Materiały źródłowe

• #1 Zenker Diverticulum – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499996/

  Zenker diverticulum develops in the hypopharynx, typically between the cricopharyngeus muscle and the inferior pharyngeal constrictor muscle at the level of cervical vertebrae 5 and 6. […] This activity reviews the evaluation and management of Zenker diverticulum and highlights the role of the interprofessional team in the recognition and management of this condition. […] Employ collaborative interprofessional team strategies to improve detection of Zenker diverticulum and improve care for affected patients. […] The development of this diverticulum leads to retention of food particles which leads to complaints of regurgitation, halitosis, aspiration, and difficulty swallowing. […] Patients with Zenker diverticulum will typically present with a long history of dysphagia followed by a sensation of food stuck in the throat.

• #2 Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy | Journal of Medical Insight

  https://jomi.com/article/275/zenker’s-diverticulum:-endoscopic-staple-assisted-diverticulotomy

  Zenker’s diverticulum (ZD) results from a posterior mucosal herniation through Killians triangle, an area situated above the cricopharyngeus (CP) muscle and below the inferior pharyngeal constrictor muscle. ZD can be asymptomatic, and the most common symptom associated with symptomatic ZD is dysphagia. The definitive treatment for symptomatic Zenkers diverticulum is a surgical correction, either by an open transcervical or an endoscopic approach. 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. […] For patients who develop symptoms, the most common presenting symptom of ZD is dysphagia. Other associated symptoms can include retrosternal pressure sensation, halitosis, and regurgitation of undigested food.

• #3 Zenker’s Diverticulum – Century ENT

  https://centuryent.net/zenkers-diverticulum/

  Zenker’s diverticulum, also known as a pharyngeal pouch, is a rare condition that involves the formation of a pouch or sac in the wall of the back part of the throat. This condition typically occurs in older adults, usually over the age of 60, and it is more common in men than in women. […] The cause of this is believed to be increased pressure in the throat during swallowing, which can lead to the weakening of the wall and the formation of a pouch. It may also be associated with conditions like achalasia (a disorder of the esophagus) or other motility disorders. […] Patients with Zenker’s diverticulum may present with a range of symptoms, including: Difficulty swallowing (dysphagia), Regurgitation of undigested food or foul-smelling material, Coughing or choking episodes during meals, Bad breath (halitosis), Weight loss due to eating difficulties, Recurrent episodes of aspiration pneumonia.

• #4 Zenker’s Diverticulum ENT Treatment in Utah – ENT Center of Utah

  https://entcenterutah.com/adult-care/swallowing-voice/zenkers/

  Swallowing difficulties can occur at any age, but are most common among the elderly population due to the aging process and a natural weakening of the muscles of the esophagus which must propel the food toward the stomach. One cause of dysphagia in older patients is a Zenkers diverticulum. […] A Zenkers diverticulum is a pouch that forms at the end of the throat and the beginning of the esophagus (the swallowing tube). Over a lifetime of swallowing, when there is excessive pressure within the lower portion of the pharynx (the back wall of the throat), the weakest portion of the pharyngeal wall balloons out. Over time, a diverticulum forms which can gradually increase in size and become several centimeters in diameter. Thus, this is a condition almost always seen in the elderly (patients over 60).

• #5 Zenker’s Diverticulum: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/zenkers-diverticulum

  In Zenkers diverticulum, you have a pouch in the back of your throat. The pouch makes it hard for you to swallow food. […] Healthcare providers treat Zenkers diverticulum with surgery. […] If Zenkers diverticulum causes serious complications like malnutrition or aspiration pneumonia, or it causes other bothersome symptoms, your healthcare provider may recommend surgery. […] Zenkers diverticulum surgery involves removing, moving or altering the pouch in your throat so it doesnt trap food. […] Most people recover within a few days to a couple of weeks. […] Your surgeon will explain what you can expect, but the recovery process typically includes: Staying in the hospital for at least a day, up to several days. […] Zenkers diverticulum can make it hard for you to swallow food. […] You can have Zenkers diverticulum for a long time before you notice symptoms. […] Fortunately, healthcare providers can do surgery to remove, alter or move the pouch so it stops trapping food.

