Endoscopic flexible treatment of Zenker's diverticulum: A modification of the needle-knife technique

A. Repici, N. Pagano, F. Romeo, S. Danese, M. Arosio, G. Rando, G. Strangio, A. Carlino, A. Malesci

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Background and study aim: Endoscopic treatment of Zenker's diverticulum has been successfully reported over the last 10 years using different approaches. The hook-knife is a new device originally developed for endoscopic submucosal dissection procedures. This study aimed to investigate the safety and efficacy of endoscopic myotomy performed with the hook-knife. Patients and method: From July 2005, 32 consecutive patients (23-male, mean age 74.8 years) with dysphagia secondary to the presence of Zenker's diverticulum were prospectively enrolled. Myotomy was performed using a straight-end transparent hood to the tip of the scope and the hook-knife for the incision of the bridge between the Zenker's diverticulum and the esophagus. Clinical outcome was evaluated assigning a dysphagia symptom score from 0 (symptoms absent) to 4 (inability to swallow saliva). Results: General anesthesia was used in 4 patients, deep sedation with propofol in 23 patients, while midazolam was used in 5 patients. The mean procedural time was 28 minutes. Complications occurred in 2 patients (6.25%). At 1 month follow-up, the mean dysphagia score was significantly improved from 2.9 to 0.6 (P

Original languageEnglish
Pages (from-to)532-535
Number of pages4
JournalEndoscopy
Volume42
Issue number7
DOIs
Publication statusPublished - 2010

Fingerprint

Zenker Diverticulum
Needles
Deglutition Disorders
Therapeutics
Deep Sedation
Midazolam
Propofol
Deglutition
Saliva
General Anesthesia
Esophagus
Safety
Equipment and Supplies

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Endoscopic flexible treatment of Zenker's diverticulum : A modification of the needle-knife technique. / Repici, A.; Pagano, N.; Romeo, F.; Danese, S.; Arosio, M.; Rando, G.; Strangio, G.; Carlino, A.; Malesci, A.

In: Endoscopy, Vol. 42, No. 7, 2010, p. 532-535.

Research output: Contribution to journalArticle

Repici, A. ; Pagano, N. ; Romeo, F. ; Danese, S. ; Arosio, M. ; Rando, G. ; Strangio, G. ; Carlino, A. ; Malesci, A. / Endoscopic flexible treatment of Zenker's diverticulum : A modification of the needle-knife technique. In: Endoscopy. 2010 ; Vol. 42, No. 7. pp. 532-535.
@article{902d82d8989f4d33a63eb6b4d11edbf0,
title = "Endoscopic flexible treatment of Zenker's diverticulum: A modification of the needle-knife technique",
abstract = "Background and study aim: Endoscopic treatment of Zenker's diverticulum has been successfully reported over the last 10 years using different approaches. The hook-knife is a new device originally developed for endoscopic submucosal dissection procedures. This study aimed to investigate the safety and efficacy of endoscopic myotomy performed with the hook-knife. Patients and method: From July 2005, 32 consecutive patients (23-male, mean age 74.8 years) with dysphagia secondary to the presence of Zenker's diverticulum were prospectively enrolled. Myotomy was performed using a straight-end transparent hood to the tip of the scope and the hook-knife for the incision of the bridge between the Zenker's diverticulum and the esophagus. Clinical outcome was evaluated assigning a dysphagia symptom score from 0 (symptoms absent) to 4 (inability to swallow saliva). Results: General anesthesia was used in 4 patients, deep sedation with propofol in 23 patients, while midazolam was used in 5 patients. The mean procedural time was 28 minutes. Complications occurred in 2 patients (6.25{\%}). At 1 month follow-up, the mean dysphagia score was significantly improved from 2.9 to 0.6 (P",
author = "A. Repici and N. Pagano and F. Romeo and S. Danese and M. Arosio and G. Rando and G. Strangio and A. Carlino and A. Malesci",
year = "2010",
doi = "10.1055/s-0029-1244163",
language = "English",
volume = "42",
pages = "532--535",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",
number = "7",

}

TY - JOUR

T1 - Endoscopic flexible treatment of Zenker's diverticulum

T2 - A modification of the needle-knife technique

AU - Repici, A.

AU - Pagano, N.

AU - Romeo, F.

AU - Danese, S.

AU - Arosio, M.

AU - Rando, G.

AU - Strangio, G.

AU - Carlino, A.

AU - Malesci, A.

PY - 2010

Y1 - 2010

N2 - Background and study aim: Endoscopic treatment of Zenker's diverticulum has been successfully reported over the last 10 years using different approaches. The hook-knife is a new device originally developed for endoscopic submucosal dissection procedures. This study aimed to investigate the safety and efficacy of endoscopic myotomy performed with the hook-knife. Patients and method: From July 2005, 32 consecutive patients (23-male, mean age 74.8 years) with dysphagia secondary to the presence of Zenker's diverticulum were prospectively enrolled. Myotomy was performed using a straight-end transparent hood to the tip of the scope and the hook-knife for the incision of the bridge between the Zenker's diverticulum and the esophagus. Clinical outcome was evaluated assigning a dysphagia symptom score from 0 (symptoms absent) to 4 (inability to swallow saliva). Results: General anesthesia was used in 4 patients, deep sedation with propofol in 23 patients, while midazolam was used in 5 patients. The mean procedural time was 28 minutes. Complications occurred in 2 patients (6.25%). At 1 month follow-up, the mean dysphagia score was significantly improved from 2.9 to 0.6 (P

AB - Background and study aim: Endoscopic treatment of Zenker's diverticulum has been successfully reported over the last 10 years using different approaches. The hook-knife is a new device originally developed for endoscopic submucosal dissection procedures. This study aimed to investigate the safety and efficacy of endoscopic myotomy performed with the hook-knife. Patients and method: From July 2005, 32 consecutive patients (23-male, mean age 74.8 years) with dysphagia secondary to the presence of Zenker's diverticulum were prospectively enrolled. Myotomy was performed using a straight-end transparent hood to the tip of the scope and the hook-knife for the incision of the bridge between the Zenker's diverticulum and the esophagus. Clinical outcome was evaluated assigning a dysphagia symptom score from 0 (symptoms absent) to 4 (inability to swallow saliva). Results: General anesthesia was used in 4 patients, deep sedation with propofol in 23 patients, while midazolam was used in 5 patients. The mean procedural time was 28 minutes. Complications occurred in 2 patients (6.25%). At 1 month follow-up, the mean dysphagia score was significantly improved from 2.9 to 0.6 (P

UR - http://www.scopus.com/inward/record.url?scp=77954253926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954253926&partnerID=8YFLogxK

U2 - 10.1055/s-0029-1244163

DO - 10.1055/s-0029-1244163

M3 - Article

C2 - 20593330

AN - SCOPUS:77954253926

VL - 42

SP - 532

EP - 535

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

IS - 7

ER -