Endoscopic treatment for Zenker's diverticulum: long-term results (with video)

Huberty, Vincent; Bacha, Souraya El; Bléro, Daniel; Moine, Olivier Le; Hassid, Sergio; Devière, Jacques

doi:10.1016/j.gie.2012.12.008

Cited by 99 publications

(75 citation statements)

References 17 publications

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“…Our results are comparable with other series of patients treated for ZD relapses with surgery and/or stapling in terms of success, efficacy and safety alike [14,[16][17][18][19][20]. However, flexible endoscopy has significant advantages over other treatment options: it is the least invasive option, can be repeated in case of further relapses and does not pose increased technical challenge in patients who underwent surgery and/or endoscopic stapling beforehand.…”

Section: Discussionsupporting

confidence: 79%

“…These characteristics make this approach ideal for elderly patients with comorbidities or patients with small residual pouches that may not always be suitable for surgery or endoscopic stapling. While many published series on flexible endoscopic treatment for ZD quote successful treatment of relapsing patients after surgery or rigid endoscopic treatment, there is actually no data on the outcome of the procedure for this specific subset of patients [15][16][17][18][19][20][21][22].…”

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confidence: 99%

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The role of flexible endotherapy for the treatment of recurrent Zenker’s diverticula after surgery and endoscopic stapling

et al. 2015

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Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 99%

The role of flexible endotherapy for the treatment of recurrent Zenker’s diverticula after surgery and endoscopic stapling

et al. 2015

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“…4). Diathermic monopolar current, argon plasma coagulation, laser, and coagulation with an ultrasonically activated scalpel (Harmonic scalpel; Ethicon EndoSurgery) have all been used for the endoscopic treatment of Zenker's diverticulum with satisfactory results [1,2,4]. This case shows that endoscopic treatment of Zenker's diverticulum using a LigaSure scalpel Fig.…”

mentioning

confidence: 98%

“…Treatment of Zenker's diverticulum by flexible endoscopy is considered to be feasible, effective, and safe [1,2]. Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2].…”

mentioning

confidence: 99%

“…Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2]. This report describes the novel use of a LigaSure scalpel (Valleylab, Boulder, Colorado, USA) to perform flexible endoscopic diverticulectomy in a 3-cm Zenker's diverticulum in a 62-year-old woman with symptoms of dysphagia for both solids and liquids (• " Fig.…”

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confidence: 99%

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Endoscopic treatment of Zenker’s diverticulum by LigaSure scalpel

et al. 2014

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Traction on the septum during transoral septotomy for Zenker diverticulum improves the final outcome

et al. 2019

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Objective Transoral diverticulostomy/septotomy has become a popular treatment for patients with Zenker diverticulum (ZD). To improve the results of transoral stapler‐assisted septotomy, a modification of the technique has been introduced. In this study, we aimed to compare the final outcome of such a modified transoral septotomy (MTS) with the results of traditional transoral septotomy (TTS) in patients with ZD. Methods Fifty‐two consecutive patients with ZD underwent transoral stapler‐assisted septotomy between 2010 and 2018. Symptoms were recorded and scored using a detailed questionnaire. Barium swallow, endoscopy, and manometry were performed before and after the procedure. Results Of the 52 patients forming the study population (male:female = 35:17), 25 had TTS and 27 had MTS. The patients’ demographic and clinical parameters were similar in the two groups. No intraoperative mucosal lesions were detected, and the mortality was nil. The median time taken to complete the procedure was 25 minutes (interquartile range [IQR]: 22–35) for TTS, and 30 minutes (IQR: 25–36) for MTS (P < 0.07). The median follow‐up was 69 months (IQR: 46–95) in the TTS group and 30 months (IQR: 25–35) in the MTS group. All patients in both groups had an improvement in their symptom score after the procedure, but the failure rates were 32% (8 of 25) after TTS and 3.7% (1 of 27) after MTS (P < 0.02). At univariate and multivariate analyses, the procedure was the only predictor of a positive final outcome. Conclusion Albeit with the intrinsic limitations of the study (retrospective, different time window, and different follow‐up), traction on the septum during transoral septotomy improves the final outcome of this treatment in patients with ZD. Level of Evidence 4 Laryngoscope, 130:637–640, 2020

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Endoscopic treatment for Zenker's diverticulum: long-term results (with video)

Cited by 99 publications

References 17 publications

The role of flexible endotherapy for the treatment of recurrent Zenker’s diverticula after surgery and endoscopic stapling

The role of flexible endotherapy for the treatment of recurrent Zenker’s diverticula after surgery and endoscopic stapling

Endoscopic treatment of Zenker’s diverticulum by LigaSure scalpel

Traction on the septum during transoral septotomy for Zenker diverticulum improves the final outcome

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