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The following summarized guidelines for the evaluation and management of zenker's diverticulum are prepared by our editorial team based on guidelines from the European Society of Gastrointestinal Endoscopy (ESGE 2020).
Barium esophagram: obtain barium swallow radiography with videofluoroscopy for the evaluation of patients with (suspected) ZD.
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Perioperative antibiotic prophylaxis: do not administer routine prophylactic antibiotics before or after endoscopic septotomy for ZD.
Endoscopic surgery: consider performing flexible endoscopic treatment over open surgical treatment as first-line therapy in patients with a symptomatic ZD of any size.
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4.Follow-up and surveillance
Management of recurrent disease: consider performing flexible endoscopic treatment for the management of patients with recurrent ZD.