• #6 Zenker’s Diverticulum – Century ENT

  https://centuryent.net/zenkers-diverticulum/

  Zenker’s diverticulum, also known as a pharyngeal pouch, is a rare condition that involves the formation of a pouch or sac in the wall of the back part of the throat. This condition typically occurs in older adults, usually over the age of 60, and it is more common in men than in women. […] The cause of this is believed to be increased pressure in the throat during swallowing, which can lead to the weakening of the wall and the formation of a pouch. It may also be associated with conditions like achalasia (a disorder of the esophagus) or other motility disorders. […] Patients with Zenker’s diverticulum may present with a range of symptoms, including: Difficulty swallowing (dysphagia), Regurgitation of undigested food or foul-smelling material, Coughing or choking episodes during meals, Bad breath (halitosis), Weight loss due to eating difficulties, Recurrent episodes of aspiration pneumonia.

• #7 Zenker’s Diverticulum ENT Treatment in Utah – ENT Center of Utah

  https://entcenterutah.com/adult-care/swallowing-voice/zenkers/

  The most common symptoms of a Zenkers diverticulum are difficulty swallowing food, choking, collection of mucus in the throat, hoarseness and/or bad breath, all of which can be distressing. When the Zenkers diverticulum is small, most patients usually experience no symptoms, but as it increases in size, over time, the symptoms listed above begin to develop. Food may be regurgitated back into the throat or mouth in a relatively undigested form, several minutes to hours after eating. […] Surgical intervention is the only treatment available that will effectively cure patients with a Zenkers diverticulum, permanently relieving symptoms and improving the quality of life. There are no medications available that will treat the condition and if left untreated, patients with a Zenkers diverticulum will continue to have difficulty swallowing, with possible associated risks of weight loss, malnutrition, and pneumonia caused by food entering the lungs from the pouch. Although uncommon, these can be life threatening.

• #8 Zenker’s Diverticulum | Atrium Health Wake Forest Baptist

  https://www.wakehealth.edu/condition/z/zenkers-diverticulum

  A Zenkers diverticulum (ZD) is a pouch in the upper part of the esophagus (swallowing tube) that develops slowly over time. […] Patients with a ZD often present with difficulty swallowing and with regurgitation of foods and liquids. […] In severe cases of ZD, patients can develop weight loss, aspiration pneumonia and require hospitalization. […] Treatment for a ZD is surgical.

• #9 Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy | Journal of Medical Insight

  https://jomi.com/article/275/zenker’s-diverticulum:-endoscopic-staple-assisted-diverticulotomy

  Zenker’s diverticulum (ZD) results from a posterior mucosal herniation through Killians triangle, an area situated above the cricopharyngeus (CP) muscle and below the inferior pharyngeal constrictor muscle. ZD can be asymptomatic, and the most common symptom associated with symptomatic ZD is dysphagia. The definitive treatment for symptomatic Zenkers diverticulum is a surgical correction, either by an open transcervical or an endoscopic approach. 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. […] For patients who develop symptoms, the most common presenting symptom of ZD is dysphagia. Other associated symptoms can include retrosternal pressure sensation, halitosis, and regurgitation of undigested food.

• #10 Zenker’s Diverticulum – ENT Health

  https://www.enthealth.org/conditions/zenkers-diverticulum/

  A Zenkers diverticulum (ZD) is a rare condition where an outpouching occurs where your throat meets your esophagus, the swallowing pipe that leads into your stomach. […] If you have any of the symptoms mentioned here, you should be examined by an ENT (ear, nose, and throat) specialist, or otolaryngologist. Your ENT specialist may diagnose your condition using a barium swallow study. […] There are no current medications to treat ZD, so the usual treatment is surgery unless your ZD is small and doesnt cause too much difficulty or discomfort. […] Most patients stay in the hospital for a few days after surgery to recover from this procedure. […] You should call your ENT specialist if you experience any of these post-surgical symptoms: If you have a hard time breathing (go to ER or call 911). […] What can I eat following surgery? […] Will a ZD reoccur after it has been removed?

