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Revision endoscopic stapler Zenker's diverticulotomy.

Yael Oestreicher-Kedem1, Oshri Wasserzug2, Boaz Sagi3

  • 1Department of Otolaryngology Head and Neck Surgery and Maxillo-Facial Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman St., 6423906, Tel Aviv, Israel. dkyo@013.net.

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|July 22, 2015
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Summary

Revision endoscopic stapler diverticulotomy (RESD) effectively treats recurrent Zenker

Keywords:
Endoscopic diverticulotomyRecurrenceZenker’s diverticulum

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Zenker's diverticulum (ZD) is commonly treated with endoscopic stapler diverticulotomy (ESD).
  • Recurrence of ZD symptoms after initial treatment is a recognized clinical challenge.
  • Revision surgery is often considered for recurrent ZD, traditionally via open transcervical approaches.

Purpose of the Study:

  • To assess the feasibility, safety, and effectiveness of revision endoscopic stapler diverticulotomy (RESD) for patients with recurrent Zenker's diverticulum.
  • To compare outcomes of RESD with primary endoscopic stapler diverticulotomy (PESD).

Main Methods:

  • A retrospective case series and chart review of patients undergoing RESD for recurrent ZD.
  • Comparison of RESD outcomes (feasibility, operative time, complications, symptom resolution) with a historical cohort of PESD patients.
  • Data collection included surgical history, recurrence details, and postoperative course.

Main Results:

  • RESD was technically feasible in 19 of 20 cases (95%) for recurrent ZD.
  • Symptom relief without recurrence was achieved in 18 of 20 RESD patients (90%).
  • RESD demonstrated comparable operative times, hospital stays, and complication rates to PESD.

Conclusions:

  • Revision endoscopic stapler diverticulotomy (RESD) is a technically feasible, safe, and effective treatment for recurrent Zenker's diverticulum.
  • Outcomes of RESD are comparable to those of primary endoscopic stapler diverticulotomy (PESD).
  • RESD offers a viable alternative for managing recurrent ZD, potentially avoiding more invasive revision procedures.