How is diverticulopexy with CP myotomy performed for the 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

Using this technique, the diverticulum is inverted and sutured to the prevertebral fascia, and the CP muscle is divided. The pouch is not excised in this procedure. Older patients with very large Zenker diverticula (>6 cm) who cannot tolerate a diverticulectomy are the best candidates for diverticulopexy with CP myotomy because there is no division of the esophagus, pharynx, or diverticulum, and there is no suture line. [35]


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