• #11 Zenker’s Diverticulum – Century ENT

  https://centuryent.net/zenkers-diverticulum/

  Our experienced physicians utilize a combination of diagnostic techniques to accurately identify Zenker’s diverticulum, including: Barium Swallow, This procedure involves the ingestion of a contrast material, followed by X-rays to visualize the diverticulum. Endoscopy, Utilizing a thin, flexible tube equipped with a camera (endoscope), we can directly examine the diverticulum and surrounding tissues through the mouth. […] At Century ENT, treatment for Zenker’s diverticulum is tailored to the unique needs of each patient, considering factors such as diverticulum size, severity, and overall health. Common treatment options encompass: Surgery: Surgical removal of the diverticulum is often recommended, especially for larger diverticula or when symptoms are severe. This procedure can be performed endoscopically through the mouth or via a neck incision. Lifestyle Adjustments: For milder cases, lifestyle modifications like eating slowly, thoroughly chewing food, and avoiding specific foods that may exacerbate symptoms can be effective in managing the condition. Gastrostomy Tube: In select cases, alternative methods of nutrition, such as a gastrostomy tube, may be advised.

• #12 Zenker Diverticulum – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499996/

  The symptoms may be present for months or years. […] Barium swallow with videofluoroscopy provides information regarding its size, location, and character of the mucosal lining, and diagnoses the condition. […] Upper endoscopy, which includes both flexible and rigid assessment, are also used and typically essential in the surgical evaluation. […] Only symptomatic lesions need treatment; lesions less than 2 centimeters rarely require any treatment. […] However, since Zenker diverticula occur in the elderly population, great care is required in selecting patients for surgery. […] During surgery, it is vital to divide the cricopharyngeus muscle to relieve the elevated pressure zone and eliminate the pouch of the diverticulum. […] A speech consult should be obtained to determine the risk of aspiration and a dietary consult to determine what type of foods are safe.

• #13 Zenker’s Diverticulum – CENTA Medical Group

  https://www.centamedical.com/ent/throat/zenkers-diverticulum/

  A diverticulum is a sac or pocket that forms on a portion of the body. A Zenker’s diverticulum is a pouch that develops on the pharynx, in the upper esophagus of the neck. It may trap food, causing difficulty or pain when swallowing. Other side effects include bad breath, regurgitation, coughing, unexplained weight loss, irritation of the throat and aspiration (the passage of food or liquid into the lungs). Zenker’s diverticulum is the most common type of esophageal diverticulum. […] Treatment depends on the size of the pouch. Smaller diverticula can often be ignored, so long as they do not cause swallowing problems (dysphagia). Unfortunately, over time swallowing difficulty is likely to increase, leading to the eventual need for treatment. […] Surgery is the usual treatment method, as no medications currently exist for Zenker’s diverticulum. There are two main types of surgical repair: open and transoral (endoscopic). In open surgery, an incision is made in the neck and the diverticulum is either removed or tacked upside down so it is unable to fill and cause problems. The patient is usually required to stay in the hospital for a day or two. In the transoral or endoscopic procedure, a GI stapler is inserted through the mouth using a bivalve (two-blade) endoscope, and the muscle between the pouch and esophagus is cut. No incision is needed, and patients can usually go home the same day.

• #14 1-Minute Consult: Are There Alternatives to Surgery for Zenker Diverticulum?

  https://consultqd.clevelandclinic.org/1-minute-consult-alternatives-surgery-zenker-diverticulum

  Conventional treatment for a large symptomatic Zenker diverticulum is to surgically either remove it (diverticulectomy) or obliterate it by repositioning and securing it after cutting into the cricopharyngeus muscle (diverticulopexy with cricopharyngeal myotomy). […] A watch-and-wait approach should be used for patients with mild symptoms (ie, mild or intermittent dysphagia) and minor functional limitations. Patients should be counseled to eat small amounts of food at a time, to chew thoroughly, and to sip liquids between bites. […] Patients with more than mild symptoms who are candidates for intervention should be offered treatment. The goal is to open the septum between the diverticulum and the main esophageal lumen so that food can be propelled from the hypopharynx to the main esophageal lumen without obstruction. […] For a large diverticulum, we recommend an open cervical procedure involving excision of the diverticulum or a diverticulopexy for patients who are good surgical candidates.

• #15 Zenker’s diverticulum – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/zenkers-diverticulum/diagnosis-treatment/drc-20568846

  To treat Zenker’s diverticulum, surgery or other procedures may be needed. Eating softer foods in smaller bites might help with swallowing if you have mild symptoms of Zenker’s diverticulum. Your healthcare professional might suggest a dietician to help you learn what to eat. […] Repairing the esophagus with a procedure or surgery is the most common treatment for Zenker’s diverticulum that’s causing symptoms. Often, ear, nose and throat conditions (ENT) specialists do the procedure or surgery. They often do the procedure through a tube called an endoscope that goes into the mouth to the esophagus. This is less invasive than open surgery. […] If you have trouble swallowing, try eating softer foods and taking smaller bites.

