Zenker\u2019s diverticulum (ZD) can lead to dysphagia to both solids and liquids and can be treated endoscopically or surgically. This retrospective, single-center, observational study evaluated the short- and long-term outcomes of patients treated with flexible endoscopic septotomy (FES). <\/p>\n\n\n\n
This study followed 256 patients (186 males; mean age, 74.3 \u00b1 11.6 years) referred for endoscopic treatment of symptomatic ZD, for which FES was deemed first-line therapy. All of the procedures were performed by the same expert endoscopist. Follow-up included assessment by phone call or clinic visit at 1 month postprocedure, followed by every 6 months for 2 years and then yearly until study close or a recurrence. <\/p>\n\n\n\n
The procedure was successfully completed in all patients. The mean duration of the procedure was 18.5 \u00b1 5.2 minutes, and deep sedation with propofol was the anesthesia method for 92.2% of patients. More than half of the patients (52.3%) were discharged following the procedure, and those who were admitted were hospitalized for 1.6 \u00b1 1.1 days. Early clinical success, defined as resolution of symptoms 1 month postprocedure, occurred in 96.8% of patients (248\/256). Eighty patients (31.3%) had symptom recurrence within 65.1 \u00b1 33.9 months. FES was repeated in 95% of patients (76\/80), 89.5% of whom had no symptoms within 37.3 \u00b1 11.7 months from the repeat FES. <\/p>\n\n\n\n
The adverse event (AE) rate was low at 3.5% (9\/256), with 1 minor AE (severe pharyngodynia), 3 moderate AEs (dysphagia requiring endoscopy and removal of clips, aspiration pneumonia, and postprocedure bleeding), and 5 severe AEs (perforation). No patient deaths were reported.<\/p>\n","protected":false},"excerpt":{"rendered":"
Zenker\u2019s diverticulum (ZD) can lead to dysphagia to both solids and liquids and can be treated endoscopically or surgically. This retrospective, single-center, observational study evaluated the short- and long-term outcomes of patients treated with flexible endoscopic septotomy (FES). This study followed 256 patients (186 males; mean age, 74.3 \u00b1 11.6 years) referred for endoscopic treatment … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[2098,2973,2972,2971,2970],"class_list":["post-11025","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-esophagus-2","tag-fes","tag-flexible-endoscopic-septotomy","tag-zd","tag-zenkers-diverticulum-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11025","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11025"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}