3,263 results match your criteria Esophageal Diverticula


Esophagogastric Junction Distensibility on Functional Lumen Imaging Probe Topography Predicts Treatment Response in Achalasia-Anatomy Matters!

Am J Gastroenterol 2019 Feb 5. Epub 2019 Feb 5.

Division of Gastroenterology and Hepatology, Northwestern Medicine, Chicago, Illinois, USA.

Introduction: To compare the utility of the distensibility index (DI) on functional lumen imaging probe (FLIP) topography to other esophagogastric junction (EGJ) metrics in assessing treatment response in achalasia in the context of esophageal anatomy.

Methods: We prospectively evaluated 79 patients (at ages 17-81 years; 47% female patients) with achalasia during follow-up after pneumatic dilation, Heller myotomy, or per-oral endoscopic myotomy with timed barium esophagram, high-resolution impedance manometry, and FLIP. Anatomic deformities were identified based on consensus expert opinion. Read More

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http://dx.doi.org/10.14309/ajg.0000000000000137DOI Listing
February 2019

Heller Myotomy for Epiphrenic Diverticula Compared to Nondiverticula Esophageal Motility Disorders, A Single Institution Experience and Appraisal of Patient Characteristics, High-Resolution Manometry and Outcomes.

Dig Surg 2019 Feb 5:1-9. Epub 2019 Feb 5.

Division of General Surgery, Morsani College of Medicine, University of South Florida, Tampa, Florida,

Purpose: The purpose of this study was to compare demographics, symptoms, prior interventions, operation, and outcomes of patients who underwent Heller myotomy for esophageal motility disorders and epiphrenic diverticulectomy with Heller myotomy.

Methods: We identified all patients who underwent Heller myotomy for esophageal motility disorders with and without esophageal diverticulectomy over an 80-month period. Primary data points included patient demographics, presenting symptoms, prior intervention, high-resolution manometry, surgery performed with rate of laparoscopic, conversion to open, and open procedures; postoperative complications, and symptom resolution. Read More

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http://dx.doi.org/10.1159/000496804DOI Listing
February 2019
1 Read

Endoscopic treatment of Zenker's diverticulum with Ligasure: simple, safe and effective.

Endosc Int Open 2019 Feb 18;7(2):E203-E208. Epub 2019 Jan 18.

Servicio de Gastroenterología. Hospital Universitario del Río Hortega, Valladolid, España.

 Zenker's diverticulum may cause disabling symptoms, especially in the elderly. Treatment has changed in recent decades from open surgery to management with flexible endoscopy, resulting in lower morbidity and mortality. The goal of this study was to present the largest series, with the longest follow-up, of patients with Zenker's diverticulum receiving outpatient treatment with flexible endoscopy using a diverticuloscope and Ligasure (Covidien, Minneapolis, Minnesota, United States), a device that allows tissue sealing and coagulation of vessels before cutting the septum between the diverticulum and esophagus. Read More

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http://dx.doi.org/10.1055/a-0809-4875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338546PMC
February 2019
1 Read

Esophageal Third Space Endoscopy: Recent Advances.

Curr Treat Options Gastroenterol 2019 Jan 26. Epub 2019 Jan 26.

Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Purpose Of The Review: The novel concept of third space endoscopy was first applied to humans in 2008 for the management of achalasia through peroral endoscopic myotomy (POEM) procedure. Over the ensuing 10 years, this revolutionary procedure, which started in Japan, has been adopted and mastered by surgeons and gastroenterologists across the globe. In this article, we review the recent innovations and applications of third space endoscopy in the management of esophageal disorders. Read More

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http://dx.doi.org/10.1007/s11938-019-00217-6DOI Listing
January 2019
6 Reads

Endoscopic foregut surgery and interventions: The future is now. The state-of-the-art and my personal journey.

Authors:
Kenneth J Chang

World J Gastroenterol 2019 Jan;25(1):1-41

H.H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center, Orange, CA 92868, United States.

