Yıl: 2024 Cilt: 35 Sayı: 2 Sayfa Aralığı: 119 - 124 Metin Dili: İngilizce DOI: 10.5152/tjg.2024.23402 İndeks Tarihi: 10-06-2024

Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience

Öz:
Background/Aims: The efficacy and safety of Zenker’s peroral endoscopic myotomy (Z-POEM), a current method in the treatment of Zenker’s diverticulum (ZD), have been demonstrated in a limited number of studies and case reports. This study aimed to report our experience with the Z-POEM method. Materials and Methods: Patients with ZD who were treated with Z-POEM between January 2019 and March 2023 and had a follow- up period of at least 3 months were included in the study. Our primary endpoint was clinical success. A Kothari–Haber score (KHS) of 2 or less at 1 month postoperatively was defined as clinical success. Our secondary endpoints were adverse events and recurrence rates. Results: In total, 20 patients (males, 65%; mean age, 63 ± 14.4 years) were treated with Z-POEM. The mean ZD septum length was 33.7 (±11.04) mm. The technical success rate was 100% (20/20), and the clinical success rate was 95% (19/20). In 1 case with a large ZD (septum length of 60 mm), the mucosal septum, which was thought to cause partial persistence of symptoms, was treated by endo- scopic septotomy. The mean KHS decreased significantly after Z-POEM (preoperative KHS: 7.3 and postoperative KHS: 0.15, P < .0001). The median follow-up period was 10 months (interquartile range, 3-39). No recurrence was observed in any case. Intraprocedural mild subcutaneous emphysema was observed in 4 (20%) cases. Emphysema regressed spontaneously in the postoperative period without any treatment. Conclusion: Zenker’s peroral endoscopic myotomy is a successful and reliable method in the treatment of ZD, with low recurrence rates.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA buyruk A, Erdoğan Ç (2024). Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. , 119 - 124. 10.5152/tjg.2024.23402
Chicago buyruk Abdullah murat,Erdoğan Çağdaş Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. (2024): 119 - 124. 10.5152/tjg.2024.23402
MLA buyruk Abdullah murat,Erdoğan Çağdaş Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. , 2024, ss.119 - 124. 10.5152/tjg.2024.23402
AMA buyruk A,Erdoğan Ç Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. . 2024; 119 - 124. 10.5152/tjg.2024.23402
Vancouver buyruk A,Erdoğan Ç Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. . 2024; 119 - 124. 10.5152/tjg.2024.23402
IEEE buyruk A,Erdoğan Ç "Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience." , ss.119 - 124, 2024. 10.5152/tjg.2024.23402
ISNAD buyruk, Abdullah murat - Erdoğan, Çağdaş. "Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience". (2024), 119-124. https://doi.org/10.5152/tjg.2024.23402
APA buyruk A, Erdoğan Ç (2024). Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. Turkish Journal of Gastroenterology, 35(2), 119 - 124. 10.5152/tjg.2024.23402
Chicago buyruk Abdullah murat,Erdoğan Çağdaş Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. Turkish Journal of Gastroenterology 35, no.2 (2024): 119 - 124. 10.5152/tjg.2024.23402
MLA buyruk Abdullah murat,Erdoğan Çağdaş Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. Turkish Journal of Gastroenterology, vol.35, no.2, 2024, ss.119 - 124. 10.5152/tjg.2024.23402
AMA buyruk A,Erdoğan Ç Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. Turkish Journal of Gastroenterology. 2024; 35(2): 119 - 124. 10.5152/tjg.2024.23402
Vancouver buyruk A,Erdoğan Ç Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience. Turkish Journal of Gastroenterology. 2024; 35(2): 119 - 124. 10.5152/tjg.2024.23402
IEEE buyruk A,Erdoğan Ç "Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience." Turkish Journal of Gastroenterology, 35, ss.119 - 124, 2024. 10.5152/tjg.2024.23402
ISNAD buyruk, Abdullah murat - Erdoğan, Çağdaş. "Efficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker’s Diverticulum: A Single-Center Experience". Turkish Journal of Gastroenterology 35/2 (2024), 119-124. https://doi.org/10.5152/tjg.2024.23402