• #16 Zenker’s Diverticulum | CommonSpirit Health

  https://www.commonspirit.org/conditions-treatments/zenkers-diverticulum

  A larger diverticulum is usually treated with surgery. […] After surgery you may need to stay in the hospital overnight or longer. […] If endoscopic treatment is used, you may be able to go home sooner. […] After you heal, you may need a follow-up barium swallow test. […] There are things you can do that might help with symptoms. For example, try taking smaller bites of food, and sip liquid between bites. Choose softer foods. Sit up after eating. Go to any follow-up appointments or speech therapy visits for help with swallowing.

• #17 Zenker’s Diverticulum | UCI Health | Orange County, CA

  https://www.ucihealth.org/medical-services/conditions/zenkers-diverticulum

  A Zenkers diverticulum is a pouch that develops in the back of the throat. This pouch grows as muscles below it overtighten, eventually making swallowing difficult. […] When untreated, Zenker’s diverticulum can affect your quality of life and even be dangerous. […] For these reasons, even a small Zenker’s diverticulum should be treated. […] Treatment requires cutting the overactive cricopharyngeus muscle, which is located at the bottom of the Zenker’s diverticulum. […] After this muscle is cut, food easily enters the esophagus and no longer gets stuck within the diverticulum. […] Surgery can be performed in two ways: One approach is to use a laser or stapler and cut the muscle through the mouth. This is ideal for patients who have small diverticulum. […] For larger pouches, a small cut on the neck is made. The muscle is then cut and the pouch is removed.

• #18 Zenker’s Diverticulum | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/zenkers-diverticulum

  Patients with preserved pharyngeal strength and swallow reflexes are excellent candidates for surgical correction. Since the main reason the diverticulum forms is failure of relaxation of the CP muscle, surgeons have found that surgical intervention is most effective when it targets cutting the CP muscle. Historically surgeons attempted to suspend the diverticulum or cut it out, but did not address the CP muscle. These procedures led to a high rate of recurrent symptoms. Subsequently surgeons began cutting the CP muscle.

• #19 Esophageal Diverticula Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/174402-treatment

  Treatment of Zenker diverticulum traditionally has been surgical, along with endoscopically assisted techniques, although the specific operation used still is controversial. Surgical options include diverticulectomy with cricopharyngeal myotomy, diverticular suspension (diverticulopexy) with cricopharyngeal myotomy, and cricopharyngeal myotomy alone. […] Diverticulectomy usually is not performed by itself, because it does not correct the defect in cricopharyngeal function that usually contributes to the formation of a Zenker diverticulum. […] Good results have been obtained by performing a diverticulotomy using a flexible endoscope and needle-knife papillotome to cut the common wall between the diverticulum and the oropharynx as well as the cricopharyngeus while the patient is consciously sedated.

• #20 Zenker's Diverticulum – Diagnosis & Treatment

  https://www.upmc.com/services/esophageal-lung-surgery-institute/conditions/benign-esophageal-diseases/zenkers-diverticulum

  Zenkers diverticulum is a pouch that forms at the back of the throat where the voice box (pharynx) and esophagus meet. The protruding pouch causes swallowing issues. […] The primary symptom is difficulty in swallowing food; sometimes food comes back up several minutes or hours after eating. […] UPMC thoracic surgeons perform both traditional and minimally invasive surgery for treating Zenkers diverticulum. […] Compared to traditional open surgery, advantages to minimally invasive surgery for Zenkers diverticulum include: Shortened hospital stay, Quicker recovery time, Earlier return to swallowing and eating normally.