In this paper, I reviewed the emerging field of endoscopic surgery and present data supporting the contention that endoscopy can now be used to treat many foregut diseases that have been traditionally treated surgically. Within each topic, the content will progress as follows: "lessons learned", "technical considerations" and "future opportunities". Lessons learned will provide a brief background and update on the most current literature. Read More

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https://www.wjgnet.com/1007-9327/full/v25/i1/1.htm
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http://dx.doi.org/10.3748/wjg.v25.i1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328959PMC
January 2019
9 Reads

Evolving Options in Management of Minimally Invasive Diverticular Disease: A Single Surgeon's Experience and Review of the Literature.

J Laparoendosc Adv Surg Tech A 2019 Jan 8. Epub 2019 Jan 8.

1 Division of Thoracic Surgery, Department of Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia.

Background: Esophageal thoracic diverticular disease is a rare condition resulting from multiple etiologies. Surgical management is recommended when symptomatic. Traditionally, a thoracotomy was considered the standard approach; however, the use of minimally invasive approaches has been associated with improved outcomes. Read More

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http://dx.doi.org/10.1089/lap.2018.0711DOI Listing
January 2019
1 Read

Thoracoscopic Esophagectomy for a Patient With Perforated Esophageal Epiphrenic Diverticulum After Kidney Transplantation: A Case Report.

Transplant Proc 2018 Dec 8;50(10):3964-3967. Epub 2018 Sep 8.

Department of Surgery, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai Miyagi, Japan.

A 58-year-old man who underwent cadaveric kidney transplantation twice presented to hospital with a perforated epiphrenic diverticulum. Computed tomography revealed epiphrenic diverticulitis and right pleural effusion. Upper gastrointestinal fibroscopy showed an epiphrenic diverticulum full of food residue. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.08.042DOI Listing
December 2018
2 Reads

A Case of Diffuse Esophageal Spasm Treated with Peroral Endoscopic Myotomy.

Acta Med Okayama 2018 Dec;72(6):595-600

Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama 700-8558,

The indications for peroral endoscopic myotomy (POEM) have been expanded to include diffuse esophageal spasm (DES). A 67-year-old Japanese man presented with a 4-year history of dysphagia. Endoscopy and upper gastrography revealed abnormal peristaltic movements involving interruption of normal peristalsis, and a diverticulum located at the 2 o'clock esophageal position. Read More

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http://dx.doi.org/10.18926/AMO/56378DOI Listing
December 2018
12 Reads

Killian-Jamieson diverticulum mimicking a suspicious thyroid lesion.

Clin Case Rep 2018 Dec 31;6(12):2509-2510. Epub 2018 Oct 31.

Department of Radiology Hospital Prof. Doutor Fernando Fonseca Amadora Portugal.

Killian-Jamieson diverticulum represents a rare form of esophageal diverticulum originating on the anterolateral wall of the cervical esophagus. Despite its rarity, it is crucial to recognize this entity, with such specific imaging findings, to avoid unnecessary invasive procedures such as fine-needle aspiration or even surgery. Read More

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http://dx.doi.org/10.1002/ccr3.1833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293139PMC
December 2018
2 Reads

An international study on the use of peroral endoscopic myotomy (POEM) in the management of esophageal diverticula: the first multicenter D-POEM experience.

Endoscopy 2018 Nov 19. Epub 2018 Nov 19.

Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA.

Background:  The aim of this study is to report a novel, multicenter experience with the diverticular peroral endoscopic myotomy (D-POEM) technique in the management of esophageal diverticula.

Methods:  This is a multicenter, international, retrospective study involving three centers. D-POEM was performed using the principles of submucosal endoscopy. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0759-1428
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http://dx.doi.org/10.1055/a-0759-1428DOI Listing
November 2018
10 Reads

Endoscopic submucosal dissection of superficial esophageal cancer expanding into the diverticulum.

Dig Endosc 2019 Jan 17;31(1):e30-e31. Epub 2018 Dec 17.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1111/den.13304DOI Listing
January 2019
3 Reads

Laparoscopic-thoracoscopic esophageal resection in the treatment of giant epiphrenic esophageal diverticulum (Ivor Lewis operation): Case report.

Int J Surg Case Rep 2018 8;52:89-94. Epub 2018 Oct 8.

NGHCI Railway Clinical Hospital at the "Rostov-Glavnyy" Station, OAO Russian Railways, Varfolomeeva Street 92, Rostov-on-Don, Russian Federation(1); FSBEI HE Rostov State Medical University of the Ministry of Health of the Russian Federation, Nakhichevansky Lane 19, Rostov-on-Don, Russian Federation(2).

Introduction: Complicated esophageal diverticulum is an extremely rare disease. The most widespread surgical tactic in such cases is drainage of the mediastinum and the position of a feeding gastrostomy or enterostomy. Our objective was to demonstrate the possibility of performing a one-step operation in case of giant esophageal diverticulum with necrotic diverticulitis and sepsis on the background of dilatation of the esophagus. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197753PMC
October 2018
2 Reads

Resection of an Esophageal Diverticulum by Thoracoscopy in Prone Position.

Ann Thorac Surg 2019 Feb 10;107(2):e153-e155. Epub 2018 Oct 10.

Institut Mutualiste Montsouris, Paris, France.

Diverticula of the middle one third of the esophagus are rare clinical entities, by comparison with the more common epiphrenic diverticula. For midesophageal diverticula, a minimally invasive approach has not been standardized. This report presents the case of a 60-year-old man with a large midesophageal diverticulum who was treated successfully by four-port video-assisted thoracic surgery while he was in the prone position. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.08.048DOI Listing
February 2019

An Esophagogram or Tracheobronchogram? A Review of Barium Sulfate Aspiration.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618802872. Epub 2018 Oct 4.

State University of New York Downstate Medical Center, Brooklyn, NY, USA.

The barium swallow is an important radiological investigation used for the diagnosis of upper gastrointestinal anatomical disorders like esophageal cancer, diverticulum, achalasia, foreign body, among others. Generally, it is believed to be a safe technique with rare complications, but few cases of barium sulfate aspiration have been reported in the literature with multiple complications. We are reporting a case of an elderly male who underwent esophagogram for the workup of chronic dysphagia, aspirated barium sulfate, and went into respiratory failure and circulatory shock several hours later. Read More

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http://dx.doi.org/10.1177/2324709618802872DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172932PMC
October 2018
3 Reads

Endoscopic Approaches to Cricopharyngeal Myotomy and Pyloromyotomy.

Thorac Surg Clin 2018 Nov;28(4):507-520

Thoracic Oncology, Advanced GI, Thoracic Fellowships, Division of Thoracic Surgery, Swedish Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA. Electronic address:

Endoscopic cricopharyngeal myotomy has been demonstrated to be a safe and efficacious procedure with favorable outcomes for the treatment of cricopharyngeal dysfunction with or without Zenker diverticulum. It is a less invasive approach with decreased morbidity compared with the open approach and minimal reported complications. Peroral endoscopic pyloromyotomy is a novel technique for the treatment of gastroparesis. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2018.06.003DOI Listing
November 2018
14 Reads

Complex Vascular Ring Diagnosed on Cardiovascular MR in a 3-Day-Old Infant.

Tomography 2018 Jun;4(2):43-45

Department of Physical Therapy, Adventist University of Health Sciences, Orlando, FL.

Prenatal ultrasonography in the early third trimester showed an unusual branching pattern of the right aortic arch. Echocardiography performed 4 h after birth showed the right aortic arch with mirror-image branching, patent ductus arteriosus, and patent foramen ovale. Because the location of the ductus arteriosus was unclear on echocardiography, cardiovascular magnetic resonance imaging was performed 3 days after birth. Read More

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http://dx.doi.org/10.18383/j.tom.2018.00015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127350PMC
June 2018
24 Reads

An Unusual Cause of Esophageal Obstruction and Hematemesis.

Gastroenterology 2019 01 8;156(1):29-30. Epub 2018 Sep 8.

Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Alberta, Canada.

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http://dx.doi.org/10.1053/j.gastro.2018.07.051DOI Listing
January 2019
2 Reads

Traction-assisted esophageal endoscopic submucosal dissection for treatment of squamous cell carcinoma involving a diverticulum.

Dig Endosc 2019 Jan 14;31(1):e7-e8. Epub 2018 Oct 14.

Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

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http://dx.doi.org/10.1111/den.13273DOI Listing
January 2019

Accumulation of 131I in Esophageal Diverticulum Diagnosed by SPECT/CT.

Clin Nucl Med 2018 Nov;43(11):e410-e411

From the Fondazione Policlinico A. Gemelli IRCCS-Università Cattolica Sacro Cuore, and.

A 72-year-old man underwent total thyroidectomy and radioiodine remnant ablation for papillary thyroid cancer in 2016. The posttherapy whole-body scan showed uptake in the neck, classified as residual thyroid tissue. Two years later, the patient came to our observation to perform a second radioiodine therapy for high levels of thyroglobulin. Read More

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http://Insights.ovid.com/crossref?an=00003072-900000000-9746
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http://dx.doi.org/10.1097/RLU.0000000000002263DOI Listing
November 2018
18 Reads

[Esophageal bronchial fistula secondary to esophageal diverticulum: A case report and literature review].

Authors:
C Y Zuo Z J Xu

Zhonghua Jie He He Hu Xi Za Zhi 2018 Aug;41(8):622-627

Department of Respiratory Disease, Third Hospital of Xiamen, Xiamen 361100, China.

To investigate the clinical characteristics and causes of misdiagnosis of esophageal bronchial fistula secondary to esophageal diverticulum. A case of esophageal bronchial fistula secondary to esophageal diverticulum was described with regard to its diagnosis and treatment process. A systematic literature review was performed for similar published cases in Wanfang, CNKI and Pubmed databases, using the key words "esophageal diverticulum, esophageal bronchial fistula" from January 1946 to August 2017. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1001-0939.2018.08.010DOI Listing
August 2018
3 Reads

[Endoscopic treatment of Zenker's diverticulum in Latin America].

Rev Gastroenterol Peru 2018 Apr-Jun;38(2):211-212

Fundación Universitaria de Ciencias de la Salud. Bogotá, Colombia; Sociedad de Cirugía de Bogotá. Bogotá, Colombia.

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October 2018
2 Reads

Total laryngectomy: Surgical morbidity and outcomes - A case series.

Indian J Cancer 2017 Oct-Dec;54(4):621-625

Department of Head and Neck Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Background: Total laryngectomy (TL) is a well-established procedure for laryngeal and hypopharyngeal cancers. There is an increasing number of TLs done after organ preservation strategies.

Aim: The aim of this study was to report 30-day morbidity and survival outcomes in patients undergoing TL at a tertiary referral center. Read More

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http://dx.doi.org/10.4103/ijc.IJC_463_17DOI Listing
October 2018
9 Reads

Esophageal compression by giant Zenker's diverticulum.

Cir Esp 2019 Feb 2;97(2):108. Epub 2018 Aug 2.

Servicio de Cirugía General y Digestiva, Hospital Germans Trias i Pujol, Badalona, Barcelona, España.

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http://dx.doi.org/10.1016/j.ciresp.2018.07.003DOI Listing
February 2019
5 Reads

[Manejo quirúrgico del divertículo de Zenker].

