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

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dc.contributor.authorBuyruk, Abdullah Murat
dc.contributor.authorErdogan, Cagdas
dc.date.accessioned2024-08-31T07:46:38Z
dc.date.available2024-08-31T07:46:38Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground/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 followup 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 endoscopic 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.en_US
dc.identifier.doi10.5152/tjg.2024.23402
dc.identifier.issn2148-5607
dc.identifier.issue2en_US
dc.identifier.pmid38454243en_US
dc.identifier.scopus2-s2.0-85185288934en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.trdizinid1239628en_US
dc.identifier.urihttps://doi.org/10.5152/tjg.2024.23402
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1239628
dc.identifier.urihttps://hdl.handle.net/11454/104150
dc.identifier.volume35en_US
dc.identifier.wosWOS:001186799900010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofTurkish Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectZenker's Diverticulumen_US
dc.subjectZenker's Diverticulum Peroral Endoscopic Myotomyen_US
dc.subjectEndoscopic Treatmenten_US
dc.subjectMyotomyen_US
dc.subjectEndoscopyen_US
dc.titleEfficacy and Safety of Peroral Endoscopic Myotomy in the Treatment of Zenker's Diverticulum: A Single-Center Experienceen_US
dc.typeArticleen_US

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