Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2022; 101(S 02): S189
DOI: 10.1055/s-0042-1746518
Poster
Endoscopy

The use of the BiClamp system in the treatment of a deep Zenker's diverticulum

Authors

  • Kadah Basel Al

    1   Krankenhaus Bethanien Plauen, Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie, Plauen
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    Introduction Zenker's diverticula are the most common upper gastrointestinal diverticulum.

    The aim of this case presentation is to show the treatment options for a deep Zenker's diverticulum using a BiClamp system.

    Case presentation A case is shown here that was treated with the help of the BiClamp system in the ENT clinic of the Bethanien Plauen hospital.

    The patient is male, 59 years old, with dysphagia and regurgitation, as well as a clear bulging of the esophagus in the X-ray swallow.

    An endoscopic severing of the Zenker threshold with the aid of the CO2 laser system was planned. Intraoperatively, there was a deep Zenker threshold more than 20 cm from the row of teeth. During the operation, the decision was made to insert a rigid esophagoscope here and to electrically cut through the threshold with the help of the laparoscopic forceps BiClamp E LAP forceps (Erbe) and then to seal it. There was no intraoperative bleeding and dry wound conditions.

    A nasogastric tube was inserted under sight. The patient was covered with double antibiosis. They were fed via the gastric tube for one week. An X-ray swallow check was carried out on the 7th postoperative day. This revealed an unhindered passage of contrast medium.

    Furthermore, a postoperative follow-up after three months showed no symptoms, without dysphagia or regurgitation.

    Summary It can be said that the surgical treatment of deep Zenker's diverticulum endoluminally with the help of the BiClamp laparoscopic forceps is possible and has a low rate of complications.

    A further review of the use of BiClamp laparoscopic forceps for the treatment of Zenker's diverticulum is therefore desirable.


     

    Conflict of Interest

    The author declares that there is no conflict of interest.

    Publication History

    Article published online:
    24 May 2022

    © 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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