Functional results in endoscopic Zenker's diverticulum surgery.
Eur Ann Otorhinolaryngol Head Neck Dis
; 134(5): 309-313, 2017 Oct.
Article
en En
| MEDLINE
| ID: mdl-28341539
ABSTRACT
OBJECTIVES:
The main objective of this retrospective study was to assess functional results in endoscopic Zenker's diverticulum surgery. The secondary objectives were to assess safety, identify recurrence risk factors, and determine optimal management of recurrence. MATERIAL ANDMETHODS:
From 2000 to 2014, 50 patients underwent endoscopic surgery for marsupialization of Zenker's diverticulum. Regurgitation and dysphagia were assessed on the FOIS scale, pre- and post-operatively. Recurrences and complications rates were determined retrospectively at a minimum 18 months' follow-up.RESULTS:
Regurgitation and dysphagia improved in respectively 96% and 86% of patients. There was a 12% rate of complications, mostly minor. Mean hospital stay and time to return to oral feeding were 2.0 and 1.3 days respectively. Nine patients (18%) showed recurrence of symptoms, requiring revision surgery at a mean 2.7 years, performed endoscopically in the majority of cases. Only one recurrence risk factor was identified small diverticulum size.CONCLUSION:
Endoscopic Zenker's diverticulum surgery provided functional improvement in most cases. Safe and effective, it is currently the treatment of choice for Zenker's diverticulum.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Esofagoscopía
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Divertículo de Zenker
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Tiempo de Internación
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur Ann Otorhinolaryngol Head Neck Dis
Año:
2017
Tipo del documento:
Article