Evidence map›Paper›PMID 42368652›Full record

ArticleJournal of surgical case reports2026

Open transcervical diverticulectomy for recurrent Zenker's diverticulum after Z-POEM: a case report.

Ahmed Rayyan, Murad Isaak Alshamisti, Nouraldeen Deeb, Issa Abu Iram, Bashar Douden, Ahmad Almasalmah, Samer Amayre, Anas Alasafrah

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmed RayyanFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Murad Isaak AlshamistiFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Nouraldeen DeebFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.ORCID https://orcid.org/0009-0008-0515-5112
Issa Abu IramFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Bashar DoudenFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Ahmad AlmasalmahFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Samer AmayreFaculty of Medicine, Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate, Palestine.
Anas AlasafrahThoracic Surgery Department, Al-Ahli Hospital, PO Box 224, Postal Code 22500, Ras Al-Joura District, Hebron, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Zenker's diverticulum is increasingly treated with endoscopic techniques, including peroral endoscopic myotomy (Z-POEM), but persistent or recurrent symptoms may still occur. We report a 77-year-old woman with longstanding dysphagia, regurgitation of undigested food, cough, and aspiration events despite prior endoscopic septotomy/Z-POEM. Repeat evaluation with barium swallow, computed tomography, and endoscopy confirmed a persistent large Zenker's diverticulum with retained contents. Given severe symptoms, aspiration risk, prior endoscopic failure, and altered cervical anatomy after previous thyroid surgery, she underwent open left transcervical diverticulectomy with cricopharyngeal myotomy. Recovery was uneventful apart from transient hoarseness, and follow-up showed marked improvement in swallowing and resolution of regurgitation and aspiration. This case highlights the importance of repeat imaging in symptomatic patients after Z-POEM and supports open transcervical repair as an effective salvage option in selected cases.

Indexed as

case reportcricopharyngeal myotomyopen transcervical diverticulectomyrecurrent diverticulumZenker’s diverticulumZ-POEM

Identifiers

PMID42368652
PMCPMC13308950

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.