Endoscopic diverticulotomy using Ligasure™
| Autor: | Sergio Maestro Antolín, Antonio Pérez Millán, Fernando Sánchez Barranco, A Germade, Fernando Santos, Laura Pérez Citores, Francisco Igea Arisqueta, Bruno Antonio Moreira Da Silva |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Zenker Diverticulum medicine.medical_specialty Sedation Electrosurgery Asymptomatic 03 medical and health sciences 0302 clinical medicine medicine Humans Outpatient clinic Digestive System Surgical Procedures Aged Retrospective Studies medicine.diagnostic_test business.industry medicine.disease Dysphagia Endoscopy Surgery Dissection 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Upper gastrointestinal bleeding medicine.symptom business |
| Zdroj: | Gastroenterología y Hepatología (English Edition). 40:80-84 |
| ISSN: | 2444-3824 |
| DOI: | 10.1016/j.gastre.2016.04.011 |
| Popis: | Introduction Endoscopic treatment of Zenker diverticulum is considered feasible, effective and safe. The use of the Ligasure™ vessel sealer provides adequate and quick dissection of tissue, achieving effective haemostasis. Patients and methods Retrospective, descriptive study of all patients with Zenker diverticulum who were treated by endoscopic diverticulotomy using Ligasure™. The procedure was performed in the endoscopy unit under deep sedation controlled by the endoscopist. Patients were subsequently admitted for observation and, after discharge, were followed-up in the outpatient clinic. Results Eight patients, 5 women and 3 men, mean age 78 ± 15 years, 25% ASA I, 36% ASA II, 14% ASA III and 25% ASA IV. Main symptom: dysphagia. Diverticula size: 1–7 cm. Technical success: 100%. Complications: one patient with upper gastrointestinal bleeding. Average stay: 24 h. Seven patients: asymptomatic; one patient with partial improvement, requiring repeat endoscopic intervention. Surgery and morbidity and mortality: 0%. Conclusion The treatment of Zenker diverticulum by endoscopic diverticulotomy using the Ligasure™ vessel sealer is highly effective, fast and safe, and could be considered the treatment of choice. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect