02921nam a22004697a 4500
201229s20212021 xxu||||| |||| 00| 0 eng d
0013-726X
10.1055/a-1276-0219 [doi]
Ovid MEDLINE(R)
33096576
Impact of prior treatment on feasibility and outcomes of Zenker's peroral endoscopic myotomy (Z-POEM).
Endoscopy. 53(7):722-726, 2021 07.
Endoscopy. 53(7):722-726, 2021 07.
Endoscopy. 2020 Oct 23
Endoscopy
2021
FY2022
aheadofprint
ppublish
2020-12-29
Endoscopy. 2020 Oct 23
FY2021
Available online through MWHC library: 1999 - 2010, Available in print through MWHC library: 1999 - 2006
BACKGROUND: Zenker's peroral endoscopic myotomy (Z-POEM) is a novel procedure for the management of symptomatic Zenker's diverticulum. This study aims to report the technical feasibility and outcomes of Z-POEM in the management of Zenker's diverticulum after prior failed interventions.
CONCLUSION: Z-POEM is feasible, safe, and effective in the majority of patients with recurrent symptoms after prior surgical or endoscopic interventions. Copyright Thieme. All rights reserved.
METHODS: Patients with persistent or recurrent symptoms after prior endoscopic and/or surgical intervention for Zenker's diverticulum were retrospectively included. The primary outcome was clinical success, defined as complete or near complete resolution of dysphagia (dysphagia score of 0 or 1) without the need for repeat endoscopic or surgical intervention during follow-up.
RESULTS: Z-POEM was technically successful in 30/32 patients (93.8 %). Clinical success was achieved in 29/30 patients (96.7 %), and Z-POEM significantly reduced the median (interquartile range [IQR]) dysphagia score of patients from 2 (1 - 2) to 0 (0) (P < 0.001) over a median duration of follow up of 166 days (IQR 39 - 566). Four patients (12.5 %) had adverse events (two inadvertent mucosotomies and two leaks found on post-procedural esophagrams).
English
*Myotomy
*Zenker Diverticulum
Feasibility Studies
Humans
Retrospective Studies
Treatment Outcome
Zenker Diverticulum/su [Surgery]
MedStar Union Memorial Hospital
Journal Article
Sanaei, OmidKW - Medicine
Al-Ghamdi SS, Attaar M, Desai PN, Deshmukh A, Farha J, Ginsberg GG, Ichkhanian Y, Jovani M, Khashab MA, Krishnan A, Mondragon OVH, Nieto J, Sanaei O, Saumoy M, Tantau A, Tantau M, Ujiki M
https://dx.doi.org/10.1055/a-1276-0219
https://dx.doi.org/10.1055/a-1276-0219
ART
Article
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authcat
authcat
2020-12-29
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33096576
33096576
2020-12-29
2020-12-29
ART
5868
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