Cir Cir 2018 ;86(4):355-358

Servicio de Gastrocirugía, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introducción: Los divertículos de Zenker son los divertículos más frecuentes del esófago. El tratamiento quirúrgico más utilizado es la diverticulectomía con miotomía del cricofaríngeo abierta. En años recientes se ha propuesto el tratamiento endoscópico. Read More

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http://www.cirugiaycirujanos.com/files/circir_2018_86_4_355-
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http://dx.doi.org/10.24875/CIRU.M18000054DOI Listing
January 2018
6 Reads

Epiphrenic Diverticulum: 20-Year Single-Institution Experience.

Am Surg 2018 Jul;84(7):1159-1163

Epiphrenic diverticula are pulsion-type outpouchings of the distal esophagus associated with motility disorders. They can present with chronic symptoms of dysphagia, regurgitation, reflux, and aspiration. A prospectively collected surgical outcomes database was queried for patients who underwent surgical treatment of epiphrenic diverticula at a single institution between August 1997 and August 2018. Read More

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July 2018
3 Reads

Laparoscopic Surgery for Epiphrenic Esophageal Diverticulum.

JSLS 2018 Apr-Jun;22(2)

Department of Surgery.

Background And Objectives: We wanted to assess our surgical results focusing on the patients' quality of life. We present our experience with laparoscopic surgery for epiphrenic esophageal diverticulum. Short- and long-term results of surgical therapy were analyzed. Read More

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http://dx.doi.org/10.4293/JSLS.2017.00093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6035909PMC
October 2018
8 Reads

Indications and benefits of intraoperative esophagogastroduodenoscopy.

Wideochir Inne Tech Maloinwazyjne 2018 Jun 22;13(2):164-175. Epub 2018 Jan 22.

Department of Surgery I, University Hospital, Olomouc, Czech Republic.

Introduction: Intraoperative esophagogastroduodenoscopy (IOG) is a diagnostic and therapeutic method for a variety of special conditions in upper gastrointestinal (UGI) pathology. The indication remains individual due to insufficient evidence and limited training of surgeons in digestive endoscopy.

Aim: To evaluate the indications, benefits and risks of IOG. Read More

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http://dx.doi.org/10.5114/wiitm.2018.72740DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041574PMC
June 2018
4 Reads

Gastroesophageal Reflux Disease Might Induce Certain-Supposedly Adaptive-Changes in the Esophagus: A Hypothesis.

Dig Dis Sci 2018 10 11;63(10):2529-2535. Epub 2018 Jul 11.

Department of Surgery, Clinical Center, University of Pécs, Medical School, 13 Ifjúság útja, Pecs, 7624, Hungary.

Background: The increasing prevalence of GERD has become a major concern due to its major health and economic impacts. Beyond the typical unpleasant symptoms, reflux can also be the source of severe, potentially life-threatening complications, such as aspiration.

Aim: Our aim was to support our hypothesis that the human body may in some cases develop various protective mechanisms to prevent these conditions. Read More

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http://dx.doi.org/10.1007/s10620-018-5184-3DOI Listing
October 2018
2 Reads

Resection of esophageal diverticulum through uniportal video-assisted thoracoscopic surgery.

Ann Transl Med 2018 May;6(10):179

Thoracic Surgery Unit, Istituto Oncologico del Mediterraneo, Viagrande, Italy.

Open surgery remains the standard strategy for management of esophageal diverticulum in symptomatic patients. However, in the last years an increasing number of minimally invasive approaches have been proposed for this issue in order to reduce the surgical trauma and favor a fast return to daily activity. Herein, we describe a novel technique as uniportal video-assisted thoracoscopic surgery (VATS) for performing resection of esophageal diverticulum. Read More

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http://dx.doi.org/10.21037/atm.2018.04.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994522PMC
May 2018
3 Reads

[Divertículo de Zenker. Manejo endoscópico contra técnica abierta. ¿Cuál es mejor? Experiencia en el Hospital General de México Dr. Eduardo Liceaga].