• #21 1.44: Surgery for Pharyngeal Pouch / Zenker’s Diverticulum – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Atlas_of_Otolaryngology_Head_and_Neck_Operative_Surgery/01%3A_Head_and_Neck/1.44%3A_Surgery_for_Pharyngeal_Pouch___Zenker’s_Diverticulum

  This chapter provides an overview of management of Zenkers divertula (ZD), including detailed surgical technique, with an emphasis on effective therapy and management. […] Although there is a role for open surgery, management has evolved to effective, safe endoscopic techniques with proven low morbidity. […] Most authors currently advocate endoscopic surgery as the preferred treatment, and many studies have reported endoscopic techniques to be both safe and effective. […] As with any surgery, the risks and benefits of surgery must be carefully weighed, particularly because ZD patients are generally elderly and often infirm. […] Observe patients overnight (regardless of surgical technique) […] Monitor for signs and symptoms that signal mediastinitis, as early intervention to treat this rare but potentially fatal complication is mandatory; radiating back or chest pain, fever, and tachycardia despite adequate pain control should raise suspicion of mediastinitis

• #22 Zenker’s Diverticulum – Head & Neck Surgery | UCLA Health

  https://www.uclahealth.org/medical-services/head-neck-surgery/conditions-treated/zenkers-diverticulum

  Zenker’s Diverticulum is an esophageal pouch that develops in the upper esophagus that causes debilitating dysphagia (difficulty swallowing) and regurgitation of food. […] Contemporary treatment of Zenker’s diverticulum involves an „endoscopic approach” and division of the common party wall between the esophagus and diverticulum. […] The success of the endoscopic approach is highly dependent on the experience of the surgeon. […] Endoscopic surgery generally leads to a shorter hospital stay and an earlier time to resuming food by mouth. […] The goal is to divide the party wall and perform a diverticulotomy; Zenker’s sac persists (NOT resected) but food is now able to drain into the esophagus without collecting in the pouch. […] The UCLA Swallowing Disorders Center is at the forefront of diagnosis and surgical treatment of Zenker’s Diverticulum.

• #23 Zenker’s Diverticulum – Coastal Ear Nose & Throat

  https://coastalearnoseandthroat.com/services/voice-and-swallowing/zenkers-diverticulum/

  Zenkers Diverticulum is a disorder characterized by the formation of pouches on the esophagus, most typically in older people. The pouches vary in size, but can cause swallowing problems, irritation, regurgitation and bad breath due to food trapped within the pouches. Traditional surgical treatment for Zenkers Diverticulum requires an incision in the neck to access the esophagus, resulting in a hospital stay and an inability to eat solid foods until the healing is complete. […] Now, however, minimally invasive endoscopic procedures make treatment of Zenkers Diverticulum much easier. Performed on an outpatient basis, no incision is necessary and patients may resume eating food the very next day.

• #24 Zenker’s diverticulum: causes, symptoms and treatment. Clínica Universidad de Navarra

  https://www.cun.es/en/diseases-treatments/diseases/diverticulum-zenker

  „Zenker’s diverticulum is the most common variety of esophageal diverticulum. It is located at the pharyngoesophageal junction”. […] „It is an infrequent, but not exceptional pathology, and can be very disabling if there is dysphagia and even potentially serious when accompanied by aspiration.” […] „The endoscopic treatment requires a shorter hospital stay than the surgical one (1-2 days), with a quick recovery afterwards, allowing an early oral intake.” […] „Treatment of Zenker’s diverticulum can be surgical, and all symptomatic patients should be considered candidates for surgery, regardless of the size of the diverticulum, even at advanced ages.” […] „There are several surgical techniques, with diverticulectomy (removal of the diverticulum) plus myotomy (section of a muscle performed to access the underlying tissues or to relieve a sphincter constriction) of the cricopharyngeal muscle being the one of choice.”

• #25 Perioperative care of the patient with Zenker’s diverticulum – PubMed

  https://pubmed.ncbi.nlm.nih.gov/11378947/

  There are a variety of surgical approaches to treat the symptomatic patient with a Zenker’s diverticulum. Approaches to treat Zenker’s diverticula include external excision (i.e., diverticulectomy) with or without myotomy; diverticulopexy, an endoscopic approach; or cricopharyngeal myotomy alone. […] This article discusses esophageal diverticula, treatment modalities, and the perioperative care of patients with Zenker’s diverticula. […] Zenker Diverticulum / nursing* Actions.

