Zenker's Diverticulum Clinical Gastroenterology and Hepatology

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Zenker's Diverticulum Clinical Gastroenterology and Hepatology Ryan Law, David A. Katzka, Todd H. Baron Clinical Gastroenterology and Hepatology Volume 12, Issue 11, Pages 1773-1782 (November 2014) DOI: 10.1016/j.cgh.2013.09.016 Copyright © 2014 AGA Institute Terms and Conditions

Figure 1 Illustration of ZD as a herniation through Killian triangle. Clinical Gastroenterology and Hepatology 2014 12, 1773-1782DOI: (10.1016/j.cgh.2013.09.016) Copyright © 2014 AGA Institute Terms and Conditions

Figure 2 Radiographic images of ZD. (A) Frontal view; (B) lateral view. Clinical Gastroenterology and Hepatology 2014 12, 1773-1782DOI: (10.1016/j.cgh.2013.09.016) Copyright © 2014 AGA Institute Terms and Conditions

Figure 3 Illustration of endoscopic approach to endoscopic Zenker's therapy. (A) ZD from a proximal lumenal perspective. The esophageal lumen is seen above and the diverticulum below. (B) After therapy, the septum has been severed creating a common cavity between the esophagus and diverticulum. (C) Lateral view of neck before treatment corresponding to panel A. (D) Lateral view of neck before treatment corresponding to panel B. Clinical Gastroenterology and Hepatology 2014 12, 1773-1782DOI: (10.1016/j.cgh.2013.09.016) Copyright © 2014 AGA Institute Terms and Conditions

Figure 4 Illustration of rigid endoscopic approach for Zenker's therapy. The patient's neck is hyperextended. A rigid diverticuloscope is inserted into the esophagus and Zenker's pouch to expose the septum. Clinical Gastroenterology and Hepatology 2014 12, 1773-1782DOI: (10.1016/j.cgh.2013.09.016) Copyright © 2014 AGA Institute Terms and Conditions

Figure 5 Flexible endoscopic cricopharyngeal myotomy for ZD therapy. (A) Endoscopic view with short, clear cap attached to endoscope tip. Nasogastric tube is in place, and hook knife sheath is seen. (B) Midpoint of the cricopharyngeal myotomy procedure. (C) Completion myotomy. Clinical Gastroenterology and Hepatology 2014 12, 1773-1782DOI: (10.1016/j.cgh.2013.09.016) Copyright © 2014 AGA Institute Terms and Conditions