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Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife

BACKGROUND: Zenker’s diverticulum (ZD) is a rare disease that affects elderly subjects. The mainstay of management is endoscopic myotomy of the cricopharyngeal septum. In this series, we aimed to evaluate the feasibility and efficacy of cricopharyngeal myotomy with a new electrosurgical knife in pat...

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Autores principales: Nabi, Zaheer, Ramchandani, Mohan, Jagtap, Nitin, Darisetty, Santosh, Reddy, D. Nageshwar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826068/
https://www.ncbi.nlm.nih.gov/pubmed/31700244
http://dx.doi.org/10.20524/aog.2019.0393
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author Nabi, Zaheer
Ramchandani, Mohan
Jagtap, Nitin
Darisetty, Santosh
Reddy, D. Nageshwar
author_facet Nabi, Zaheer
Ramchandani, Mohan
Jagtap, Nitin
Darisetty, Santosh
Reddy, D. Nageshwar
author_sort Nabi, Zaheer
collection PubMed
description BACKGROUND: Zenker’s diverticulum (ZD) is a rare disease that affects elderly subjects. The mainstay of management is endoscopic myotomy of the cricopharyngeal septum. In this series, we aimed to evaluate the feasibility and efficacy of cricopharyngeal myotomy with a new electrosurgical knife in patients with ZD. METHODS: Consecutive patients with ZD who underwent flexible endoscopic myotomy with the new triangle tip knife J (TTJ) were included in the study. The study outcomes included technical and clinical success, procedure duration, and adverse events. RESULTS: A total of 7 patients [median age 57 (range 40-87) years] underwent cricopharyngeal myotomy with the TTJ knife. The median size of the ZD was 4 (range 3-5) cm. The procedure was successfully completed in all the patients with a median operative time of 12 (range 8-16) min. There were no major adverse events. Minor bleeding was noticed in 3 patients and was successfully managed using the same knife. Clinical resolution of symptoms was noticed in all the patients at follow up. CONCLUSION: Cricopharyngeal myotomy can be performed safely and efficiently with the new TTJ knife.
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spelling pubmed-68260682019-11-07 Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife Nabi, Zaheer Ramchandani, Mohan Jagtap, Nitin Darisetty, Santosh Reddy, D. Nageshwar Ann Gastroenterol Case Series BACKGROUND: Zenker’s diverticulum (ZD) is a rare disease that affects elderly subjects. The mainstay of management is endoscopic myotomy of the cricopharyngeal septum. In this series, we aimed to evaluate the feasibility and efficacy of cricopharyngeal myotomy with a new electrosurgical knife in patients with ZD. METHODS: Consecutive patients with ZD who underwent flexible endoscopic myotomy with the new triangle tip knife J (TTJ) were included in the study. The study outcomes included technical and clinical success, procedure duration, and adverse events. RESULTS: A total of 7 patients [median age 57 (range 40-87) years] underwent cricopharyngeal myotomy with the TTJ knife. The median size of the ZD was 4 (range 3-5) cm. The procedure was successfully completed in all the patients with a median operative time of 12 (range 8-16) min. There were no major adverse events. Minor bleeding was noticed in 3 patients and was successfully managed using the same knife. Clinical resolution of symptoms was noticed in all the patients at follow up. CONCLUSION: Cricopharyngeal myotomy can be performed safely and efficiently with the new TTJ knife. Hellenic Society of Gastroenterology 2019 2019-06-17 /pmc/articles/PMC6826068/ /pubmed/31700244 http://dx.doi.org/10.20524/aog.2019.0393 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Nabi, Zaheer
Ramchandani, Mohan
Jagtap, Nitin
Darisetty, Santosh
Reddy, D. Nageshwar
Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title_full Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title_fullStr Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title_full_unstemmed Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title_short Endoscopic treatment of Zenker’s diverticulum using a new triangle tip knife
title_sort endoscopic treatment of zenker’s diverticulum using a new triangle tip knife
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826068/
https://www.ncbi.nlm.nih.gov/pubmed/31700244
http://dx.doi.org/10.20524/aog.2019.0393
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