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Endoscopic treatment of Zenker's diverticulum using CO2 laser

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Krespi, Y Kacker, A Remacle, Marc [UCL]

OBJECTIVES: The objective of the present study Was to review the technique of endoscopic laser-assisted esophagodiverticulostomy (ELAED) for the treatment of Zenker's diverticulum. METHODS: We reviewed 83 cases of ELAED performed for the treatment of Zenker's diverticuli during the past decade. RESULTS: ELAED-treated patients had a reduced hospital stay and were able to start an oral diet earlier than were patients who underwent other surgical procedures. Two (2.4%) of our patients developed small fistulas, which closed spontaneously. An additional 2 (2.4%) of our patients required conversion to an open approach due to inadequate endoscopic exposure, and 5 (6%) required a revision endoscopic procedure for persistent symptoms. CONCLUSIONS: Our series of 83 patients treated at 2 large academic centers during the past decade with an average follow-up of 4 years demonstrates that ELAED is a safe and effective procedure for the management of Zenker's diverticulum.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès interdit
Publication date 2002
Language Anglais
Journal information "Otolaryngology - Head and Neck Surgery" - Vol. 127, no. 4, p. 309-314 (2002)
Peer reviewed yes
Publisher Mosby, Inc (St Louis)
issn 0194-5998
e-issn 1097-6817
Affiliation UCL - MD/NOPS - Département de neurologie et de psychiatrie
Links
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Bibliographic reference Krespi, Y ; Kacker, A ; Remacle, Marc. Endoscopic treatment of Zenker's diverticulum using CO2 laser. In: Otolaryngology - Head and Neck Surgery, Vol. 127, no. 4, p. 309-314 (2002)
Permanent URL http://hdl.handle.net/2078.1/61849