Evaluation of the therapeutic effects of peroral super minimally invasive incision for esophageal diverticulum

Qun SHAO; Yutong SUN; Qianqian CHEN; Jinping LI; Shengzhen LIU; Bo NING; Xiangdong WANG; Enqiang LINGHU

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Evaluation of the therapeutic effects of peroral super minimally invasive incision for esophageal diverticulum

VernacularTitle:经口超级微创切开术治疗食管憩室的疗效评价
Author: Qun SHAO ¹ ; Yutong SUN ¹ ; Qianqian CHEN ¹ ; Jinping LI ¹ ; Shengzhen LIU ¹ ; Bo NING ¹ ; Xiangdong WANG ¹ ; Enqiang LINGHU ¹
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1. 解放军总医院第一医学中心消化内科医学部消化内镜超级微创科，北京　100853
Publication Type:Journal Article
Keywords: Esophageal diverticulum; Super minimally invasive surgery; Submucosal tunneling endoscopic septum division; Peroral super minimally invasive incision; Eck
From: Chinese Journal of Postgraduates of Medicine 2025;48(8):687-691
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the efficacy of peroral super minimally invasive incision for esophageal diverticulum.Methods:The clinical data of patients with esophageal diverticulum who underwent super minimally invasive surgery (SMIS) at the First Medical Center of the PLA General Hospital from April 2022 to September 2024 were retrospectively analyzed. These data include clinical baseline data, endoscopic surgical parameters, preoperative and postoperative Eckardt scores, surgical costs, and the duration of hospitalization.Results:Thirteen patients successfully completed submucosal tunneling endoscopic septum division (STESD) surgery without any postoperative adverse events. The duration of operation was (37.00 ± 5.82) min, the application time of proton pump inhibitors (PPI) was 4 (4, 4) d, the application time of antibiotics was 3 (2, 4) d, the surgical cost was 22 580 (27 044, 34 255) yuan, and the hospital stay was 12 (10, 22) d. The Eckardt scores before and after the operation were 3 (2, 4) scores and 1 (0, 1) score respectively, the Eckardt score after the operation decreased significantly compared with that before the operation.Conclusions:STESD is a safety and efficient operation for the treatment of esophageal diverticulitis. It has the advantages of short term curative effect and obvious improvement of the patient′s symptoms.