Long-term symptom control after endoscopic laser-assisted diverticulotomy of Zenker's diverticulum

Abstract Objective To assess the long-term outcome after endoscopic laser-assisted diverticulotomy. Methods The medical files of patients who underwent endoscopic Zenker's diverticulum (ZD) surgery were reviewed retrospectively. Patients were interviewed using a questionnaire which assessed sym...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2014-12, Vol.41 (6), p.568-571
Main Authors: Anagiotos, Andreas, Feyka, Matthias, Eslick, Guy D, Lichtenstein, Thorsten, Henning, Tobias D, Guntinas-Lichius, Orlando, Hüttenbrink, Karl-Bernd, Preuss, Simon F
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cohort Studies
Deglutition Disorders - etiology
Deglutition Disorders - surgery
Diverticulotomy
Esophagoscopy - methods
Female
Follow-Up Studies
Humans
Laser Therapy - methods
Laser-assisted
Male
Middle Aged
Otolaryngology
Patient Satisfaction
Quality of Life
Retrospective Studies
Satisfaction
Treatment Outcome
Zenker Diverticulum - complications
Zenker Diverticulum - surgery
Zenker's diverticulum
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Summary:Abstract Objective To assess the long-term outcome after endoscopic laser-assisted diverticulotomy. Methods The medical files of patients who underwent endoscopic Zenker's diverticulum (ZD) surgery were reviewed retrospectively. Patients were interviewed using a questionnaire which assessed symptoms, other relevant disorders and satisfaction after the surgery. Results Mean follow-up period from 62 surgeries was 100 months (range 11–216 months). Follow-up data were obtained from 34 patients (response rate: 55%) in total. The surgery resulted in a significant reduction of symptoms (regurgitation, dysphagia and globus sensation). In four cases (12%) a postoperative impairment of swallowing solid food was reported, whereas, persisted difficulty of swallowing liquids was observed in two patients (6%). There was no reported case of impairment associated with everyday habits. The majority of patients were satisfied with the overall outcome of the surgery ( n = 31, 91%). Conclusion The endoscopic laser-assisted diverticulotomy is an effective method of treating Zenker's diverticulum. The presented long-term results confirm that this technique offers a very high degree of symptom relief and patient's satisfaction.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2014.06.002