• #26 Zenker Diverticulum – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK499996/

  After the surgery, the patient should be closely monitored by the nurse for dysphagia and aspiration. […] Only a team approach can lower the morbidity associated with Zenker diverticulum. […] Proper follow-up is imperative to minimizing post-operative complications and infections. […] Patients must be aware of the benefits and risk of Zenker’s diverticulum and the potential usefulness of surgery. […] An interprofessional approach to Zenker diverticulum is necessary as the diagnosis can be delayed because of the vague symptoms.

• #27 Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy | Journal of Medical Insight

  https://jomi.com/article/275/zenker’s-diverticulum:-endoscopic-staple-assisted-diverticulotomy

  The most serious consequence of ZD is the pulmonary aspiration, and patients may present with a history and typical signs of aspiration pneumonia. […] The goal of surgical treatment is to restore the continuity from the hypopharynx to the esophageal lumen without obstruction or retention of swallowed contents. […] Overall, the complications involved in both open and endoscopic approaches to a ZD are similar and include recurrent nerve injury, leak or perforation, cervical infection, hematoma, respiratory infection, stenosis, and mediastinitis. […] Overall, postoperative management includes recommending that patients sleep at an incline of 30 degrees and refrain from any straining or heavy lifting that involves the upper body for two weeks. […] With the endoscopic approach, patients have a Dobhoff tube placed at the time of surgery. A gastrografin swallow study is performed the morning after surgery to assess for potential leak. If the patient passes, then he/she may start a clear liquid diet for 48 hours, followed by a full liquid diet advanced to a soft diet for 12 weeks; however, some patients may benefit shortly from enteral nutrition through a nasogastric tube.

• #28 Zenker’s Diverticulum Surgery Decision Making

  https://www.backtable.com/shows/ent/articles/zenkers-diverticulum-surgical-decision-making

  Zenkers diverticulum surgery is the only treatment. […] Not all patients with Zenkers diverticulum require surgical repair, though those who suffer from difficulty eating or anxiety about choking should strongly consider surgical management. […] In Dr. Howells experience, most patients who undergo Zenkers diverticulum surgery can discharge within 24 hours after tolerating a soft diet. All patients should adhere to a soft diet for two weeks after Zenkers diverticulum surgery. […] When counseling her patients, Dr. Howell emphasizes that their ZD is a quality not quantity of life issue. […] I think when you phrase it in that way, I think patients are a little bit more open too. […] Zenkers diverticulum treatment includes both open and endoscopic surgical approaches. […] While Zenkers diverticulum complications from surgery are uncommon, esophageal leak, seroma, and hematoma are possible. […] Dr. Howell monitors for esophageal leak by palpating for crepitus, and for seroma/hematoma by checking drain outputs. […] I tell all of them, „I am intentionally cutting your esophagus.” […] That is the complication that I’m looking for.

• #29

  https://www.ijsurgery.com/index.php/isj/article/view/1002

  Zenkers diverticulum, which is herniation of pharyngeal mucosa, typically occurs in the elderly population with dysphagia, regurgitation, halitosis, and malnutrition. […] The patient successfully underwent surgery and stayed five days in hospital. After the postoperative third day it was allowed the patients oral feeding. After an uneventful recovery and adequate oral intake, the patient was discharged on the fifth postoperative day.

• #30 1.44: Surgery for Pharyngeal Pouch / Zenker’s Diverticulum – Medicine LibreTexts

  https://med.libretexts.org/Bookshelves/Anatomy_and_Physiology/Atlas_of_Otolaryngology_Head_and_Neck_Operative_Surgery/01%3A_Head_and_Neck/1.44%3A_Surgery_for_Pharyngeal_Pouch___Zenker’s_Diverticulum

  Start a clear liquid diet the morning following surgery […] Discharge the patient if he/she tolerates a clear liquid diet without concerning signs or symptoms […] The patient should remain on liquids and soft foods for several weeks to prevent esophageal rupture being caused by large solid food boluses […] Progress to a regular diet over a few weeks.

• #31 Zenker’s Diverticulectomy Postop/After Care | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/postop-instructions/zenkers-diverticulectomy

  Zenker’s Diverticulum can form just above the cricopharyngeus muscle, which can lead to swallowing difficulties. […] After surgery, if there is an incision in your neck, it will be covered with skin glue and needs to be kept dry for 5 days. […] You will be asked to return to the office the following day for removal of the drain if present. […] Please sleep with your head and upper body elevated to 30 degrees on pillows. […] Once you are discharged, you need to eat a mechanical soft diet. […] Your voice will be hoarse or rough for 2 to 4 days after surgery. […] Most patients find that regular Tylenol is effective to control pain. […] You may be prescribed antibiotics for 7 days depending on how the incisions close. […] Call your surgeon if you have any concerns, fever over 101.5 degrees F, foul smelling discharge from your incision, or trouble breathing. […] These appointments will have been made for 3 months following the surgery.

