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CT scan demonstrating Zenker's diverticulum (yellow arrows).

CT scan demonstrating Zenker's diverticulum (yellow arrows).

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Video 1The modified Zenker's peroral endoscopic myotomy technique to treat a large Zenker's diverticulum.

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Context 1
... 73-year-old man presented with dysphagia and painless regurgitation of food contents, with a Dysphagia, Regurgitation, and Complications score of 7. 1 A CT of the neck was performed (because of limited access to oral contrast during the SARS-CoV-2 pandemic), demonstrating a large Zenker's diverticulum (Fig. 1). After extensive discussion, the patient preferred endoscopic treatment of his diverticulum because of his medical comorbidities. A Zenker's peroral endoscopic myotomy (Z-POEM) was performed in a modified fashion. Rather than making an incision more proximally, near to the upper esophageal sphincter, a submucosal injection and then ...

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