Endoscopy 2019; 51(12): 1141-1145
DOI: 10.1055/a-1024-5879
Innovations and brief communications
© Georg Thieme Verlag KG Stuttgart · New York

Safety and efficacy of submucosal tunneling endoscopic septum division for epiphrenic diverticula

Xuan Li*
1   Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
2   Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China
,
Weifeng Zhang*
1   Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
2   Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China
,
Juliana Yang
3   Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institution, Baltimore, Maryland, USA
,
Xiaoyong Wang
4   Department of Gastroenterology, Changzhou NO.2 Peopleʼs Hospital, Changzhou, China
,
Yini Dang
1   Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
2   Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China
,
Bin Hu
5   Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China
,
Qiang Cai
6   Advanced Endoscopy Fellowship, Emory University School of Medicine, Atlanta, Georgia, USA
,
Pinghong Zhou
7   Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital Fudan University, Shanghai, China
,
Guoxin Zhang
1   Department of Gastroenterology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
2   Department of Gastroenterology, The First School of Clinical Medicine of Nanjing Medical University, Nanjing, China
› Institutsangaben
Gefördert durch: National Natural Science Foundation of China 81770561
Gefördert durch: National Natural Science Foundation of China 81470830
Gefördert durch: Special Diagnosis and Treatment Technology of Clinical Key Diseases LCZX201421
Gefördert durch: Innovation team CXTDA2017033
Weitere Informationen

Publikationsverlauf

submitted 14. Dezember 2018

accepted after revision 07. August 2019

Publikationsdatum:
21. Oktober 2019 (online)

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Abstract

Background Symptomatic epiphrenic diverticula are mostly treated with laparoscopic diverticulectomy. Our study aimed to demonstrate the safety and efficacy of submucosal tunneling endoscopic septum division (STESD) for treatment of symptomatic epiphrenic diverticula.

Methods Data from patients with epiphrenic diverticula who had undergone STESD were retrospectively reviewed. The parameters analyzed were the modified Eckardt score, total procedure time, length of hospital stay (LOS), number of clips used, adverse events, and patient satisfaction.

Results A total of eight patients (5 men; mean [standard deviation (SD)] age 66.25 [7.17] years) were enrolled in our study. The mean (SD) size of epiphrenic diverticula was 3.68 (1.59) cm. The mean (SD) procedure time was 52.87 (22.47) minutes, with a median number of six clips being applied. The modified Eckardt score significantly decreased post-procedure (P < 0.001). The mean (SD) LOS was 5.87 (0.83) days. No adverse events or symptom recurrences were reported.

Conclusion STESD is a safe and effective technique to be performed in the submucosal tunnel for the management of patients with epiphrenic diverticula.

* Equal first authors