Sa1251 FLEXIBLE ENDOSCOPIC INCISIONAL THERAPY FOR ZENKER'S (FEIT-Z) MAY BE THE PREFERRED APPROACH IN TREATMENT NAIVE AS WELL AS NON-OPERATIVE PATIENTS

Symptomatic Zenker’s diverticulum (ZD) occurs mostly in elderly patients and may manifest with dysphagia, halitosis, regurgitation, and aspiration. ZD patients tend to have significant comorbidities, higher rates of cervical spine disease, and difficulty with neck hyperextension, making them high risk for surgical approaches while also increasing the likelihood of failure. Many patients may not be surgical candidates due to these co-morbidities. Flexible endoscopic incisional therapy for Zenker’s diverticulum (FEIT-Z) offers a less invasive approach with high technical and clinical success rates, and currently there is limited data on non-operative and failed surgical cases.