Is Myotomy Plus Diverticulopexy Suitable for Symptomatic Zenker's Diverticula?
| Autor: | Jacopo Vannucci, Lucio Cagini, Stefano Santoprete, Rosanna Capozzi, Elisa Scarnecchia, Francesco Puma, Valeria Liparulo, Alberto Matricardi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Myotomy
Male medicine.medical_specialty deglutition deglutition disorder diverticulectomy diverticulopexy esophagus myotomy Zenker’s diverticular pouch Zenker Diverticulum medicine.medical_treatment Physical examination Asymptomatic Diverticulopexy 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Patient satisfaction Postoperative Complications Esophagus Swallowing Internal medicine medicine Humans Prospective Studies Deglutition disorder Aged Deglutition Diverticulectomy Aged 80 and over medicine.diagnostic_test business.industry Gastroenterology Hepatology Middle Aged Combined Modality Therapy Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Female Esophagoscopy medicine.symptom 0305 other medical science business Deglutition Disorders 030217 neurology & neurosurgery |
| Popis: | The aim of the study was to prospectively evaluate the outcome of myotomy plus diverticulopexy over short and long-terms. A prospectively collected consecutive series (2007–2017) of 37 patients undergoing myotomy plus diverticulopexy was analyzed for clinical condition, operative information, peri-operative events, and follow-up by means of interview and physical examination. Diverticulopexy was scheduled regardless of the diverticulum’s features and patient condition, other than operability. There was no choice or selection between possible treatment options. Patients were evaluated pre-operatively, at post-operative day 30 and after 1 year. Follow-up aimed at assessing the subjective condition following treatment. During the interview, patients were asked to self-assess their ability to swallow before and after surgery. No patient had peri-operative events, complications associated with the procedure, wound infection or impaired swallowing. All patients could start drinking the day after operation, could return to solid diet on post-operative day 2 and be discharged on post-operative days 3–4. Barium swallowing was not necessary before discharge. Full solid diet was resumed according to patient’s compliance from post-operative day 2 (some patients refused solid diet soon after the operation even if asymptomatic). Follow-up ranged between 1 and 8 years. No patient was lost at follow-up. No disease recurrence was observed. Finally, no patient needed or sought for a clinical examination between the follow-up calls. Patients reported at least 50% improvement of symptomatology after 1 year. Diverticulopexy appears to be clinically safe, methodologically reproducible, and an effective procedure; it avoids suturing and offers good outcome results along with high patient satisfaction. |
| Databáze: | OpenAIRE |
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