Interdisciplinary Comparison of Endoscopic Laser-Assisted Diverticulotomy vs. Transcervical Myotomy as a Treatment for Zenker’s Diverticulum
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
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.
Details
Original language | English |
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Pages (from-to) | 1955-1961 |
Number of pages | 7 |
Journal | Journal of gastrointestinal surgery |
Volume | 24 |
Issue number | 9 |
Publication status | Published - 1 Sept 2020 |
Peer-reviewed | Yes |
External IDs
PubMed | 31482409 |
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ORCID | /0000-0003-3894-1175/work/148603821 |
ORCID | /0000-0002-5256-1497/work/153110549 |
Keywords
ASJC Scopus subject areas
Keywords
- Endoscopic diverticulotomy, Transcervical myotomy, Zenkers diverticulum