{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:50Z","timestamp":1782506870182,"version":"3.54.5"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Zenker\u2019s diverticulum is increasingly treated with endoscopic techniques, including peroral endoscopic myotomy (Z-POEM), but persistent or recurrent symptoms may still occur. We report a 77-year-old woman with longstanding dysphagia, regurgitation of undigested food, cough, and aspiration events despite prior endoscopic septotomy\/Z-POEM. Repeat evaluation with barium swallow, computed tomography, and endoscopy confirmed a persistent large Zenker\u2019s diverticulum with retained contents. Given severe symptoms, aspiration risk, prior endoscopic failure, and altered cervical anatomy after previous thyroid surgery, she underwent open left transcervical diverticulectomy with cricopharyngeal myotomy. Recovery was uneventful apart from transient hoarseness, and follow-up showed marked improvement in swallowing and resolution of regurgitation and aspiration. This case highlights the importance of repeat imaging in symptomatic patients after Z-POEM and supports open transcervical repair as an effective salvage option in selected cases.<\/jats:p>","DOI":"10.1093\/jscr\/rjag532","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:47:36Z","timestamp":1781178456000},"source":"Crossref","is-referenced-by-count":0,"title":["Open transcervical diverticulectomy for recurrent Zenker\u2019s diverticulum after Z-POEM: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Ahmed","family":"Rayyan","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murad","family":"Isaak Alshamisti","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0515-5112","authenticated-orcid":false,"given":"Nouraldeen","family":"Deeb","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issa","family":"Abu Iram","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bashar","family":"Douden","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Almasalmah","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer","family":"Amayre","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Quds University , Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Alasafrah","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Department, Al-Ahli Hospital , PO Box 224, Postal Code 22500, Ras Al-Joura District, Hebron,","place":["Palestine"]},{"name":"General Surgery Department, Faculty of Medicine , Al-Quds University, Abu Dis Campus, PO Box 20002, Postal Code 20002, Abu Dis, Jerusalem Governorate,","place":["Palestine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616103681400_ref1","doi-asserted-by":"publisher","first-page":"2155","DOI":"10.3390\/diagnostics14192155","article-title":"The endoscopic management of Zenker\u2019s diverticulum: a comprehensive review","volume":"14","author":"Dell\u2019Anna","year":"2024","journal-title":"Diagnostics"},{"key":"2026062616103681400_ref2","doi-asserted-by":"publisher","first-page":"1773","DOI":"10.1016\/j.cgh.2013.09.016","article-title":"Zenker\u2019s diverticulum","volume":"12","author":"Law","year":"2014","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2026062616103681400_ref3","doi-asserted-by":"publisher","first-page":"E678","DOI":"10.1055\/s-0042-106203","article-title":"Endoscopic versus surgical approach in the treatment of Zenker\u2019s diverticulum: systematic review and meta-analysis","volume":"4","author":"Albers","year":"2016","journal-title":"Endosc Int Open"},{"key":"2026062616103681400_ref4","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1001\/jamaoto.2020.4091","article-title":"Comparison of surgical treatments for Zenker diverticulum: a systematic review and network meta-analysis","volume":"147","author":"Bhatt","year":"2021","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"2026062616103681400_ref5","doi-asserted-by":"publisher","first-page":"E607","DOI":"10.1055\/a-2067-9105","article-title":"Long-term outcomes of Zenker\u2019s peroral endoscopic myotomy (Z-POEM) for treatment of Zenker\u2019s diverticulum","volume":"11","author":"Steinway","year":"2023","journal-title":"Endosc Int Open"},{"key":"2026062616103681400_ref6","doi-asserted-by":"publisher","first-page":"2112","DOI":"10.1007\/s00464-022-09690-0","article-title":"The impact of prior endoscopic or surgical therapy on open Zenker\u2019s diverticulum surgery: analysis on a large single center cohort: comparison of primary and revisional open surgery for Zenker\u2019s diverticulum","volume":"37","author":"Dimpel","year":"2023","journal-title":"Surg Endosc"},{"key":"2026062616103681400_ref7","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s40792-023-01599-7","article-title":"Distinguishing Killian-Jamieson diverticulum from Zenker\u2019s diverticulum","volume":"9","author":"Watanabe","year":"2023","journal-title":"Surg Case Rep"}],"container-title":["Journal of Surgical Case 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