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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| Hauptverfasser: | , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
September 2020
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| In: |
Journal of gastrointestinal surgery
Year: 2020, Jahrgang: 24, Heft: 9, Pages: 1955-1961 |
| ISSN: | 1873-4626 |
| DOI: | 10.1007/s11605-019-04381-z |
| Online-Zugang: | 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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| Verfasserangaben: | Philipp Nitschke, Max Kemper, Patricia König, Thomas Zahnert, Jürgen Weitz, Christoph Reissfelder, Marius Distler |
MARC
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| 520 | |a 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. | ||
| 650 | 4 | |a Endoscopic diverticulotomy | |
| 650 | 4 | |a Transcervical myotomy | |
| 650 | 4 | |a Zenkers diverticulum | |
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