Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot17410.32687/0869-866X-2019-27-si1-721-728Научная статьяNew combined endoscopic method of Zenker’s diverticulum treatmentShishinK. V.-NedoluzhkoI. Yu.-PavlovI. A.-KurushkinaN. A.-ShumkinaL. V.l.shumkina@mknc.ruA. S. Loginov City Clinical Scientific Centre151220192772172806042021Copyright © 2019,2019Endoscopic treatment methods are currently a priority in the treatment of patients with Zenker’s diverticulum. The optimal endoscopy should combine the positive aspects of traditional and tunnel technologies and be fairly simple from technical standpoint, the most radical and safe for the patient. This work evaluates the effectiveness of endoscopic cricopharyngeal esophagomyotomy using combined methods of treating patients with Zenker’s diverticulum. From June, 2014 to December, 2018 A. S. Loginov City Clinical Scientific Centre performed 30 surgeries using a new combined technique. The average surgery time is 37.5 minutes. No postoperative complications. Control X-ray examination has shown almost complete absence of the residual cavity of the diverticulum. The combined endoscopic method of treating patients with Zenker’s diverticulum allows to create conditions for preventing the recurrence of the disease, thereby ensuring the best result of treatment.Zenker's diverticulumendoscopic cricopharyngeal esophagomyotomytunnel techniquecombined endoscopic techniqueдивертикул Ценкераэндоскопическая эзофагодивертикулостомиятоннельная методикакомбинированная эндоскопическая методика1.Голубев Д. Б. К этиологии дивертикулов пищевода (к 225-летию первого сообщения о дивертикулах пищевода). Вестник рентгенологии и радиологии. 1995;(1):31-4.2.Петровский Б. В., Ванцян Э. Н. Дивертикулы пищевода. М.; 1968. С. 5-30.3.Павлов И. А., Шишин К. В., Недолужко И. Ю., Курушкина Н. А., Шумкина Л. В. Современные подходы к лечению пациентов с дивертикулами Ценкера (обзор литературы). Доктор.Ру. 2018;3(147):27-32.4.Law R., Katzka D. A., Baron T. H. Zenker’s diverticulum. Clin. Gastroenterol. Hepatol. 2014;12:1773-82.5.Albers D. V., Kondo A., Bernardo W. M., et al. Endoscopic versus surgical approach in the treatment of Zenker's diverticulum: systematic review and meta-analysis. Endosc. Int. Open. 2016;4(6):E678-E686.6.Dohlman G., Mattsson O. The endoscopic operation for hypopharyngeal diverticula. J. Laryngol. Otol. 1960;71:744-52.7.Leong S. C., Wilkie M. D., Webb C. J. Endoscopic stapling of Zenker’s diverticulum: establishing national baselines for auditing clinical outcomes in the United Kingdom. Eur. Arch. Otorhinolaryngol. 2012;269:1877-84.8.Collard J. M., Otte J. B., Kestens P. J. Endoscopic stapling technique of esophagodiverticulostomy for Zenker's diverticulum. Ann. Thorac. Surg. 1993;56:573-6.9.Hondo F. Y., Maluf-Filho F., Giordano-Nappi J. H., et al. Endoscopic treatment of Zenker’s diverticulum by harmonic scalpel. Gastrointest. Endosc. 2011;74:666-71.10.Saetti R., Silvestrini M., Peracchia A., Narne S. Endoscopic stapler-assisted Zenker's diverticulotomy: which is the best operative facility? Head Neck. 2006;28(12):1084-9.11.Bloom J. D., Bleier B. S., Mirza N., et al. Factors predicting endoscopic exposure of Zenker's diverticulum. Ann. Otol. Rhinol. Laryngol. 2010;119(11):736-41.12.Repici A., Pagano N., Romeo F., et al. Endoscopic flexible treatment of Zenker’s diverticulum: a modification of the needle-knife technique. Endoscopy. 2010;42:532-5.13.Bizzotto А., Iacopini F., Landi R., Costamagna G. Zenker's diverticulum: exploring treatment options. Acta Otorhinolaryngol. Italy. 2013 Aug;33(4):219-29.14.Costamagna G., Iacopini F., Bizzotto A. et al. Prognostic variables for the clinical success of flexible endoscopic septotomy of Zenker’s diverticulum. Gastrointest. Endosc. 2016;83:765-73.15.Ishaq S., Hassan C., Antonello A., et al. Flexible endoscopic treatment for Zenker’s diverticulum: a systematic review and meta-analysis. Gastrointest. Endosc. 2016;83:1076-89.16.Visosky A. M., Parke R. B., Donovan D. T. Endoscopic management of Zenker's diverticulum: factors predictive of success or failure. Ann. Otol. Rhinol. Laryngol. 2008;117(7):531-7.17.Li Q. L., Chen W. F., Zhang X. C., Cai M. Y., Zhang Y. Q., Hu J. W., He M. J., Yao L. Q., Zhou P. H., Xu M. D. Submucosal Tunneling Endoscopic Septum Division: A Novel Technique for Treating Zenker's Diverticulum. Gastroenterology. 2016 Dec;151(6):1071-4.