Interdisciplinary Comparison of Endoscopic Laser-Assisted Diverticulotomy vs. Transcervical Myotomy as a Treatment for Zenker’s Diverticulum
| Autor: | Philipp Nitschke, Thomas Zahnert, Marius Distler, Christoph Reissfelder, M Kemper, Jürgen Weitz, Patricia König |
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| Rok vydání: | 2019 |
| Předmět: |
Myotomy
medicine.medical_specialty Zenker Diverticulum medicine.medical_treatment Treatment failure 03 medical and health sciences Zenker's diverticulum 0302 clinical medicine Symptom relief medicine Humans Complication rate Risk factor Retrospective Studies business.industry Lasers Gastroenterology Reflux Laser assisted medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Esophagoscopy business |
| Zdroj: | Journal of Gastrointestinal Surgery. 24:1955-1961 |
| ISSN: | 1873-4626 1091-255X |
| Popis: | Currently, there are different competing techniques for the treatment of Zenker’s diverticulum (ZD). To improve patient selection, we compared endoscopic laser-assisted diverticulotomy (ELAD) with transcervical myotomy (TCM) with regard to possible risk factors for treatment failure. Data of ZD patients (n = 104) treated between 2004 and 2016 with either TCM (38%) or ELAD (62%) were analyzed retrospectively. Univariate and multivariate analyses were performed. TCM is associated with a higher morbidity (27.8% vs. 10.2%; p = 0.095) but lower recurrence rate (7.3% vs. 19.3%; p = 0.095). Preoperative reflux disease (OR 8.755; p = 0.021) was identified as an independent risk factor for complications. Although short-term outcome and symptom relief are similar, TCM tends to have a higher complication rate but better long-term results. Preoperative reflux disease is an independent risk factor for postoperative complications. |
| Databáze: | OpenAIRE |
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