Devices and techniques for flexible endoscopic management of Zenker's diverticulum (with videos).


Journal

Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505

Informations de publication

Date de publication:
07 2021
Historique:
received: 12 02 2021
accepted: 13 02 2021
pubmed: 1 5 2021
medline: 8 7 2021
entrez: 30 4 2021
Statut: ppublish

Résumé

Zenker's diverticulum (ZD) has traditionally been treated with open surgery or rigid endoscopy. With the advances in endoscopy, alternative flexible endoscopic treatments have been developed. This document reviews current endoscopic techniques and devices used to treat ZD. The endoscopic techniques may be categorized as the traditional flexible endoscopic septal division and the more recent submucosal tunneling endoscopic septum division, also known as peroral endoscopic myotomy for ZD. This document also addresses clinical outcomes, safety, and financial considerations. Flexible endoscopic approaches treat symptomatic ZD with results that are favorable compared with traditional open surgical or rigid endoscopic alternatives.

Sections du résumé

BACKGROUND AND AIMS
Zenker's diverticulum (ZD) has traditionally been treated with open surgery or rigid endoscopy. With the advances in endoscopy, alternative flexible endoscopic treatments have been developed.
METHODS
This document reviews current endoscopic techniques and devices used to treat ZD.
RESULTS
The endoscopic techniques may be categorized as the traditional flexible endoscopic septal division and the more recent submucosal tunneling endoscopic septum division, also known as peroral endoscopic myotomy for ZD. This document also addresses clinical outcomes, safety, and financial considerations.
CONCLUSIONS
Flexible endoscopic approaches treat symptomatic ZD with results that are favorable compared with traditional open surgical or rigid endoscopic alternatives.

Identifiants

pubmed: 33926711
pii: S0016-5107(21)00141-3
doi: 10.1016/j.gie.2021.02.020
pii:
doi:

Types de publication

Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-13

Informations de copyright

Copyright © 2021 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Auteurs

Pichamol Jirapinyo (P)

Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Amrita Sethi (A)

Department of Digestive and Liver Diseases, Columbia University Medical Center/New York-Presbyterian Medical Center, New York, New York, USA.

Barham K Abu Dayyeh (BK)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Manoop S Bhutani (MS)

Department of Gastroenterology Hepatology and Nutrition, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Vinay Chandrasekhara (V)

Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.

Nikhil A Kumta (NA)

Division of Gastroenterology, Mount Sinai Hospital, New York, New York, USA.

Joshua Melson (J)

Division of Digestive Diseases, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.

Rahul Pannala (R)

Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA.

Erik F Rahimi (EF)

Department of Gastroenterology, Baylor Scott & White Health, Lakeway, Texas, USA.

Guru Trikudanathan (G)

Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA.

John T Maple (JT)

Division of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

David R Lichtenstein (DR)

Division of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA.

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Classifications MeSH