Endoscopic Zenker diverticulotomy using the window technique: a technical trick to improve the field of view

Rivory, Jérôme; Almahayawi, Ala; Roman, Sabine; Calavas, Laura; Saurin, Jean‐Christophe; Ponchon, Thierry; Pioche, Mathieu

doi:10.1055/s-0042-101388

Cited by 4 publications

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“…Techniques for the endoluminal therapy of ZD are mainly based on dissection of the cricopharyngeal muscle with argon plasma coagulation 4 5 , monopolar coagulation using forceps, or knife-based incisions (needle-knife, Hook-knife) 2 6 7 8 9 10 11 . However, no standardized endoscopic approach has been established in clinical routine to date.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy

2018

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Background and study aims Although several endoscopic techniques have been described for Zenker’s diverticulotomy, no standardized endoscopic approach has been established in clinical routine to date. This study aimed to assess the efficacy and safety of endoscopic diverticulotomy using the Clutch Cutter. Patients and methods Cricopharyngeal myotomy was performed in six prospectively enrolled patients with symptomatic Zenker’s diverticulum, using the Clutch Cutter. Procedural details such as duration, complications, and technical success were recorded and compared to the outcomes of 15 patients who received needle-knife-based myotomy. Results Myotomy with the Clutch Cutter was feasible in all six patients with complete diverticulotomy in a single session in all patients. Mean procedure time of the Clutch Cutter myotomy was 19 minutes without major complications. During follow-up, one patient had diverticulum recurrence after 10 months, which was successfully re-treated. Mean procedure time with the needle-knife was 43 minutes and a mean of 2.7 myotomy sessions was required for complete diverticulotomy. Conclusion Endoscopic diverticulotomy using the Clutch Cutter is safe, effective, and fast. Larger studies comparing myotomy using the Clutch Cutter with other endoscopic techniques are highly warranted.

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Section: Introductionmentioning

confidence: 99%

Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy

2018

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“…2 a). However, before closing the perforation, we decided to perform the diverticulotomy, without the diverticuloscope, using the window technique [2]. After this, we tried to close the perforation but usual clipping appeared impossible, as it was difficult to catch the two edges of the defect.…”

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A large perforation in the piriform sinus during Zenker diverticulotomy effectively closed with “clips-and-rubber band” technique

et al. 2019

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Zenker diverticulum treatment: retrospective comparison of flexible endoscopic window technique and surgical approaches

et al. 2020

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Endoscopic Zenker diverticulotomy using the window technique: a technical trick to improve the field of view

Cited by 4 publications

References 4 publications

Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy

Treatment of Zenker’s diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy

A large perforation in the piriform sinus during Zenker diverticulotomy effectively closed with “clips-and-rubber band” technique

Zenker diverticulum treatment: retrospective comparison of flexible endoscopic window technique and surgical approaches

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