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BackTable / ENT / Podcast / Episode #117

Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum

with Dr. Shumon Dhar

In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches to managing Zenker's diverticulum, including flexible scope techniques.

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Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum with Dr. Shumon Dhar on the BackTable ENT Podcast)
Ep 117 Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum with Dr. Shumon Dhar
00:00 / 01:04

BackTable, LLC (Producer). (2023, June 27). Ep. 117 – Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Shumon Dhar discusses Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum on the BackTable 117 Podcast

Dr. Shumon Dhar

Dr. Shumon Dhar is a practicing laryngologist and an assistant professor in the Department of Otolaryngology - Head and Neck Surgery at UT Southwestern Medical Center.

Dr. Ashley Agan discusses Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum on the BackTable 117 Podcast

Dr. Ashley Agan

Dr. Ashley Agan is a practicing ENT and assistant professor at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, the doctors summarize flexible endoscopy techniques and hybrid techniques for treating patients with Zenker's diverticulum. They discuss the ideal candidates and how endoscopic Zenker's surgery has changed to achieve better results and lower rates of postoperative complications. Specifically, they discuss the importance of removing the muscular and mucosal septum of the Zenker's pouch to reduce the risk of postoperative complications.

Additionally, they examine the importance of creating a watertight mucosal seal, the use of distal attachment caps, and the importance of getting a good visualization of the septum for a successful surgery. They also discuss the role of intubation and general anesthesia and cover the use of gastrostomy tubes for patients with dysphagia. Next, Dr. Dhar explains the types of advanced energy devices used when performing the myotomy for the treatment of Zenker's diverticulum. He also goes into depth about the learning curve associated with this procedure and discuss the rate limiting factors when considering the wide-spread use of this technique. The doctors then comment on the differences between a Z-POEM, rigid, and flexible endoscopic surgical techniques. Ultimately, Dr. Dhar believes that having a variety of tools at one's disposal to be able to offer patients the best option for their needs is the key to successful treatment.

Finally, they discuss the importance of post-operative care for patients with Zenker's diverticulum. They explore the use of clips, the avoidance of positive pressure, the use of NG tubes, and an ideal post-operative diet.

Resources

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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