{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:49:33Z","timestamp":1792021773655,"version":"4.4.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:00:00Z","timestamp":1642118400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002Killian-Jamieson Diverticulum (KJD) is a rarer and more recently described upper pharyngeal diverticulum than Zenker\u2019s diverticulum (ZD). KJD is more difficult to manage than ZD because it tends to extend lower into the upper mediastinum and the diverticulum neck is in close proximity to the recurrent laryngeal nerve. There is limited literature on KJD management and transcervical surgical diverticulectomy is the mainstay of therapy. <\/jats:p><jats:p>\n          Patients and methods\u2002Here we describe two methods of endoscopic diverticulotomy to treat KJD \u2013 direct and tunneling diverticulotomy (with hypopharyngeal tunnel or ultra-short tunnel \u2013 the latter being our preferred technique). <\/jats:p><jats:p>\n          Results\u2002This was a retrospective study including 13 consecutive patients between March 2015 and April 2018. Three patients received direct and 10 received tunneling diverticulotomy (7 with the hypopharyngeal tunnel and 3 with the ultra-short tunnel). All procedures were completed in 16 to 52 minutes. There was no incidence of bleeding, mediastinitis, or sign of recurrent laryngeal nerve injury. At follow up of 9 to 79 months (median 33), the clinical success rate was 92\u200a% (12\/13); 11 patients had complete symptom resolution (post-operative symptom score\u200a=\u200a0) and one patient had near-complete symptom resolution (occasional residual dysphagia). One patient receiving direct myotomy had limited symptom relief (frequent residual dysphagia and occasional residual regurgitation), possibly related to incomplete myotomy. <\/jats:p><jats:p>\n          Conclusions\u2002Endoscopic tunneling diverticulotomy is a feasible, safe, and effective method to treat KJD.<\/jats:p>","DOI":"10.1055\/a-1548-5552","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T23:43:06Z","timestamp":1642203786000},"page":"E119-E126","source":"Crossref","is-referenced-by-count":10,"title":["Endoscopic diverticulotomy for Killian-Jamieson diverticulum: mid-term outcome and description of an ultra-short tunnel technique"],"prefix":"10.1055","volume":"10","author":[{"given":"Rani J.","family":"Modayil","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, and Nutrition, NYU-Winthrop Hospital, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaocen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mount Sinai St Luke\u2019s-West Hospital Center, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, and Nutrition, NYU-Winthrop Hospital, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanak","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, and Nutrition, NYU-Winthrop Hospital, Mineola, New York, United States"},{"name":"Department of Medicine, division of Gastroenterology, University of Missouri Health Care, University of Missouri, Columbia, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Gurram","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Elmhurst Hospital- Mount Sinai, Elmhurst, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros N.","family":"Stavropoulos","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology, and Nutrition, NYU-Winthrop Hospital, Mineola, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,1,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1148\/radiology.146.1.6401363","article-title":"Lateral diverticula from the pharyngo-esophageal junction area","volume":"146","author":"O 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Ferreira","year":"2008","journal-title":"Dis Esophagus"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1001\/archotol.128.2.141","article-title":"Endoscopic stapling technique for the treatment of zenker diverticulum vs standard open-neck technique: A direct comparison and charge analysis","volume":"128","author":"S R Smith","year":"2002","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.gie.2015.08.044","article-title":"Prognostic variables for the clinical success of flexible endoscopic septotomy of Zenker\u2019s diverticulum","volume":"83","author":"G Costamagna","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.gie.2012.12.008","article-title":"Endoscopic treatment for Zenker\u02bcs diverticulum: long-term results (with video)","volume":"77","author":"V Huberty","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/dote.12323","article-title":"Flexible endosopic management of Zenker\u02bcs diverticulum: characteristics and outcomes of 52 cases at a tertiary referral center","volume":"29","author":"M Halland","year":"2016","journal-title":"Dis Esophagus"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"2351","DOI":"10.1007\/s00464-015-4482-5","article-title":"The role of flexible endotherapy for the treatment of recurrent Zenker\u02bcs diverticula after surgery and endoscopic stapling","volume":"30","author":"A Antonello","year":"2016","journal-title":"Surg Endosc"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/den.13035","article-title":"New and emerging techniques for endoscopic treatment of Zenker\u02bcs diverticulum: State-of-the-art review","volume":"30","author":"S Ishaq","year":"2018","journal-title":"Dig 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Bahsi","year":"2019","journal-title":"Endoscopy"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.gie.2019.04.249","article-title":"An international study on the use of peroral endoscopic myotomy in the management of Zenker\u2019s diverticulum","volume":"91","author":"J Yang","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"ref25","first-page":"563","article-title":"Peroral endoscopic septotomy for short-septum Zenker\u2019s diverticulum","volume":"52","author":"A Repici","year":"2020","journal-title":"Endoscopy"}],"container-title":["Endoscopy International 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