Endoscopic diverticulotomy using Ligasure
Endoscopic treatment of Zenker diverticulum is considered feasible, effective and safe. The use of the Ligasure™ vessel sealer provides adequate and quick dissection of tissue, achieving effective haemostasis. Retrospective, descriptive study of all patients with Zenker diverticulum who were treated...
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| Veröffentlicht in: | Gastroenterología y hepatología 2017-02, Vol.40 (2), p.80-84 |
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| container_title | Gastroenterología y hepatología |
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| creator | Moreira da Silva, Bruno A Germade, Arantxa Pérez Citores, Laura Maestro Antolin, Sergio Santos, Fernando Sánchez Barranco, Fernando Pérez Millán, Antonio Igea Arisqueta, Francisco |
| description | Endoscopic treatment of Zenker diverticulum is considered feasible, effective and safe. The use of the Ligasure™ vessel sealer provides adequate and quick dissection of tissue, achieving effective haemostasis.
Retrospective, descriptive study of all patients with Zenker diverticulum who were treated by endoscopic diverticulotomy using Ligasure™. The procedure was performed in the endoscopy unit under deep sedation controlled by the endoscopist. Patients were subsequently admitted for observation and, after discharge, were followed-up in the outpatient clinic.
Eight patients, 5 women and 3 men, mean age 78±15 years, 25% ASA I, 36% ASA II, 14% ASA III and 25% ASA IV. Main symptom: dysphagia. Diverticula size: 1-7cm. Technical success: 100%.
one patient with upper gastrointestinal bleeding. Average stay: 24h. Seven patients: asymptomatic; one patient with partial improvement, requiring repeat endoscopic intervention. Surgery and morbidity and mortality: 0%.
The treatment of Zenker diverticulum by endoscopic diverticulotomy using the Ligasure™ vessel sealer is highly effective, fast and safe, and could be considered the treatment of choice. |
| doi_str_mv | 10.1016/j.gastrohep.2016.04.001 |
| format | Article |
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Retrospective, descriptive study of all patients with Zenker diverticulum who were treated by endoscopic diverticulotomy using Ligasure™. The procedure was performed in the endoscopy unit under deep sedation controlled by the endoscopist. Patients were subsequently admitted for observation and, after discharge, were followed-up in the outpatient clinic.
Eight patients, 5 women and 3 men, mean age 78±15 years, 25% ASA I, 36% ASA II, 14% ASA III and 25% ASA IV. Main symptom: dysphagia. Diverticula size: 1-7cm. Technical success: 100%.
one patient with upper gastrointestinal bleeding. Average stay: 24h. Seven patients: asymptomatic; one patient with partial improvement, requiring repeat endoscopic intervention. Surgery and morbidity and mortality: 0%.
The treatment of Zenker diverticulum by endoscopic diverticulotomy using the Ligasure™ vessel sealer is highly effective, fast and safe, and could be considered the treatment of choice.</description><identifier>ISSN: 0210-5705</identifier><identifier>DOI: 10.1016/j.gastrohep.2016.04.001</identifier><identifier>PMID: 27184555</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Aged ; Digestive System Surgical Procedures - methods ; Electrosurgery ; Female ; Humans ; Male ; Retrospective Studies ; Zenker Diverticulum - surgery</subject><ispartof>Gastroenterología y hepatología, 2017-02, Vol.40 (2), p.80-84</ispartof><rights>Copyright © 2016 Elsevier España, S.L.U., AEEH y AEG. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27184555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira da Silva, Bruno A</creatorcontrib><creatorcontrib>Germade, Arantxa</creatorcontrib><creatorcontrib>Pérez Citores, Laura</creatorcontrib><creatorcontrib>Maestro Antolin, Sergio</creatorcontrib><creatorcontrib>Santos, Fernando</creatorcontrib><creatorcontrib>Sánchez Barranco, Fernando</creatorcontrib><creatorcontrib>Pérez Millán, Antonio</creatorcontrib><creatorcontrib>Igea Arisqueta, Francisco</creatorcontrib><title>Endoscopic diverticulotomy using Ligasure</title><title>Gastroenterología y hepatología</title><addtitle>Gastroenterol Hepatol</addtitle><description>Endoscopic treatment of Zenker diverticulum is considered feasible, effective and safe. The use of the Ligasure™ vessel sealer provides adequate and quick dissection of tissue, achieving effective haemostasis.
Retrospective, descriptive study of all patients with Zenker diverticulum who were treated by endoscopic diverticulotomy using Ligasure™. The procedure was performed in the endoscopy unit under deep sedation controlled by the endoscopist. Patients were subsequently admitted for observation and, after discharge, were followed-up in the outpatient clinic.
Eight patients, 5 women and 3 men, mean age 78±15 years, 25% ASA I, 36% ASA II, 14% ASA III and 25% ASA IV. Main symptom: dysphagia. Diverticula size: 1-7cm. Technical success: 100%.
one patient with upper gastrointestinal bleeding. Average stay: 24h. Seven patients: asymptomatic; one patient with partial improvement, requiring repeat endoscopic intervention. Surgery and morbidity and mortality: 0%.
