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Interdisciplinary comparison of endoscopic laser-assisted diverticulotomy vs. transcervical myotomy as a treatment for Zenker’s diverticulum

Background - Currently, there are different competing techniques for the treatment of Zenker’s diverticulum (ZD). To improve patient selection, we compared endoscopic laser-assisted diverticulotomy (ELAD) with transcervical myotomy (TCM) with regard to possible risk factors for treatment failure. -...

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Main Authors: Nitschke, Philipp (Author) , Kemper, Max (Author) , König, Patricia (Author) , Zahnert, Thomas (Author) , Weitz, Jürgen (Author) , Reißfelder, Christoph (Author) , Distler, Marius (Author)
Format: Article (Journal)
Language:English
Published: September 2020
In: Journal of gastrointestinal surgery
Year: 2020, Volume: 24, Issue: 9, Pages: 1955-1961
ISSN:1873-4626
DOI:10.1007/s11605-019-04381-z
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s11605-019-04381-z
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S1091255X23017225
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Author Notes:Philipp Nitschke, Max Kemper, Patricia König, Thomas Zahnert, Jürgen Weitz, Christoph Reissfelder, Marius Distler
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Summary:Background - Currently, there are different competing techniques for the treatment of Zenker’s diverticulum (ZD). To improve patient selection, we compared endoscopic laser-assisted diverticulotomy (ELAD) with transcervical myotomy (TCM) with regard to possible risk factors for treatment failure. - Methods - Data of ZD patients (n = 104) treated between 2004 and 2016 with either TCM (38%) or ELAD (62%) were analyzed retrospectively. Univariate and multivariate analyses were performed. - Results - TCM is associated with a higher morbidity (27.8% vs. 10.2%; p = 0.095) but lower recurrence rate (7.3% vs. 19.3%; p = 0.095). Preoperative reflux disease (OR 8.755; p = 0.021) was identified as an independent risk factor for complications. - Conclusions - Although short-term outcome and symptom relief are similar, TCM tends to have a higher complication rate but better long-term results. Preoperative reflux disease is an independent risk factor for postoperative complications.
Item Description:Online publiziert: 3. September 2019
Gesehen am 15.12.2025
Physical Description:Online Resource
ISSN:1873-4626
DOI:10.1007/s11605-019-04381-z

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