Cir Cir 2018 ;86(3):244-249

Departamento de Cirugía General, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.

Introducción: El divertículo de Zenker es una enfermedad rara en la población general. Su tratamiento puede llevarse a cabo mediante un enfoque endoscópico o quirúrgico.

Objetivo: Reportar la experiencia en el manejo del divertículo de Zenker en un centro de enseñanza de tercer nivel. Read More

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http://dx.doi.org/10.24875/CIRU.M18000037DOI Listing
January 2019
8 Reads

Recent Advances in Third-Space Endoscopy.

Gastroenterol Hepatol (N Y) 2018 Apr;14(4):224-232

Dr Nabi and Dr Ramchandani are consultant gastroenterologists and Dr Reddy is chairman and chief gastroenterologist at the Asian Institute of Gastroenterology in Hyderabad, India.

The capabilities of interventional gastrointestinal endoscopy have significantly increased over the past several decades. Improvements in devices and techniques have eased the transfer of novel concepts from bench to bedside. The concept of submucosal endoscopy with mucosal flap safety valve has enabled endoscopists to securely use submucosal space, or third space. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6009186PMC
April 2018
8 Reads

Difficult intubation of a Zenker's diverticulum with an acute angle.

VideoGIE 2017 Sep 25;2(9):233-235. Epub 2017 Jul 25.

Department of Gastroenterology, VU University Medical Centre, Amsterdam, The Netherlands.

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http://dx.doi.org/10.1016/j.vgie.2017.05.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992685PMC
September 2017
6 Reads

Robotic-Assisted Transthoracic Esophageal Diverticulectomy.

JSLS 2018 Apr-Jun;22(2)

Department of General Surgery, Tepecik Education and Research Hospital, Izmir, Turkey.

Introduction: Esophageal diverticulum is a rare entity with symptoms that include dysphagia, halitosis, chest pain, and regurgitation. Indications for surgery include the presence of any of these symptoms and a diverticulum larger than 3 cm because of the increased risk of malignancy and aspiration. Treatment is open or minimally invasive surgery performed from the transhiatal or transthoracic approach. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988400/
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http://dx.doi.org/10.4293/JSLS.2018.00002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988400PMC
October 2018
7 Reads

Cricopharyngeal myotomy with flexible endoscope for Zenker's diverticulum using hook knife and endoclips (with video describing an objective measurement of the cutting length).

Esophagus 2018 04 8;15(2):122-126. Epub 2018 Mar 8.

Digestive and Operative Endoscopy Unit, Niguarda-Ca' Granda Hospital, Piazza dell'Ospedale Maggiore, Milan, Italy.

Cricopharyngeal myotomy with flexible endoscope is a well-known and safe treatment for Zenker's diverticulum. We describe hereafter how we perform this flexible endotherapy. From January 2011 to January 2017, we treated 28 patients with this endotherapy. Read More

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http://dx.doi.org/10.1007/s10388-018-0606-zDOI Listing
April 2018
1 Read

Minimally invasive abdominal and left thoracic approach for esophagogastric junction adenocarcinoma with esophageal diverticulum: A case report.

Asian J Endosc Surg 2018 Jun 11. Epub 2018 Jun 11.

Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan.

Controversy remains regarding the optimal resection approach for Siewert type II adenocarcinoma of the esophagogastric junction (EGJ). Furthermore, an esophageal diverticulum, although rare, can complicate surgical procedures. Herein, we report a case of EGJ adenocarcinoma with an esophageal diverticulum that was treated using the minimally invasive abdominal and left thoracic approach (MALTA). Read More

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http://dx.doi.org/10.1111/ases.12604DOI Listing
June 2018
1 Read

Before and after Esophageal Surgery: Which Information Is Needed from the Functional Laboratory?

Visc Med 2018 Apr 20;34(2):116-121. Epub 2018 Apr 20.

Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.

