Do we still need a diverticuloscope for the flexible endoscopic septotomy of Zenker's diverticulum?. Issue 4 (9th December 2019)
- Record Type:
- Journal Article
- Title:
- Do we still need a diverticuloscope for the flexible endoscopic septotomy of Zenker's diverticulum?. Issue 4 (9th December 2019)
- Main Title:
- Do we still need a diverticuloscope for the flexible endoscopic septotomy of Zenker's diverticulum?
- Authors:
- Bresteau, Clément
Barret, Maximilien
Guillaumot, Marie‐Anne
Abou Ali, Einas
Belle, Arthur
Leblanc, Sarah
Oudjit, Ammar
Dohan, Anthony
Coriat, Romain
Chaussade, Stanislas - Abstract:
- Abstract: Background and Aim: Zenker's diverticulum (ZD) is the most common type of diverticulum in the esophagus. The endoscopic septotomy of the diverticular wall has become a widely accepted treatment modality, but the recurrence rate is unclear. Our aim was to assess short‐term and long‐term success rates after flexible endoscopic septotomy for the treatment of ZD. Methods: All consecutive patients treated at our department for a ZD between November 2014 and September 2018 were included. Endoscopic septotomy was conducted using a diverticuloscope or a distal attachment cap. Data were retrospectively analyzed from a prospectively collected database. We collected data concerning patients, endoscopic procedures, and short‐term clinical outcomes. All patients were reached by phone between October and December 2018 to assess long‐term results. Results: Seventy‐seven patients were referred to our department for a ZD. Sixty patients were treated using a diverticuloscope and 17 patients with a distal attachment cap. For all 77 patients, the myotomy was technically successful. Three patients treated with a diverticuloscope reported complications. Initial treatment success was 93%. After a mean (±SEM) follow up of 23 ± 2 months, 66% of patients had persistent clinical remission. The rate of long‐term treatment success was 72% in treatment‐naïve and 50% in previously treated patients ( P = 0.13). Treatment success was 68% in patients treated with the diverticuloscope versus 60% inAbstract: Background and Aim: Zenker's diverticulum (ZD) is the most common type of diverticulum in the esophagus. The endoscopic septotomy of the diverticular wall has become a widely accepted treatment modality, but the recurrence rate is unclear. Our aim was to assess short‐term and long‐term success rates after flexible endoscopic septotomy for the treatment of ZD. Methods: All consecutive patients treated at our department for a ZD between November 2014 and September 2018 were included. Endoscopic septotomy was conducted using a diverticuloscope or a distal attachment cap. Data were retrospectively analyzed from a prospectively collected database. We collected data concerning patients, endoscopic procedures, and short‐term clinical outcomes. All patients were reached by phone between October and December 2018 to assess long‐term results. Results: Seventy‐seven patients were referred to our department for a ZD. Sixty patients were treated using a diverticuloscope and 17 patients with a distal attachment cap. For all 77 patients, the myotomy was technically successful. Three patients treated with a diverticuloscope reported complications. Initial treatment success was 93%. After a mean (±SEM) follow up of 23 ± 2 months, 66% of patients had persistent clinical remission. The rate of long‐term treatment success was 72% in treatment‐naïve and 50% in previously treated patients ( P = 0.13). Treatment success was 68% in patients treated with the diverticuloscope versus 60% in the group treated with a cap ( P = 0.75). Conclusion: The flexible endoscopic septotomy for the treatment of ZD is a safe and effective treatment of ZD, with or without a diverticuloscope. … (more)
- Is Part Of:
- Journal of gastroenterology and hepatology. Volume 35:Issue 4(2020)
- Journal:
- Journal of gastroenterology and hepatology
- Issue:
- Volume 35:Issue 4(2020)
- Issue Display:
- Volume 35, Issue 4 (2020)
- Year:
- 2020
- Volume:
- 35
- Issue:
- 4
- Issue Sort Value:
- 2020-0035-0004-0000
- Page Start:
- 630
- Page End:
- 633
- Publication Date:
- 2019-12-09
- Subjects:
- dysphagia -- endoscopic treatment -- Zenker's diverticulum
Gastroenterology -- Periodicals
Digestive organs -- Diseases -- Periodicals
Liver -- Diseases -- Periodicals
Gastroenterology -- Periodicals
Liver Diseases -- Periodicals
616.33 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1440-1746 ↗
http://onlinelibrary.wiley.com/ ↗
http://www.blackwell-synergy.com/loi/jgh ↗ - DOI:
- 10.1111/jgh.14923 ↗
- Languages:
- English
- ISSNs:
- 0815-9319
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4987.615000
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- 13301.xml