What are the indications for medical treatment of Zenker diverticulum?

Updated: Jan 23, 2018
  • Author: Joel A Ernster, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Nonoperative management may be undertaken in patients with diverticula of under 1 cm (the surgeon may elect to follow these patients so that they can be assessed for the development of symptoms or enlargement of the diverticulum) or in patients with medical comorbidities precluding surgery. [19]

As with CP achalasia, botulinum toxin may be used to provide temporary relief of dysphagia symptoms. Symptomatic patients who are poor surgical risks and have small Zenker diverticula may be treated satisfactorily by this method.


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