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Published on: April 17, 2020
Management of Zenker's diverticulum using flexible endoscopy
Howard Shihao Fan1,2, Bethany Stavert1,2, Daniel Leonard Chan1,2
1Department of Surgery, St George Hospital, Sydney, New South Wales, Australia.
Flexible endoscopy offers a safe and effective treatment for Zenker's diverticulum, providing symptom relief in most patients. This minimally invasive approach may lead to shorter recovery times compared to traditional surgery.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Procedures
Background:
- Zenker's diverticulum is a pharyngeal outpouching causing dysphagia and other symptoms.
- Traditional treatments include open surgery and rigid endoscopy.
- Flexible endoscopic techniques are emerging as alternatives.
Purpose of the Study:
- To evaluate the safety and efficacy of flexible endoscopy for Zenker's diverticulum.
- To assess the outcomes of endoscopic cricopharyngeal myotomy.
Main Methods:
- Retrospective case series of 9 patients.
- Utilized a novel flexible endoscopic technique for cricopharyngeal myotomy.
- Data collected from 2014 to 2018.
Main Results:
- Successful symptomatic relief in 7 out of 9 patients.
- No operative adverse events were reported.
- Demonstrated feasibility of the flexible endoscopic approach.
Conclusions:
- Flexible endoscopic cricopharyngeal myotomy is a safe and effective treatment for Zenker's diverticulum.
- Potential benefits include reduced operative time and hospital stay.
- This technique does not exclude future open surgical repair if needed.
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