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Functional results in endoscopic Zenker's diverticulum surgery
A Dissard1, L Gilain1, R Pastourel1
1Service ORL-CCF, CHU Gabriel Montpied, 58 Rue Montalembert, Clermont-Ferrand, France.
Summary
Endoscopic surgery for Zenker's diverticulum offers significant functional improvement for regurgitation and dysphagia. This safe and effective procedure is the preferred treatment, with a low complication rate and manageable recurrence.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Otolaryngology
Background:
- Zenker's diverticulum is a rare condition causing swallowing difficulties.
- Surgical intervention is often necessary to alleviate symptoms.
Purpose of the Study:
- To evaluate the functional outcomes of endoscopic Zenker's diverticulum surgery.
- To assess the safety and recurrence rates of this minimally invasive approach.
- To identify factors influencing recurrence and optimal management strategies.
Main Methods:
- A retrospective analysis of 50 patients undergoing endoscopic marsupialization for Zenker's diverticulum (2000-2014).
- Functional outcomes (regurgitation, dysphagia) assessed using the FOIS scale pre- and post-operatively.
- Recurrence and complication rates evaluated with a minimum 18-month follow-up.
Main Results:
- Significant improvements in regurgitation (96%) and dysphagia (86%) were observed.
- A 12% complication rate, predominantly minor, was recorded.
- Recurrence occurred in 18% of patients, with small diverticulum size identified as a risk factor.
Conclusions:
- Endoscopic surgery for Zenker's diverticulum yields substantial functional benefits for most patients.
- The procedure is safe, effective, and represents the current standard of care.
- Revision surgery, often endoscopic, is effective for managing recurrences.
Keywords:
CO(2) laserEndoscopic diverticulotomyStaplerTransmucosal/extramucosal myotomy of the superior esophageal sphincterZenker's diverticulumMore Related Videos
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