• #32 Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy | Journal of Medical Insight

  https://jomi.com/article/275/zenker’s-diverticulum:-endoscopic-staple-assisted-diverticulotomy

  It is important to normalize that patients may experience voice changes such as hoarseness for a few days after surgery. Persistent voice changes suggest injury to the recurrent laryngeal nerve, and flexible laryngoscopy should be performed. There are a number of postoperative red flags that patients should look out for such as fever; neck swelling; pain with breathing, swallowing, or speaking; difficulty breathing; and increased severity or frequency of concerning symptoms.

• #33 Zenker’s Diverticulum | Mount Sinai – New York

  https://www.mountsinai.org/locations/grabscheid-voice-swallowing-center/conditions/zenkers-diverticulum

  At The Grabscheid Voice and Swallowing Center, our interdisciplinary team of speech language pathologists and laryngologists are experienced in evaluation and management of patients with Zenker’s diverticulum. During your consultation, you will undergo complete swallow evaluation to determine which types of interventions will best help relieve your symptoms. Our speech language pathologists are adept in performing evaluations of swallowing and helping patients rehabilitate their swallowing without surgery if that is in the patient’s best interest. Our surgeons are also versed in the evaluation of swallowing and are highly experienced in all types of surgery for relief of symptoms in patients with Zenker’s diverticulum. […] Once the Zenker’s diverticulum is identified and it is determined that it is the cause of the swallowing difficulty, then treatment options can be considered. Surgery is the standard of treatment but, for older or infirmed patients, life style and dietary modifications can be considered.

• #34 Endoscopic treatment of Zenker Diverticulum (Pharyngeal Pouch) – The Dudley Group NHS Foundation Trust

  https://www.dgft.nhs.uk/services-and-wards/endoscopic-treatment-of-zenker-diverticulum-pharyngeal-pouch/

  Our nursing team is highly skilled in helping with this novel procedure. Team include Hannah Peverell, Richard Fidoe, Jill Harper, Tracey Young, Kay Boyce, Rom Robbins and is led by Stephanie Jones. […] This treatment has been proved to be effective in over 85 per cent of cases. It is associated with a shorter hospital stay and reduces patients discomfort after the procedure. […] Most patients can go home on the same day but a small number will need to be kept overnight for observation. […] It is very important, if you are on blood thinning medication, to inform the doctor during consultation as we have to monitor, or in many cases temporarily stop, this medication. […] We train and support experts from other centres to learn this technique, and from time to time, we have experienced endoscopists visit us to learn this procedure.

• #35 Learning About Zenker’s Diverticulum | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.learning-about-zenker’s-diverticulum.acc0188

  A larger diverticulum is usually treated with surgery. […] After surgery you may need to stay in the hospital overnight or longer. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

• #36 Managing Your Zenker’s Diverticulum – Symptoms & Treatment | Carle.org

  https://carle.org/conditions/pharyngeal-(kenker-s)-diverticulum

  Surgery is the recommended treatment for people with symptoms. For people without symptoms and with a small diverticulum (less than inch), treatment may be conservative. This means that the health care provider will wait for symptoms to occur before doing surgery. […] Surgery helps dysphagia, cough, and aspiration in almost all people. […] DO call your health care provider if you have problems swallowing, develop a fever, or food gets stuck after swallowing. […] DO call your health care provider if you have shortness of breath. […] DO call your health care provider if you need a referral to a gastroenterologist or surgeon.

• #37 Zenker’s Diverticulum – Century ENT

  https://centuryent.net/zenkers-diverticulum/

  Zenker’s diverticulum is a treatable condition, and our team of specialists at Century ENT is dedicated to providing you with the guidance and care you need. If you or a loved one is confronting this condition, please do not hesitate to reach out to us for expert evaluation and personalized treatment options. Your well-being is our utmost priority, and we are committed to assisting you in overcoming the challenges associated with Zenker’s diverticulum.

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