Year 2016 / Volume 108 / Number 6
Editorial
Flexible endoscopic cricopharyngeal myotomy — The gold standard for the management of Zenker's diverticulum

295-296

DOI: 10.17235/reed.2016.4464/2016

Diego Juzgado Lucas,

Abstract
The prevalence of Zenker's diverticulum (ZD) is difficult to estimate. If we focus on some published data, it may be as low as 2 new cases per 100,000 inhabitants per year in the United Kingdom, which is in contrast the with feeling in some endoscopy units, that this condition's prevalence is increasing year after year. Prevalence likely remains the same as ever, but the addition of factors such as population ageing, optimal diagnostic care, availability of effective endoscopic management, increased awareness, and cumulative experience in some endoscopy teams, may well have increasingly brought this condition to our attention in our daily practice. This is reflected by an unbelievable 18 ZDs over the last 18 months, as discussed in the manuscript by Dr. de la Morena, reported in this issue of The Spanish Journal of Digestive Diseases (Revista Española de Enfermedades Digestivas.
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References
1. Siddiq MA, Sood S, Strachan D. Pharyngeal pouch (Zenker's diverticulum). Postgrad Med J 2001; 77:506.
2. Evrard S, Le Moine O, Hassid S, Devière J. Zenker's diverticulum: a new endoscopic treatment with a soft diverticuloscope. Gastrointest Endosc. 2003 Jul;58(1):116-20.
3. Costamagna G, Iacopini F, Tringali A, Marchese M, Spada C, Familiari P, Mutignani M, Bella A. Flexible endoscopic Zenker's diverticulotomy: cap-assisted technique vs. diverticuloscope-assisted technique. Endoscopy. 2007 Feb;39(2):146-52.
4. Brueckner J, Schneider A, Messmann H, Gölder SK. Long-term symptomatic control of Zenker diverticulum by flexible endoscopic mucomyotomy with the hook knife and predisposing factors for clinical recurrence. Scand J Gastroenterol. 2016 Jun;51(6):666-71. doi: 10.3109/00365521.2015.1130165. Epub 2016 Jan 25.
5. Huberty V, El Bacha S, Blero D, Le Moine O, Hassid S, Devière J. Endoscopic treatment for Zenker's diverticulum: long-term results. Gastrointest Endosc. 2013 May;77(5):701-7. doi: 10.1016/j.gie.2012.12.008. Epub 2013 Feb 5.
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Juzgado Lucas D. Flexible endoscopic cricopharyngeal myotomy — The gold standard for the management of Zenker's diverticulum. 4464/2016


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Publication history

Received: 23/05/2016

Accepted: 23/05/2016

Online First: 10/06/2016

Published: 03/06/2016

Article Online First time: 18 days

Article editing time: 11 days


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