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.
