1. Flexible endoscopic treatment for Zenker's diverticulum - experience on 31 patients.
- Author
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Pop A, Tantau A, Tefas C, Groza A, and Tantau M
- Subjects
- Adult, Aged, Aged, 80 and over, Equipment Design, Esophagoscopy adverse effects, Esophagoscopy methods, Female, Humans, Length of Stay, Male, Middle Aged, Myotomy adverse effects, Myotomy methods, Operative Time, Pliability, Postoperative Complications etiology, Recurrence, Risk Factors, Time Factors, Treatment Outcome, Zenker Diverticulum diagnosis, Esophagoscopy instrumentation, Gastroscopes, Myotomy instrumentation, Zenker Diverticulum surgery
- Abstract
Background and Aims: The aim of this study is to present the experience of our center over the last 8 years in a series of patients with Zenker's diverticulum (ZD), treated using an endoscopic, minimally invasive procedure., Methods: We retrospectively included 31 patients with a previously established diagnosis of ZD based on endoscopic and oral contrast examinations. Patients' age, comorbidities, size of the diverticulum or previous endoscopic treatment were not considered exclusion criteria. A soft, flexible diverticuloscope to expose the septum and a dual knife for "cutting" the diverticular septum were used. We analyzed the short term efficacy based on symptomatic relief and occurrence of side effects, and long term efficiency at 6 and 12 months by clinical assessment, upper gastrointestinal endoscopy and oral contrast media passage., Results: Patients had a mean age of 67 years (range 42-86); 55% of them were male. All patients reported symptom relief after the procedure. A decrease of more than 70% from the initial size of the diverticulum was noted. There were 3 cases (9.67%) of intraprocedural hemorrhage, endoscopically managed. No serious post-procedural complications and no mortality were reported. The mean procedural time was 21.87 minutes (range 15-25 minutes). Average hospitalization was 2.5 days. Five patients developed recurrence and needed a second session of endoscopic treatment for achieving complete myotomy., Conclusions: Endoscopic management for ZD was efficient and safe in our series of patients. A short hospitalization period was required.
- Published
- 2018
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