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
› InstitutsangabenGefördert 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
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.
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