دورية أكاديمية
New endoscopic "scissors" to treat Zenker's diverticulum (with video).
| العنوان: | New endoscopic "scissors" to treat Zenker's diverticulum (with video). |
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| المؤلفون: | Ramchandani M; Asian Institute of Gastroenterology, Hyderabad, India., Nageshwar Reddy D |
| المصدر: | Gastrointestinal endoscopy [Gastrointest Endosc] 2013 Oct; Vol. 78 (4), pp. 645-8. Date of Electronic Publication: 2013 Jul 09. |
| نوع المنشور: | Case Reports; Journal Article; Video-Audio Media |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Yearbook Country of Publication: United States NLM ID: 0010505 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6779 (Electronic) Linking ISSN: 00165107 NLM ISO Abbreviation: Gastrointest Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St Louis, Mo : Mosby Yearbook Original Publication: Denver. |
| مواضيع طبية MeSH: | Surgical Instruments*, Esophagoscopy/*instrumentation , Pharyngeal Muscles/*surgery , Zenker Diverticulum/*surgery, Aged ; Aged, 80 and over ; Esophagoscopy/methods ; Female ; Humans ; Male ; Treatment Outcome |
| مستخلص: | Background: Zenker's diverticulum (ZD) is a rare disorder but is associated with significant morbidity. Cricopharyngeal (CP) myotomy is the mainstay of treatment, and various flexible endoscopic techniques have been used for division of the septum. However, there is a constant need for improvement in accessories. Objective: To evaluate the safety and effectiveness of a new electrocautery endoscopic scissor for CP myotomy in patients with symptomatic ZD. Design: Observational human study. Setting: Tertiary-care hospital. Patients: This study involved 3 patients with symptomatic ZD. Intervention: Flexible endoscopic CP myotomy was performed by using a novel scissors-type grasping device. CP myotomy involved 4 steps: (1) opening of the forceps, (2) grasping the muscle fiber, (3) closure of the forceps with application of gentle traction, and (4) dissection of muscle fibers by using cutting current. Intraprocedural bleeding was controlled with the same instrument by grasping vessels and applying coagulation current. Main Outcome Measurements: Overall feasibility and performance, procedure time to achieve complete CP myotomy. Results: CP myotomy was successfully performed in all patients. Mean procedure time was 10.6 minutes. There were no major adverse events. Minor intraprocedure bleeding occurred in 1 patient. Limitations: Single arm, limited number of patients. Conclusion: The new instrument has potential advantages in comparison with standard instruments used for CP myotomy. The advantages of this new technique are better control of cutting and hemostatic abilities. (Copyright © 2013 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.) |
| التعليقات: | Comment in: Gastrointest Endosc. 2014 Mar;79(3):540-2. (PMID: 24528834) Comment in: Gastrointest Endosc. 2014 Sep;80(3):537-8. (PMID: 25127955) |
| فهرسة مساهمة: | Keywords: CP; ESD; ZD; Zenker’s diverticulum; cricopharyngeal; endoscopic submucosal dissection |
| تواريخ الأحداث: | Date Created: 20130716 Date Completed: 20140515 Latest Revision: 20140929 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.gie.2013.06.003 |
| PMID: | 23849817 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1097-6779 |
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| DOI: | 10.1016/j.gie.2013.06.003 |