Kenarli Kerem, Ödemiş Bülent
Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara, Turkiye.
Clin Endosc. 2025 Mar;58(2):261-268. doi: 10.5946/ce.2024.180. Epub 2024 Dec 12.
BACKGROUND/AIMS: We aimed to contribute to the literature by sharing the findings of patients treated by cricopharyngeal myotomy with a flexible endoscopic septal division.
This retrospective study included patients with Zenker's diverticulum who underwent cricopharyngeal myotomy with a traditional flexible endoscopic septal division at our center. Clinical success was defined as a significant reduction in dysphagia score, and relapse was defined as an increase in dysphagia score occurring at any time over 1 month after the procedure.
Fifteen patients with symptomatic Zenker's diverticulum were treated with 16 cricopharyngeal myotomies. A dysphagia score of 100% indicated clinical success, but three (20%) of the patients experienced recurrence during follow-up.
While advances in interventional flexible endoscopy have opened doors for novel treatments, cricopharyngeal myotomy based on traditional flexible endoscopic septal division remains a reliable approach for treating Zenker's diverticulum.
背景/目的：我们旨在通过分享采用柔性内镜下鼻中隔切开术行环咽肌切开术治疗患者的研究结果，为相关文献提供资料。
这项回顾性研究纳入了在我们中心接受传统柔性内镜下鼻中隔切开术行环咽肌切开术治疗的Zenker憩室患者。临床成功定义为吞咽困难评分显著降低，复发定义为术后1个月内任何时间吞咽困难评分增加。
15例有症状的Zenker憩室患者接受了16次环咽肌切开术。吞咽困难评分降低100%表明临床成功，但3例（20%）患者在随访期间出现复发。
虽然介入性柔性内镜技术的进步为新的治疗方法打开了大门，但基于传统柔性内镜下鼻中隔切开术的环咽肌切开术仍然是治疗Zenker憩室的可靠方法。
