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New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series

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New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series. / Wilmsen, Johanna; Baumbach, Robert; Stüker, Dietmar; Weingart, Vincens; Neser, Frank; Gölder, Stefan Karl; Pfundstein, Christof; Nötzel, Ellen Claudia; Rösch, Thomas; Faiss, Siegbert.

In: WORLD J GASTROENTERO, Vol. 23, No. 17, 07.05.2017, p. 3084-3091.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Wilmsen, J, Baumbach, R, Stüker, D, Weingart, V, Neser, F, Gölder, SK, Pfundstein, C, Nötzel, EC, Rösch, T & Faiss, S 2017, 'New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series', WORLD J GASTROENTERO, vol. 23, no. 17, pp. 3084-3091. https://doi.org/10.3748/wjg.v23.i17.3084

APA

Wilmsen, J., Baumbach, R., Stüker, D., Weingart, V., Neser, F., Gölder, S. K., Pfundstein, C., Nötzel, E. C., Rösch, T., & Faiss, S. (2017). New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series. WORLD J GASTROENTERO, 23(17), 3084-3091. https://doi.org/10.3748/wjg.v23.i17.3084

Vancouver

Wilmsen J, Baumbach R, Stüker D, Weingart V, Neser F, Gölder SK et al. New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series. WORLD J GASTROENTERO. 2017 May 7;23(17):3084-3091. https://doi.org/10.3748/wjg.v23.i17.3084

Bibtex

@article{12b2e7a103f94d0b95050fd6e79008ef,
title = "New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series",
abstract = "AIM: To report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy.METHODS: From November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control.RESULTS: In eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur.CONCLUSION: Flexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications.",
keywords = "Journal Article",
author = "Johanna Wilmsen and Robert Baumbach and Dietmar St{\"u}ker and Vincens Weingart and Frank Neser and G{\"o}lder, {Stefan Karl} and Christof Pfundstein and N{\"o}tzel, {Ellen Claudia} and Thomas R{\"o}sch and Siegbert Faiss",
year = "2017",
month = may,
day = "7",
doi = "10.3748/wjg.v23.i17.3084",
language = "English",
volume = "23",
pages = "3084--3091",
journal = "WORLD J GASTROENTERO",
issn = "1007-9327",
publisher = "WJG Press",
number = "17",

}

RIS

TY - JOUR

T1 - New flexible endoscopic controlled stapler technique for the treatment of Zenker's diverticulum: A case series

AU - Wilmsen, Johanna

AU - Baumbach, Robert

AU - Stüker, Dietmar

AU - Weingart, Vincens

AU - Neser, Frank

AU - Gölder, Stefan Karl

AU - Pfundstein, Christof

AU - Nötzel, Ellen Claudia

AU - Rösch, Thomas

AU - Faiss, Siegbert

PY - 2017/5/7

Y1 - 2017/5/7

N2 - AIM: To report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy.METHODS: From November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control.RESULTS: In eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur.CONCLUSION: Flexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications.

AB - AIM: To report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy.METHODS: From November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control.RESULTS: In eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur.CONCLUSION: Flexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications.

KW - Journal Article

U2 - 10.3748/wjg.v23.i17.3084

DO - 10.3748/wjg.v23.i17.3084

M3 - SCORING: Journal article

C2 - 28533665

VL - 23

SP - 3084

EP - 3091

JO - WORLD J GASTROENTERO

JF - WORLD J GASTROENTERO

SN - 1007-9327

IS - 17

ER -