A47 ENDOSCOPIC ZENKER’S DIVERTICULOTOMY AND MYOMECTOMY:A SINGLE CENTER EXPERIENCE
| Autor: | N Suter, E Desilets, T Maniere |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Journal of the Canadian Association of Gastroenterology. 1:76-77 |
| ISSN: | 2515-2092 2515-2084 |
| DOI: | 10.1093/jcag/gwy009.047 |
| Popis: | BACKGROUND: Zenker’s diverticulum is a pseudodiverticulum of the mucosa and submucosa occurring in the posterior pharyngoesophagus through Killian’s triangle. Symptoms include dysphagia, secretions, halitosis and weight loss and occur mostly in middle-aged and older adults. Historically, treatment has been extensive neck surgery and eventually rigid endoscopy. Recently, treatment by flexible endoscopic septum division (FESD) has shown excellent success rates with less morbidity(1). AIMS: This study aimed to evaluate the clinical response rate and complications of FESD in our single center. METHODS: We conducted a single center retrospective study of endoscopic Zenker’s diverticulotomy and myomectomy by FESD performed by two different endoscopists between July 2014 and June 2017. RESULTS: Seven patients were included in our analysis, four of which were males. Mean age of patients was 83.7 years (range 73–92). Two patients that were taking an anticoagulant (1 Apixaban, 1 Enoxaparin) and three on Aspirin had stopped their medication the appropriate number of days prior to the procedure. Indication for procedure included severe dysphagia in 6 patients and regurgitation in 1 patient. Patients also complained of regurgitation (3 patients), secretions (2), odynophagia (1), food impaction (1), and weight loss (1). All procedures were performed with a Dual knife (Olympus). Mean diverticular size was 3.3 cm (range 2–6 cm). Mean procedural time was 23.7 min (range 10–36 min). Minimal procedural bleeding occurred in two cases and no perforation was noted. Four procedures were conducted under general anesthesia and 3 under conscious sedation. Mean follow up duration was 2 months for 6 patients (range 1–5 months), one patient was lost on follow-up. Four patients reported complete recovery of initial symptoms, and two major improvement. No patient required a second procedure or surgery. CONCLUSIONS: In our retrospective analysis of flexible endoscopic diverticulotomy, we showed a good response rate, with no severe complication rendering this procedure very safe and effective for symptomatic Zenker’s diverticulum. FUNDING AGENCIES: None |
| Databáze: | OpenAIRE |
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