The treatment of Zenker diverticulum by endoscopic diverticulotomy using the Ligasure™ vessel sealer is highly effective, fast and safe, and could be considered the treatment of choice.</description><subject>Aged</subject><subject>Digestive System Surgical Procedures - methods</subject><subject>Electrosurgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Zenker Diverticulum - surgery</subject><issn>0210-5705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8FOhDAURbvQOOPoLyhLXYCvrzzaLs1kRk1I3OiaFChjJ0CRgsn8vSSOq5vce3KSy9g9h4QDz56OycGEafRfdkhwKRJIEwB-wdaAHGKSQCt2HcIRAEmgvmIrlFylRLRmj7u-9qHyg6ui2v3YcXLV3PrJd6doDq4_RLlb9PNob9hlY9pgb8-5YZ_73cf2Nc7fX962z3k88JRPcSlJpkIj1lwSaW2lalBIm5VkSoSywYaEAC3MsmlpKqM0UqVIA5VWWbFhD3_eYfTfsw1T0blQ2bY1vfVzKLjCLFNKEy7o3Rmdy87WxTC6zoyn4v-e-AX1flHI</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Moreira da Silva, Bruno A</creator><creator>Germade, Arantxa</creator><creator>Pérez Citores, Laura</creator><creator>Maestro Antolin, Sergio</creator><creator>Santos, Fernando</creator><creator>Sánchez Barranco, Fernando</creator><creator>Pérez Millán, Antonio</creator><creator>Igea Arisqueta, Francisco</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Endoscopic diverticulotomy using Ligasure</title><author>Moreira da Silva, Bruno A ; Germade, Arantxa ; Pérez Citores, Laura ; Maestro Antolin, Sergio ; Santos, Fernando ; Sánchez Barranco, Fernando ; Pérez Millán, Antonio ; Igea Arisqueta, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-b75743922d175599e78f237e6b5ab20bf2f533093a99e97aca8925c85905be8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Digestive System Surgical Procedures - methods</topic><topic>Electrosurgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Zenker Diverticulum - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira da Silva, Bruno A</creatorcontrib><creatorcontrib>Germade, Arantxa</creatorcontrib><creatorcontrib>Pérez Citores, Laura</creatorcontrib><creatorcontrib>Maestro Antolin, Sergio</creatorcontrib><creatorcontrib>Santos, Fernando</creatorcontrib><creatorcontrib>Sánchez Barranco, Fernando</creatorcontrib><creatorcontrib>Pérez Millán, Antonio</creatorcontrib><creatorcontrib>Igea Arisqueta, Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Gastroenterología y hepatología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira da Silva, Bruno A</au><au>Germade, Arantxa</au><au>Pérez Citores, Laura</au><au>Maestro Antolin, Sergio</au><au>Santos, Fernando</au><au>Sánchez Barranco, Fernando</au><au>Pérez Millán, Antonio</au><au>Igea Arisqueta, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic diverticulotomy using Ligasure</atitle><jtitle>Gastroenterología y hepatología</jtitle><addtitle>Gastroenterol Hepatol</addtitle><date>2017-02</date><risdate>2017</risdate><volume>40</volume><issue>2</issue><spage>80</spage><epage>84</epage><pages>80-84</pages><issn>0210-5705</issn><abstract>Endoscopic treatment of Zenker diverticulum is considered feasible, effective and safe. The use of the Ligasure™ vessel sealer provides adequate and quick dissection of tissue, achieving effective haemostasis.
Retrospective, descriptive study of all patients with Zenker diverticulum who were treated by endoscopic diverticulotomy using Ligasure™. The procedure was performed in the endoscopy unit under deep sedation controlled by the endoscopist. Patients were subsequently admitted for observation and, after discharge, were followed-up in the outpatient clinic.
Eight patients, 5 women and 3 men, mean age 78±15 years, 25% ASA I, 36% ASA II, 14% ASA III and 25% ASA IV. Main symptom: dysphagia. Diverticula size: 1-7cm. Technical success: 100%.
one patient with upper gastrointestinal bleeding. Average stay: 24h. Seven patients: asymptomatic; one patient with partial improvement, requiring repeat endoscopic intervention. Surgery and morbidity and mortality: 0%.
The treatment of Zenker diverticulum by endoscopic diverticulotomy using the Ligasure™ vessel sealer is highly effective, fast and safe, and could be considered the treatment of choice.</abstract><cop>Spain</cop><pmid>27184555</pmid><doi>10.1016/j.gastrohep.2016.04.001</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Digestive System Surgical Procedures - methods Electrosurgery Female Humans Male Retrospective Studies Zenker Diverticulum - surgery |
| title | Endoscopic diverticulotomy using Ligasure |
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