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- Title
Endoscopic carbon dioxide laser diverticulostomy versus endoscopic staple-assisted diverticulostomy to treat Zenker's diverticulum.
- Authors
Verhaegen, Veronique J. O.; Feuth, Ton; van den Hoogen, Frank J. A.; Marres, Henri A. M.; Takes, Robert P.
- Abstract
Background. The 2 most frequently used endoscopic methods to treat Zenker's diverticulum are stapleassisted and CO2 laser esophagodiverticulostomy. Methods. The study centered around a retrospective evaluation of 107 patients with Zenker's diverticulum who were treated endoscopically by CO2 laser (n = 72) or stapleassisted diverticulostomy (n = 35). Results. Patients in the staple-assisted group had a shorter duration of postoperative hospitalization, attributed to earlier oral intake, than patients in the CO2 laser group. There were no serious postoperative complications in either group. Postoperative fever and emphysema in the neck or mediastinum occurred more frequently in the CO2 laser group, but this did not lead to any complications. Most patients reported partial or complete relief of their symptoms and there was no significant difference in the number of reoperations between the 2 treatment groups. Conclusions. Zenker's diverticulum was treated safely and effectively by the 2 endoscopic techniques, but the stapleassisted method seemed to be the most favorable.
- Subjects
CARBON dioxide lasers; SURGICAL complications; PULMONARY emphysema; ENDOSCOPY; DIVERTICULUM; ENDOSCOPIC surgery; THERAPEUTICS
- Publication
Head & Neck, 2011, Vol 33, Issue 2, p154
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.21413