| 000 | 02921nam a22004697a 4500 | ||
|---|---|---|---|
| 008 | 201229s20212021 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a0013-726X | ||
| 024 | _a10.1055/a-1276-0219 [doi] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a33096576 | ||
| 245 | _aImpact of prior treatment on feasibility and outcomes of Zenker's peroral endoscopic myotomy (Z-POEM). | ||
| 251 | _aEndoscopy. 53(7):722-726, 2021 07. | ||
| 252 | _aEndoscopy. 53(7):722-726, 2021 07. | ||
| 252 | _zEndoscopy. 2020 Oct 23 | ||
| 253 | _aEndoscopy | ||
| 260 | _c2021 | ||
| 260 | _fFY2022 | ||
| 265 | _saheadofprint | ||
| 265 | _sppublish | ||
| 266 | _d2020-12-29 | ||
| 268 | _aEndoscopy. 2020 Oct 23 | ||
| 269 | _fFY2021 | ||
| 501 | _aAvailable online through MWHC library: 1999 - 2010, Available in print through MWHC library: 1999 - 2006 | ||
| 520 | _aBACKGROUND: 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. | ||
| 520 | _aCONCLUSION: 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. | ||
| 520 | _aMETHODS: 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. | ||
| 520 | _aRESULTS: 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). | ||
| 546 | _aEnglish | ||
| 650 | _a*Myotomy | ||
| 650 | _a*Zenker Diverticulum | ||
| 650 | _aFeasibility Studies | ||
| 650 | _aHumans | ||
| 650 | _aRetrospective Studies | ||
| 650 | _aTreatment Outcome | ||
| 650 | _aZenker Diverticulum/su [Surgery] | ||
| 651 | _aMedStar Union Memorial Hospital | ||
| 657 | _aJournal Article | ||
| 700 | _aSanaei, OmidKW - Medicine | ||
| 790 | _aAl-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 | ||
| 856 |
_uhttps://dx.doi.org/10.1055/a-1276-0219 _zhttps://dx.doi.org/10.1055/a-1276-0219 |
||
| 942 |
_cART _dArticle |
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| 999 |
_c5868 _d5868 |
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