ArticleEsophagus : official journal of the Japan Esophageal Society2021
Peroral endoscopic myotomy as treatment for Zenker's diverticulum (Z-POEM): a multi-center international study.
Article in Esophagus : official journal of the Japan Esophageal Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Esophageal and Oropharyngeal Dysphagia: Clinical Recommendations From the United European Gastroenterology and European Society for Neurogastroenterology and Motility.United European gastroenterology journal · 2025Guideline
- The role of peroral endoscopic myotomy for Zenker's diverticulum: a systematic review and meta-analysis.Surgical endoscopy · 2022Pooled it
- Diverticular per oral endoscopic myotomy (DPOEM) for esophageal diverticular disease: a systematic review and meta-analysis.Esophagus : official journal of the Japan Esophageal Society · 2021Pooled it
- Unintentional Weight Loss Does Not Predict Poor Outcomes in Zenker Diverticulum.The Laryngoscope · 2026Observational
- POEM for Zenker's diverticulum (Z-POEM): Technical advances, challenges and complications - a narrative review.Clinics (Sao Paulo, Brazil) · 2026Review
- Peroral endoscopic tunneling stricturotomy for diverticulum treatment: novel procedure for pediatric esophageal anastomotic diverticula.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2026Article
- Dysphagia Outcomes in Zenker Diverticulum: A Longitudinal POuCH Study.The Laryngoscope · 2026Article
- Myectomy for Giant Zenker's Diverticulum.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025Article
- Postoperative Fluoroscopic Appearance After Flexible Endoscopic Zenker's Diverticulotomy.The Laryngoscope · 2025Article
- Long-term outcomes of Zenker's peroral endoscopic myotomy: endoscopic suturing is effective for large Zenker's diverticula.Surgical endoscopy · 2025Article
- Transoral septotomy versus Z-POEM in the treatment of Zenker diverticulum: a multicenter case-matched comparative study.Surgical endoscopy · 2025Article
- A new treatment for blown-out myotomy, a diverticulum formed after peroral endoscopic myotomy.Endoscopy · 2024Article
- The Endoscopic Management of Zenker's Diverticulum: A Comprehensive Review.Diagnostics (Basel, Switzerland) · 2024Review
- Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker's Diverticulum: A Single-Center Experience.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Article
- Comparison of Zenker's per-oral endoscopic myotomy (Z-POEM) with standard flexible endoscopic septotomy for Zenker's diverticulum: a prospective study with 2-year follow-up.Surgical endoscopy · 2023Article
- Tunneling-free peroral endoscopic septotomy for Zenker diverticulum.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023Article
- Evaluation of Esophageal Dysphagia in Elderly Patients.Current gastroenterology reports · 2023Review
- Long-term outcomes of Zenker's peroral endoscopic myotomy (Z-POEM) for treatment of Zenker's diverticulum.Endoscopy international open · 2023Article
- Novel non-injection non-tunnel technique for peroral endoscopic myotomy of Zenker's diverticulum.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023Article
- Novel technique of flexible endoscopic therapy of Zenker's diverticulum using a pulsed Holmium laser-a retrospective single-center analysis.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
19 authors at 11 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeroral endoscopic myotomy for the treatment of Zenker's diverticulum (Z-POEM) is a novel technique that has been described in several recent reports. This method utilizes the third space (submucosal layer) to create a tunnel to facilitate complete visualization of the septum and hence cutting it entirely. Conventional endoscopic septotomy carries the risk of recurrence due to incomplete visualization of the septum. While surgical correction is a risky and lengthy procedure in old comorbid patients with Zenker's diverticulum. The aim of this study is to assess the efficacy and safety of Z-POEM.
methodsThe study enrolled 24 patients diagnosed with Zenker's diverticulum (ZD) who underwent Z-POEM at seven independent endoscopy centers in five different countries.
resultsMean patient age ± standard deviation (SD) was 74.3 ± 11 years. Most of the patients were males (n = 20, 83.3%); four (16.7%) were females. More than 50% of the patients (n = 14, 58.3%) had associated comorbidities. The mean size of the diverticula was 4 cm (range 2-7 cm). The Kothari-Haber Score was used to assess clinical symptoms; values ranged from 6 to 14 (median = 9). We achieved 100% technical success with a median procedure time of 61 min and no adverse events. Median hospital stay was 1 day (range 1-5 days). There is a significant reduction in the Kothari-Haber Score after Z-POEM (P < 0.0001). Technical success was achieved in 100% of the patients. Clinical success was achieved in 23/24 (95.8%) of the patients with a median follow-up of 10 months (range 6-24 months).
conclusionZ-POEM is a safe and effective modality for managing ZD.
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