Abstract | OBJECTIVE: PATIENTS AND METHODS: We retrospectively evaluated the outcome of 22 consecutive patients who underwent flexible endoscopic cricopharyngeal myotomy using needle-knife electrocautery performed by a single endoscopist from March 2006 through January 2010. RESULTS: Of the 22 patients with symptomatic Zenker diverticulum, 13 were men and 9 were women (median age, 84.5 years). Moderate sedation was used in all but 3 (14%) of the patients. Postprocedural free air occurred in 6 patients (27%) and resolved uneventfully in all. Another patient developed a neck abscess 1 week after endoscopic treatment, which was surgically drained. All procedures were performed on an outpatient basis, although 8 patients (36%) required subsequent hospitalization. The mean (SD) length of stay in the hospital was 2.9 (1.64) days. All patients had initial symptomatic improvement, and 18 (82%) maintained improvement at a mean (SD) follow-up of 12.7 (9.2) months. CONCLUSION:
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Authors | David J Case, Todd H Baron |
Journal | Mayo Clinic proceedings
(Mayo Clin Proc)
Vol. 85
Issue 8
Pg. 719-22
(Aug 2010)
ISSN: 1942-5546 [Electronic] England |
PMID | 20675509
(Publication Type: Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Ambulatory Surgical Procedures
- Electrocoagulation
- Endoscopy, Digestive System
- Female
- Humans
- Male
- Middle Aged
- Pharyngeal Muscles
(surgery)
- Retrospective Studies
- Treatment Outcome
- Zenker Diverticulum
(surgery)
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