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Zenker's diverticulum

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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).
1

Guidelines

1.Diagnostic investigations

Barium esophagram: obtain barium swallow radiography with videofluoroscopy for the evaluation of patients with (suspected) ZD.
B
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  • Esophageal manometry

2.Perioperative care

Perioperative antibiotic prophylaxis: do not administer routine prophylactic antibiotics before or after endoscopic septotomy for ZD.
D

3.Surgical interventions

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.
C