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<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="https://www.w3.org/1998/Math/MathML" xmlns:xlink="https://www.w3.org/1999/xlink" xmlns:xsi="https://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
      <?Pub Caret -1?>
      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">275</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/275</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2022</year>
      </pub-date>
      <volume>2022</volume>
      <issue>03</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
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            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/275/zenker's-diverticulum:-endoscopic-staple-assisted-diverticulotomy">Content is available at https://jomi.com/article/275/zenker's-diverticulum:-endoscopic-staple-assisted-diverticulotomy</self-uri>
      <abstract>
        <p>Zenker's diverticulum (ZD) results from a posterior mucosal herniation through Killian’s triangle, an area situated above the cricopharyngeus (CP) muscle and below the inferior pharyngeal constrictor muscle. ZD is likely caused by incomplete relaxation of the upper esophageal sphincter as well as increased intraluminal pressure. ZD can be asymptomatic, and the most common symptom associated with symptomatic ZD is dysphagia. The definitive treatment for symptomatic Zenker’s diverticulum is a surgical correction, either by an open transcervical or an endoscopic approach. The open surgical approach involves a transcervical incision usually involving concurrent cricopharyngeal (CP) myotomy, whereas the endoscopic utilizes an endoscope to visualize and divide the diverticulum from the inside. Endoscopic approaches have gained widespread acceptance due to shorter hospital stays, lower rates of complications, ease of access in case of recurrence, and shorter operation times. Thus, endoscopic access is often considered the first-line choice for the treatment of ZD. We present a case of a patient with a symptomatic ZD that is treated with an endoscopic staple-assisted diverticulotomy. The clinical presentation, diagnostic criteria, surgical procedure, and postoperative care are highlighted.
</p>
      </abstract>
      <kwd-group>
        <kwd>ENT,</kwd>
        <kwd>Zenker's</kwd>
        <kwd>diverticulectomy,</kwd>
        <kwd>Duke</kwd>
        <kwd>Endoscopy</kwd>
        <kwd>Basic</kwd>
        <kwd>Rare Indication</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>