Transoral diverticulostomy with a modified Endo-Gia stapler: results after 4 years of experience

Patient reported outcomes in endoscopic and open transcervical treatment for Zenker's diverticulum

“…In the late 1990s, Sher et al popularized ESD in the United States. The feasibility, complications, and outcomes of the ESD technique have been thoroughly examined . These studies show that ESD has a comparable or lower complication rate, morbidity, and mortality when compared to the open procedure.…”

Normal fluoroscopic appearance status post‐successful endoscopic Zenker diverticulotomy

“…The use of the carbon dioxide laser and the incorporation of the endoscopic stapler have greatly improved surgical safety and efficacy . EZD has been shown to have a similar success rate to open diverticulectomy, with lower surgical morbidity and shorter operative and recuperation times . Although EZD is safer, the diverticulum is never removed and recidivism is not uncommon, with some investigations reporting a recurrence rate from 4% to as high as 39% …”

Therapy of Zenker’s diverticulum: Endoscopic Diverticulotomy

“…In a group of patients that had not undergone surgery, we observed fever in 53.1%, as a sign of mediastinal irritation; 1.6% developed mediastinitis (2,3).…”