TY  - BOOK
AU  - Sanaei, OmidKW  - Medicine
TI  - Impact of prior treatment on feasibility and outcomes of Zenker's peroral endoscopic myotomy (Z-POEM)
SN  - 0013-726X
PY  - 2021///
KW  - *Myotomy
KW  - *Zenker Diverticulum
KW  - Feasibility Studies
KW  - Humans
KW  - Retrospective Studies
KW  - Treatment Outcome
KW  - Zenker Diverticulum/su [Surgery]
KW  - MedStar Union Memorial Hospital
KW  - Journal Article
N1  - Available online through MWHC library: 1999 - 2010, Available in print through MWHC library: 1999 - 2006
N2  - 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)
UR  - https://dx.doi.org/10.1055/a-1276-0219
ER  -