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

Surgical Endoscopy
Alessandro AntonelloGiorgio Battaglia

Abstract

Currently there are three main treatment options for Zenker's diverticulum (ZD): surgery, rigid endoscopy and flexible endoscopy. After primary success, recurrence can be as high as 19 % for surgery, 12.8 % for rigid endoscopy and 20 % for flexible endoscopy. Flexible endoscopy may represent an ideal treatment option for recurring ZD. The aims of this paper are to evaluate the efficacy and safety of flexible endotherapy for recurring ZD after surgery and/or endoscopic stapling and to compare the treatment outcome between naive and recurring patients. Data on patients that underwent flexible endotherapy for ZD between January 2010 and January 2015 were collected. Patients were divided into those with recurrences after surgery and/or endoscopic stapling and those who did not have previous treatments. Dysphagia, regurgitation, and respiratory symptom severity before the procedure were graded. The outcome parameters were: complications, symptom improvement after the first treatment, number of treatment sessions, rate of complete remission and relapses. These parameters were then compared between patients groups. Twenty-five recurring patients were included. Treatment was carried out successfully in all patients. Two adverse events ...Continue Reading

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Citations

Jan 24, 2016·Gastrointestinal Endoscopy·Sauid IshaqAlessandro Repici
Dec 29, 2017·Journal of Clinical Gastroenterology·Deepanshu JainShashideep Singhal
Feb 10, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Sauid IshaqHelmut Neumann
Apr 24, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brianna CrawleyPhilip Weissbrod
Nov 7, 2019·Journal of Gastroenterology and Hepatology·Clément BresteauStanislas Chaussade
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May 24, 2017·World Journal of Gastroenterology : WJG·Johanna WilmsenSiegbert Faiss
May 1, 2021·Gastrointestinal Endoscopy·Pichamol JirapinyoDavid R Lichtenstein

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