Background: Indications for benign esophageal surgery and postoperative follow-up need to be highly elaborated with differentiated and structured algorithms, based on objective functional workup in the esophageal laboratory. Functional outcome is of utmost interest and has to be driven by the need for comprehensive but purposeful diagnostic methods.

Methods: Preoperative diagnostic workup procedures by the functional laboratory include 24-h pH-monitoring, impedance testing, and high-resolution manometry (HRM) - in addition to upper gastrointestinal endoscopy and barium swallow/timed barium esophagogram. Read More

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http://dx.doi.org/10.1159/000486556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981625PMC
April 2018
3 Reads

Successful Conservative Management of Delayed Cervical Spondylodiscitis with Epidural Abscess Caused by Esophageal Diverticulitis: A Case Report and Review of Literature.

World Neurosurg 2018 Oct 5;118:250-260. Epub 2018 Jun 5.

Department of Orthopedic Surgery, Navy General Hospital, Beijing, China. Electronic address:

Background: Cervical spondylodiscitis with spinal epidural abscess (SEA) is not a rare medical condition and usually requires urgent decompression of neural structures and stabilization of the spine followed by antibiotic therapy for the prevention of severe neurologic deficits.

Case Description: In this report, we present a 43-year-old male patient with the chief complaint of neck pain and intermittent fever accompanying by slight dysphagia. After 2 weeks, he felt mild and transient numbness on the left upper limb. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.207DOI Listing
October 2018
5 Reads

Endoscopic Vacuum-Assisted Closure Therapy in Patients with Anastomotic Leakage after Esophagectomy: A Single-Center Experience.

Gastroenterol Res Pract 2018 4;2018:1697968. Epub 2018 Apr 4.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Aim: To study the efficacy of E-VAC therapy for patients with anastomotic leakage after esophagectomy.

Methods: Between January 2013 and April 2017, 12 patients underwent E-VAC therapy for the management of postoperative leakage. Their clinical features and endoscopic procedure details, therapy results, adverse events, and survival were investigated. Read More

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http://dx.doi.org/10.1155/2018/1697968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904779PMC
April 2018
6 Reads

Thoracoscopic posterior tracheopexy during primary esophageal atresia repair: a new approach to prevent tracheomalacia complications.

J Pediatr Surg 2018 Jul 27;53(7):1420-1423. Epub 2018 Apr 27.

Department of Paediatric Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, P.O. Box 85090, 3508 AB Utrecht, The Netherlands.

Background: Esophageal atresia (EA) is usually accompanied by some form of tracheomalacia (TM). During the early phases in life, excessive dynamic collapse of the trachea can cause a wide spectrum of symptoms ranging from mild complaints to apparent life-threatening events (ALTE's) or brief resolved unexplained events (BRUE's). Therapeutic strategies for severe TM include aortopexy to lift the anterior weakened cartilaginous rings or posterior tracheopexy of the floppy membranous tracheal intrusion. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.04.024DOI Listing
July 2018
3 Reads

[Analysis of related factors of coins foreign bodies crossing the esophagus in 204 cases of children].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 May;32(9):653-655

Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Nanjing,210008,China.

To analyze the related factors of coins crossing the esophagus by themselves in children. Two hundred and four cases with coin esophageal foreign bodies in our hospital from April 2016 to June 2017 were selected,the sex, age, size and texture of foreign body and the time of foreign body insertion were analyzed.Of the 204 children, 46 had esophageal foreign bodies falling off the digestive tract below the esophagus,44 cases were discharged by themselves,2 children were removed under digestive endoscopy,1 coins formed diverticulum at the entrance of esophagus. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.09.003DOI Listing

The Spectrum of Surgical Remediation of Transoral Incisionless Fundoplication-Related Failures.

J Laparoendosc Adv Surg Tech A 2018 Sep 16;28(9):1089-1093. Epub 2018 May 16.

