000107384 001__ 107384
000107384 005__ 20220503125128.0
000107384 0247_ $$2doi$$a10.1007/s00464-020-08001-9
000107384 0248_ $$2sideral$$a120318
000107384 037__ $$aART-2020-120318
000107384 041__ $$aeng
000107384 100__ $$aAlfaro, E.
000107384 245__ $$aFlexible endoscopy assisted by Ligasure™ for treatment of Zenker’s diverticulum: an effective and safe procedure
000107384 260__ $$c2020
000107384 5060_ $$aAccess copy available to the general public$$fUnrestricted
000107384 5203_ $$aBackground: Flexible endoscopy allows use of the vessel–tissue sealer Ligasure™ (Covidien, Massachusetts, USA) to perform diverticulotomy. Few studies have used this endoscopic approach in the uncommon disorder Zenker's diverticulum. The aim of the present study was to evaluate the effectiveness and safety of flexible endoscopy treatment assisted by Ligasure™.
Methods: The single-center prospective and descriptive study included patients treated by flexible endoscopy using Ligasure™ for resection of Zenker’s diverticulum. Consecutive patients were included from March 2009 to April 2018. Patients were censored until the end of follow-up or death. Complications, symptoms before treatment, type of sedation, and number of interventions needed to resolve Zenker’s diverticulum were analyzed. Bleeding complications were considered when a case required a second endoscopy.
Results: A total of 46 symptomatic patients with Zenker''s diverticulum were included in the final analysis (41.3% women, median age of 73.7 ± 11 years). The median follow-up period was 37.21 ± 28 months. Of all cases, 58.7% were considered small (< 3 cm). Solid or semi-solid food-related dysphagia was present in 55.6% of patients previously to the procedure. The technique was successful in a single procedure in 78.3% of cases. However, the success rate increased to 89.1% with a second procedure, and we had a complication rate of 4.3% with this technique. Most patients (79.66%) were managed as out-patients or with short (< 24 h) admission.
Conclusion: In this large case series, treatment of Zenker''s diverticulum based on flexible endoscopy assisted by Ligasure™ was a safe and effective procedure with a high success rate in a few endoscopy sessions and low complication rate.
000107384 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000107384 590__ $$a4.584$$b2020
000107384 591__ $$aSURGERY$$b33 / 212 = 0.156$$c2020$$dQ1$$eT1
000107384 592__ $$a1.457$$b2020
000107384 593__ $$aSurgery$$c2020$$dQ1
000107384 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000107384 700__ $$aCañamares, P.
000107384 700__ $$0(orcid)0000-0001-7466-3876$$aSostres, C.$$uUniversidad de Zaragoza
000107384 700__ $$0(orcid)0000-0003-2041-3147$$aSimón, M.Á.$$uUniversidad de Zaragoza
000107384 700__ $$aDucons, J.
000107384 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000107384 773__ $$g35 (2020), 5124–5129$$pSurg. endosc.$$tSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES$$x0930-2794
000107384 8564_ $$s745587$$uhttps://zaguan.unizar.es/record/107384/files/texto_completo.pdf$$yPostprint
000107384 8564_ $$s2477864$$uhttps://zaguan.unizar.es/record/107384/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000107384 909CO $$ooai:zaguan.unizar.es:107384$$particulos$$pdriver
000107384 951__ $$a2022-05-03-12:45:10
000107384 980__ $$aARTICLE