresses clinical outcomes, safety, and financial considerations.
Flexible endoscopic approaches treat symptomatic ZD with results that are favorable compared with traditional open surgical or rigid endoscopic alternatives.
Zenker 憩室(ZD)传统上采用开放手术或硬性内镜治疗。随着内镜技术的进步,已经开发出了替代的软性内镜治疗方法。
本文回顾了目前用于治疗 ZD 的内镜技术和设备。
内镜技术可分为传统的软性内镜间隔切开术和最近的黏膜下隧道内镜间隔切开术,也称为经口内镜肌切开术治疗 ZD。本文还讨论了临床结果、安全性和经济考虑因素。
与传统的开放性手术或硬性内镜替代方法相比,软性内镜方法治疗有症状的 ZD 的结果是有利的。