Introduction:

Zenker diverticulum is a rare disease in the general population. Zenker’s diverticulum represents 60-65% of all esophageal diverticula. The treatment for pharyngeal diverticula has evolved during the las century, in a parallel way whit our understanding of its physiopathology and the technological advances. There has been proposed 2 different ways of acces: open surgery (upper esophageal sphincter myotomy and diverticulectomy or diverticulopexy) or endoscopic transoral surgery.

Objective:

To report the experience in the management of the Zenker diverticulum at Hospital General Dr. Manuel Gea González.

Material and methods:

Retrospective, descriptive, cross-sectional study in which the files of all patients with diagnosis of Zenker diverticulum, in the Hospital General Dr. Manuel Gea González from 2010 - March 2019, were analyzed.

Results:

We found 13 cases with the diagnosis of Zenker Diverticulum, all of them were treated with endoscopic transoral technique. In 6 of them we performed rigid endoscopic transoral staple technique, and 7 with flexible endoscopy (5 with hook-knife diverticulectomy and 2 with Z-poem technique) There was only one recurrence in staple group. There was one oral lesion in the staple group. There was no immediate or trans surgery complications in the flexible endoscopy group. Its important to notice that one patient was initially treated with the staple technique, but because the patient didn’t reach enough cervical hyperextension and a palate lesion, the surgery had to be suspended. The patient was re-scheduled an we performed successfully Z-poem technique with no complications.

Conclusions:

Flexible endoscopy is safe, feasible technique. It offers many advantages, it can be done under sedation, no need for cervical hyperextension, its an option for treating small size diverticulum, no risk of dental lesions, and short operation times.

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