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Endoscopic tunnel method using in treatment of patients with esophageal diverticulum

https://doi.org/10.31146/2415-7813-endo-66-3-16-23

Abstract

The purpose of the study is to evaluate the possibility of using endoscopic tunnel techniques for the treatment of esophageal diverticula. Materials and methods. In the period from May 2020 to June 2024, diverticulotomy was performed by endoscopic tunnel method in six patients aged 55 to 78 years (four women, two men). Result. Such indicators as the length of hospital stay, the extent of myotomy, the duration of surgery, the duration of follow-up after surgery, the number of complications, and preliminary treatment results were evaluated. Conclusion. Endoscopic tunnel diverticulotomy in the treatment of patients with pulsed diverticula of the esophagus is a highly effective and low-traumatic operation. The evolution in surgical and innovative intra-organ treatment of patients with the above pathology indicates that the fundamental principle of intervention is an adequately performed myotomy.

About the Authors

A. V. Shapovalov
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation


S. G. Tereschenko
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation


E. S. Vakurova
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation


A. N. Verbovskii
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation


A. P. Mashichev
Moscow Regional Research and Clinical Institute (MONIKI)
Russian Federation


References

1. Yam J., Baldwin D., Ahmad S. A. Esophageal Diverticula. 2023 Apr 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. PMID: 30422453.

2. Ren L., Ye H., Zhu Y. et al. Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years. Surg Endosc. 2024 Jan;38(1):253-259. doi: 10.1007/s00464-023-10471-6.

3. Pimentel F., Rivory J., Lupu A., Roman S., Mion F., Ponchon T., Pioche M. Submucosal tunneling and septum myotomy as an endoscopic treatment for symptomatic epiphrenic diverticulum. Endoscopy. 2018 Dec;50(12): E348-E349. doi: 10.1055/a-0733-3579.

4. Gaber A., Fadloon I., Shehab H. Diverticular peroral endoscopic myotomy: management of a complex epiphrenic diverticulum. Endoscopy. 2023 Dec;55(S01): E918-E919. doi: 10.1055/a-2107-2287.

5. Sato H., Sato Y., Takeuchi M., Takahashi K., Takeda S-R., Inoue H., Kobayashi M. Salvage Peroral Endoscopic Myotomy for Esophageal Diverticulum. Endoscopy. 2015;47 Suppl 1 UCTN: E14-5. doi: 10.1055/s-0034-1390735.

6. Ren L., Ye H., Zhu Y. et al. Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years. Surg Endosc. 2024 Jan;38(1):253-259. doi: 10.1007/s00464-023-10471-6.

7. Yang J., Zeng X., Yuan X. et al. An international study on the use of peroral endoscopic myotomy (POEM) in the management of esophageal diverticula: the first multicenter D-POEM experience. Endoscopy. 2019 Apr;51(4):346-349. doi: 10.1055/a-0759-1428.

8. Gauci J. L., Gupta S., Abu Arisha M., Tang A. et al. Direct diverticular peroral endoscopic myotomy for the treatment of thoracic esophageal diverticula: technique and outcomes. Endoscopy. 2024 Jan;56(1):41-46. doi: 10.1055/a-2182-5853.

9. Zeng X., Bai S., Zhang Y., Ye L., Yuan X., Hu B. Peroral endoscopic myotomy for the treatment of esophageal diverticulum: an experience in China. Surg Endosc. 2021 May;35(5):1990-1996. doi: 10.1007/s00464-020-07593-6.


Review

For citations:


Shapovalov A.V., Tereschenko S.G., Vakurova E.S., Verbovskii A.N., Mashichev A.P. Endoscopic tunnel method using in treatment of patients with esophageal diverticulum. Filin’s Clinical endoscopy. 2024;66(3):16-23. (In Russ.) https://doi.org/10.31146/2415-7813-endo-66-3-16-23

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ISSN 2415-7813 (Print)