Early Postoperative Complications of Thoracic Esophageal Diverticula: A Review of 10 Cases from "Saint Mary" Hospital, Bucharest, Romania

Gîndea, C; Constantin, Adrian; Hoara, Petre; Caragui, Andrei; AlKadour, Abdullah; Constantinoiu, S

doi:10.21614/chirurgia.113.1.144

Cited by 5 publications

(1 citation statement)

References 34 publications

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“…The recurrence rate after direct septotomy has been postulated to be directly proportional to the depth of septal muscle division. Surgical diverticulectomy has been practiced for ZDs, as well as for epiphrenic diverticula; however, it can be associated with an increased operative time and increased hospital stay, along with substantial morbidity and mortality [11,12].…”

Section: Discussionmentioning

confidence: 99%

Operative technical tricks and 12-month outcomes of diverticular peroral endoscopic myotomy (D-POEM) in patients with symptomatic esophageal diverticula

2019

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Background Submucosal tunneling diverticular septotomy by diverticular peroral endoscopic myotomy (D-POEM) has emerged as an alternative to surgery for symptomatic esophageal diverticula, but its medium to long-term outcomes are currently unexplored. Methods D-POEM for patients with symptomatic esophageal diverticula was prospectively studied to assess its safety and the 12-month outcomes. Results 25 patients (72 % male; median age 61 years [range 48 – 88]) with a Zenker’s diverticulum (n = 20) or epiphrenic diverticulum (n = 5) were included. Major indications were dysphagia, recurrent bronchoaspiration, and foreign body sensation in 20 patients (80 %), with a mean symptom duration of 2.5 years (range 1 – 4). Complete submucosal tunneling septotomy was achieved in a mean of 36 minutes (range 25 – 45), with 100 % technical success. The median hospitalization was 5 days (range 4 – 10). The mean (standard deviation) Eckardt Score improved significantly from 13.2 (1.0) at baseline to 3.2 (1.4) at 12 months (P < 0.001) with clinical success in 19/22 patients (86 %) and no long-term adverse events. Conclusions D-POEM appears safe and durable in patients with esophageal diverticula. Further multicenter studies with a larger patient cohort are warranted.

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Section: Discussionmentioning

confidence: 99%