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Zenker's diverticulum

Guidelines

Key sources

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).
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Diagnostic investigations

Barium esophagram: as per ESGE 2020 guidelines, obtain barium swallow radiography with videofluoroscopy for the evaluation of ZD.
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  • Esophageal manometry

Perioperative care

Perioperative antibiotic prophylaxis: as per ESGE 2020 guidelines, do not administer routine prophylactic antibiotics before or after endoscopic septotomy for ZD.
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Surgical interventions

Endoscopic surgery: as per ESGE 2020 guidelines, 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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Follow-up and surveillance

Management of recurrent disease: as per ESGE 2020 guidelines, consider performing flexible endoscopic treatment for the management of patients with recurrent ZD.
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