Innovative Treatment Options Tailored to the Patient

The Hoag-USC Surgical Center for Digestive Disorders is a high-volume referral center for complex esophageal disorders. Hoag’s multidisciplinary team of esophageal experts works together to thoroughly review and determine the best treatment option suited to each individual patient. The team then carefully tailors a personalized treatment plan to effectively achieve the best possible outcome for the patient. This emphasis on a collaborative, comprehensive approach to patient-centered care is why Hoag patient outcomes rank are among the nation’s best.


When it comes to esophageal diverticula, there are several innovative surgical approaches that can be considered depending upon the location and severity of the diverticulum, including:

  • Cricopharyngeal Myotomy is used in the removal of small diverticula, as well as in treating a variety of swallowing disorders. There are a several approaches to this standard surgical procedure, including minimally invasive options, and involves cutting the muscles that make up the Upper Esophageal Sphincter (UES).
  • Diverticulopexy and cricopharyngeal myotomy is used to remove larger diverticula. This procedure involves either turning the diverticular sac upside down and suspending it by suturing it to the esophageal wall, or performing a complete excision of the diverticular sac. In addition, the surgeon performs a cricopharyngeal myotomy procedure to help reduce the incidence recurrence.
  • Diverticulectomy and Heller Myotomy (Laparoscopic Myotomy with Fundoplication and removal of the Diverticulum) is used to perform a complete excision of the diverticular sac. By adding the Heller myotomy laparoscopic approach, surgeons can help further improve long-term outcomes by ensuring the efficient movement of food through the lower esophageal sphincter. There are several approaches to this procedure, which can be used to treat a variety of swallowing disorders. The experts at Hoag-USC perform a large number of laparoscopic procedures, accompanied by a partial antireflux procedure known as a Dor partial fundoplication, which helps to reduce the incidence of postoperative GERD often associated with myotomy alone.
  • Endoscopic diverticulotomy (Dohlman procedure) is an innovative procedure that divides the septum between the cervical esophagus and the diverticular pouch. By dividing the septum, food can freely drain from the pouch to the esophagus. Hoag-USC surgeons complete this division by using a Zenker’s diverticuloscope and a minimally invasive stapling technique to treat Zenker’s diverticulum.

The Most Advanced Treatment Options Are Now Available in Orange County!

When it comes to seeking out the most advanced academic-level gastroesophageal care, there is no longer any need to travel long distances. The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive Cancer Center, offers the latest in state-of-the-art diagnosis and leading-edge treatment options that may not be readily available at other centers, including participation in clinical trials that helps to bring advanced gastroesophageal care to even more patients.

Perhaps the most distinguishing aspect of Hoag’s advanced treatment of gastroesophageal conditions is that in each and every case, treatment is always specifically tailored to the meet the unique needs of the individual patient.

Expert Care You Can Trust!

The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive Cancer Center, continues to lead the way in complex gastroesophageal care, providing access to a highly specialized surgical team that works collaboratively with Hoag-affiliated thoracic surgeons, gastroenterologists and other medical specialists to provide academic-level care. Hoag’s committed to accurate diagnosis, combined with progressive therapeutic options enables Hoag patients to achieve some of the highest clinical outcomes in the nation.

To schedule a comprehensive diagnostic evaluation, or a second-opinion consultation with a Hoag gastroesophageal expert, visit Meet the Team, or call us at: 888-566-9712.