Systematic Review and Meta-analysis of SurgicalTreatment of Non-Zenker’s Oesophageal Diverticula
| Autor: | Guy Blackshaw, David S. Chan, Antonio Foliaki, Wyn G. Lewis, Geoffrey W. B. Clark |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Myotomy
medicine.medical_specialty medicine.medical_treatment Anastomotic Leak Review Article digestive system 03 medical and health sciences 0302 clinical medicine Humans Medicine In patient Oesophageal diverticula business.industry Thoracoscopy Gastroenterology digestive system diseases Surgery Observational Studies as Topic Thoracotomy 030220 oncology & carcinogenesis Meta-analysis Diverticulum Esophageal Laparoscopy 030211 gastroenterology & hepatology business |
| Zdroj: | Journal of Gastrointestinal Surgery |
| ISSN: | 1873-4626 1091-255X |
| Popis: | Background\ud \ud Oesophageal diverticula are rare outpouchings of the oesophagus which may be classified anatomically as pharyngeal (Zenker’s), mid-oesophageal and epiphrenic. While surgery is indicated for symptomatic patients, no consensus exists regarding the optimum technique for non-Zenker’s oesophageal diverticula. The aim of this study was to determine the outcome of surgery in patients with non-Zenker’s oesophageal diverticula.\ud \ud Methods\ud \ud PubMed, MEDLINE and the Cochrane Library (January 1990 to January 2016) were searched for studies which reported outcomes of surgery in patients with non-Zenker’s oesophageal diverticula. Primary outcome measure was the rate of staple line leakage.\ud \ud Results\ud \ud Twenty-five observational studies involving 511 patients (259 male, median age 62 years) with mid-oesophageal (n = 53) and epiphrenic oesophageal (n = 458) diverticula who had undergone surgery [thoracotomy (n = 252), laparoscopy (n = 204), thoracoscopy (n = 42), laparotomy (n = 5), combined laparoscopy and thoracoscopy (n = 8)] were analysed. Myotomy was performed in 437 patients (85.5%), and anti-reflux procedures were performed in 342 patients (69.5%). Overall pooled staple line leak rates were reported in 13.3% [95% c.i. (11.0–15.7), p |
| Databáze: | OpenAIRE |
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