Endoscopic treatment of Zenker's diverticulum with an oblique-end hood attached to the endoscope

Flexible Endoscopic Management of Zenker Diverticulum: The Mayo Clinic Experience

“…Cricopharyngeal myotomy was performed with a biliary needle knife (Figure 2, middle) (Huibregtse Single Lumen Needle Knife, Cook Endoscopy, Winston-Salem, NC) and electrocautery (ERBE electrosurgical generator ICC 200, ERBE, Marietta, GA, at a setting of 200/25) as previously described (Figure 2, bottom). 1,7,8,12 A transparent cap was used in 3 instances for better exposure of the CP septum and muscle. 5,7,8,12,13 Intraprocedural bleeding was managed with epinephrine (1:10,000) injection.…”

Flexible endoscopic and surgical management of Zenker's diverticulum

“…The septum is dissected using blended current, alternating cut and coagulation mode or a Review pure coagulation current starting at the top of the septum in the midline [99,103]. The needle is advanced from the sheath, and the tip is positioned at the top of the septum at its midpoint.…”

Endoscopic treatment of Zenker’s diverticulum by LigaSure scalpel

“…4). Diathermic monopolar current, argon plasma coagulation, laser, and coagulation with an ultrasonically activated scalpel (Harmonic scalpel; Ethicon EndoSurgery) have all been used for the endoscopic treatment of Zenker's diverticulum with satisfactory results [1,2,4]. This case shows that endoscopic treatment of Zenker's diverticulum using a LigaSure scalpel Fig.…”

“…Treatment of Zenker's diverticulum by flexible endoscopy is considered to be feasible, effective, and safe [1,2]. Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2].…”

“…Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2]. This report describes the novel use of a LigaSure scalpel (Valleylab, Boulder, Colorado, USA) to perform flexible endoscopic diverticulectomy in a 3-cm Zenker's diverticulum in a 62-year-old woman with symptoms of dysphagia for both solids and liquids (• " Fig.…”