Clinical observation of peroral endoscopic myotomy for mid-esophageal diverticulum in 7 cases
10.3760/cma.j.cn321463-20211008-00540
- VernacularTitle:经口内镜下肌切开术治疗7例食管中段憩室的临床观察
- Author:
Xianhui ZENG
1
;
Xianglei YUAN
;
Liansong YE
;
Yuhang ZHANG
;
Bing HU
Author Information
1. 四川大学华西医院消化内科，成都 610041
- Keywords:
Diverticulum, esophageal;
Mid-esophageal diverticulum;
Diverticular peroral endoscopic myotomy;
Modified Eckardt score
- From:
Chinese Journal of Digestive Endoscopy
2022;39(9):739-743
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the effectiveness and safety of diverticular peroral endoscopic myotomy (D-POEM) for mid-esophageal diverticulum. Data of consecutive patients in the prospective database with mid-esophageal diverticulum who received D-POEM in West China Hospital, Sichuan University between April 2014 to September 2019 were collected. The modified Eckardt scoring system for mid-esophageal diverticulum was used to evaluate the severity of diverticular symptoms. The effectiveness and safety of D-POEM were evaluated in terms of clinical success, technical success, complications and recurrence. A total of 7 patients with mid-esophageal diverticulum were included. Clinical and technical success was achieved in all patients with operation time of 16-70 minutes. No serious complications (2 cases with minor complications) or recurrence occurred. The follow-up time was 2-16 months. The median modified Eckardt score decreased from 3 points before operation to 0 points after operation. It is preliminarily believed that D-POEM ensures a complete septotomy between normal esophageal lumen and esophageal diverticulum. It is a safe and effective technique for mid-esophageal diverticulum. The modified Eckardt scoring system is suitable for symptom evaluation before and after treatment of mid-esophageal diverticulum.
