Flexible endoscopic clip-assisted Zenker’s diverticulotomy (with videos) - 23/08/11
Reprint requests: Shou-jiang Tang, MD, Division of Digestive Diseases, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-8887.Dallas, Texas, USA
Abstract |
Background |
In treating Zenker’s diverticulum (ZD), there are potential risks associated with flexible endoscopic diverticulotomy without suturing or stapling. Rigid endoscopic stapler-assisted diverticulotomy has limitations. The septum is usually not completely dissected with either technique.
Objective |
Our purpose was to evaluate the feasibility of flexible endoscopic clip-assisted diverticulotomy (ECD) for complete septum dissection.
Design |
Case report.
Setting |
Academic center.
Patient |
An elderly male with symptomatic residual ZD.
Interventions |
After 1 endoclip (InScope multiclip applier, Ethicon Endo-Surgery) was placed on each side of the cricopharyngeal bar, the septum was easily and completely dissected between these 2 clips down to the bottom of the diverticulum into the esophageal mucosa with a needle-knife.
Main Outcome Measurement |
Symptom resolution and complications.
Results |
Complete esophageal symptom resolution without complications.
Limitation |
Case report.
Conclusions |
ECD is feasible, easy, safe, and effective for complete septum dissection. This is the first reported case of ECD. ECD provides another option in managing ZD with flexible endoscopy.
Le texte complet de cet article est disponible en PDF.Abbreviations : ECD, ESC, NG, ZD
Plan
Vol 67 - N° 4
P. 704-708 - avril 2008 Retour au numéro
Article précédent
- Fellow abroad!
- Alberto Herreros de Tejada
- Endoscopic vacuum-assisted closure of upper intestinal anastomotic leaks
- Jochen Wedemeyer, Andrea Schneider, Michael P. Manns, Steffan Jackobs
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?