دورية أكاديمية
[Zenker diverticulum: surgical versus endoscopic treatment].
| العنوان: | [Zenker diverticulum: surgical versus endoscopic treatment]. |
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| عنوان ترانسليتريتد: | Divertículo de Zenker: tratamento endoscópico versus cirúrgico. |
| المؤلفون: | Silveira ML; Mestrando em Ciências Cirúrgicas pela Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, RS-BR. marner@terra.com.br, Vilhordo DW, Kruel CD |
| المصدر: | Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2011 Sep-Oct; Vol. 38 (5), pp. 343-8. |
| نوع المنشور: | Comparative Study; English Abstract; Journal Article; Review |
| اللغة: | Portuguese |
| بيانات الدورية: | Publisher: Colégio Brasileiro de Cirurgiões Country of Publication: Brazil NLM ID: 7809515 Publication Model: Print Cited Medium: Internet ISSN: 1809-4546 (Electronic) Linking ISSN: 01006991 NLM ISO Abbreviation: Rev Col Bras Cir Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janeiro : Colégio Brasileiro de Cirurgiões, [1974?]- |
| مواضيع طبية MeSH: | Esophagoscopy*, Zenker Diverticulum/*surgery, Humans |
| مستخلص: | Objective: To review the evidence of safety and effectiveness of endoscopic and surgical treatment of Zenker's diverticulum. Methods: Searches of MEDLINE, LILACS and SciELO by "Zenker's diverticulum" or "pharyngoesophageal diverticulum," and selection of studies for quality assessment and data extraction to a meta-analysis. Results: The study did not find any randomized clinical trial. We found five comparative, non-randomized studies, with a total of 630 patients, 339 in the endoscopic arms and 291 in the surgical ones. The values for safety were a 0.29% mortality and 7% morbidity for the endoscopic treatment, and 0.34% mortality and 5% morbidity for surgical treatment. The values for effectiveness were 84% and 85%, respectively. The effect of endoscopic and surgical approaches for the treatment of Zenker's diverticulum was comparable, the odds ratio for morbidity was 1.24 (0.56 to 2.74), and the odds ratio for success was 0.66 (0.41 -1.05). Conclusion: The studies on the treatment of Zenker's diverticulum have a low level of evidence and are not able to establish the best treatment in terms of safety and effectiveness. |
| تواريخ الأحداث: | Date Created: 20111130 Date Completed: 20120403 Latest Revision: 20191112 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1590/s0100-69912011000500011 |
| PMID: | 22124647 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1809-4546 |
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| DOI: | 10.1590/s0100-69912011000500011 |