Is Myotomy Plus Diverticulopexy Suitable for Symptomatic Zenker's Diverticula?

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Esophageal diverticulum treatment often involves complex surgical techniques.
• Evaluating minimally invasive options for improved patient outcomes is crucial.

Purpose of the Study:

• To prospectively assess the short- and long-term outcomes of myotomy plus diverticulopexy.
• To evaluate the safety, efficacy, and patient satisfaction associated with this surgical approach.

Main Methods:

• A consecutive series of 37 patients undergoing myotomy plus diverticulopexy were analyzed.
• Data collected included clinical condition, operative details, peri-operative events, and follow-up assessments via interview and physical examination.
• Patient-reported swallowing ability was assessed pre- and post-operatively.

Main Results:

• No peri-operative events, complications, wound infections, or impaired swallowing were reported.
• Patients resumed a full solid diet by post-operative day 2 and were discharged within 3-4 days.
• Follow-up (1-8 years) revealed no disease recurrence and at least 50% improvement in symptomatology.
• High patient satisfaction was reported, with no need for further clinical intervention.

Conclusions:

• Myotomy plus diverticulopexy is a clinically safe and reproducible procedure.
• It offers effective treatment for swallowing difficulties with good outcomes and high patient satisfaction.
• The technique avoids suturing, simplifying the surgical process and enhancing recovery.