DEFINITION:
A Zenker's diverticulum is an outpouching of the
cervical esophagus that results from a weakness
in the muscular wall of this portion of the swallowing
tract. With an outpouching in this area, food
preferentially goes into the diverticulum rather
than the esophagus.
TREATMENTS The treatment
of a Zenker's diverticulum involves cutting the
muscle of the upper esophageal sphincter. Elimination
of this sac helps to prevent accumulation of food
in this reservoir and therefore helps to prevent
overflow with choking and malodorous breath. Removal
may be accomplished through a number of different
methods. An endoscopic approach has been developed
that involves the use of a stapling device to
close off the sac. This surgical procedure takes
on average of 15 to 20 minutes to perform. Patients
are able to be discharged from the hospital on
the same day or the day following surgery and
to advance their diet at home. The surgeons in
the Department of Otolaryngology at Mount Sinai
have one of the largest experiences in North America
in the use of the endoscopic stapling approach
to the management of Zenker's Diverticula. This
includes patients with failed prior surgery. The
endoscopic approach is widely accepted as the
method of choice.
BENEFITS
There are dramatic benefits to Minimally Invasive
Surgery. The smaller incision minimizes tissue
damage allowing for a shorter hospital stay and
faster recovery time. Patients also enjoy reduced
post-operative pain and less scarring than open
surgery.
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