3 Department of Surgery, Mayo Clinic , Jacksonville, Florida.

Aim: To evaluate outcomes of surgical remediation for symptomatic or anatomic failure after a transoral incisionless fundoplication (TIF).

Methods: This retrospective study was performed on 11 patients who underwent a remedial operation following TIF failure between June 2011 and September 2016 at the Mayo Clinic in Florida for persistent foregut symptoms. Upper gastrointestinal workup characterized 1 patient as having normal post-TIF anatomy and 10 as having anatomic failure. Read More

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http://dx.doi.org/10.1089/lap.2018.0063DOI Listing
September 2018
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Kommerell's diverticulum: a rare cause of esophageal subepithelial lesion.

Korean J Intern Med 2018 May 16. Epub 2018 May 16.

Department of Internal Medicine, Pusan National University School of Medicine, and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

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http://dx.doi.org/10.3904/kjim.2018.102DOI Listing
May 2018
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[Surgical Repair of Kommerell's Diverticulum with Right Sided Aortic Arch;Report of a Case].

Kyobu Geka 2018 May;71(5):361-364

Department of Cardiovascular Surgery, Osumikanoya Hospital, Kanoya, Japan.

A 54-year-old woman was referred for assessment of dysphagia and extrinsic compression of the esophagus detected by upper gastrointestinal endoscopy. Computed tomography revealed the rightsided aortic arch with mirror image branching and Kommerell's diverticulum. To relieve the esophageal compression, surgical intervention was indicated. Read More

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Esophageal intramural pseudodiverticulosis.

Gastrointest Endosc 2018 10 8;88(4):764-765. Epub 2018 May 8.

Department of Gastroenterology, Coney Island Hospital, Brooklyn, New York, USA.

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http://dx.doi.org/10.1016/j.gie.2018.05.001DOI Listing
October 2018
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Zenker diverticulum: Experience in surgical treatment of large diverticula.

Medicine (Baltimore) 2018 May;97(19):e0557

Department of Gastrointestinal and General Surgery, Medical University of Wroclaw, Wroclaw, Poland.

The purpose of this retrospective study is to show that transcervical diverticulectomy (TD) in treatment of Zenker diverticulum (ZD) can still be a first choice procedure in selected patients and in experienced hands its safety might be compared to the minimally invasive endoscopic diverticulostomy.The study cohort consisted of 44 patients (18 male, 26 female) operated for (ZD). All the patients underwent open diverticulectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000010557DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959430PMC
May 2018
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Zenker Diverticulum Treatment: Endoscopic or Surgical?

Chirurgia (Bucur) 2018 Mar-Apr;113(2):234-243

The Zenker Diverticulum is a rare pathology, the selection of patients for invasive treatments is questionable, as well as the applied therapeutic method. The aim of the study is to evaluate the main methods of classical and endoscopic surgical treatment in this pathology and to correlate pathophysiological aspects with clinical consequences.

Material And Method: We included 36 patients with Zenker hypopharyngeal diverticulum treated in 2010/2017 in two university clinics: 7 patients by classical surgical approach at the General and Esophageal Surgery Clinic of St. Read More

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http://dx.doi.org/10.21614/chirurgia.113.2.234DOI Listing
July 2018
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Delayed diagnosis of a case of Zenker's diverticulum. What may happen when a family physician does not visit his family physician.

Eur J Gen Pract 2018 Dec;24(1):151-154

b Department of Thoracic Surgery , Ataturk University Medical Faculty , Erzurum , Turkey.

Introduction: Zenker's diverticulum is a diverticulum of the mucosa of the pharynx, just above the cricopharyngeal muscle. It occurs commonly in elderly patients (over 70 years) and the typical symptoms include dysphagia, regurgitation, chronic cough, aspiration and weight loss.

Case: We are reporting dysphagia in a 49-years old man who was treated as having Helicobacter Pylori gastritis for three years. Read More

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http://dx.doi.org/10.1080/13814788.2018.1464556DOI Listing
December 2018
4 Reads