Endoscopic stapler-assisted diverticuloesophagostomy for Zenker's diverticulum: patient satisfaction and subjective relief of symptoms
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abstract
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BACKGROUND: We assessed the results of endoscopic stapler-assisted
diverticuloesophagostomy for Zenker's diverticulum, with emphasis on
patient satisfaction and subjective relief of symptoms. METHODS: A
retrospective cohort analysis was performed on all patients operated
on from 1997 to 2000. Patients' charts were reviewed with respect to
intraoperative and postoperative complications. The severity of
preoperative and postoperative symptoms by patient self-assessment
was compared by means of a 4-point scale (0-3) on a standardized
questionnaire, as well as assessment of patient satisfaction (poor,
fair, moderate, high). RESULTS: Thirty patients (22 men, 8 women)
with a mean age of 72 years (range, 42-97 years) were part of the
study. The mean follow-up was 13.2 months (range, 2-39 months). No
major intraoperative or postoperative complications were observed.
The most frequent preoperative symptoms were regurgitation of
undigested food and dysphagia for solid consistencies (87%). Both of
these preoperative symptoms were improved from a mean preoperative
score of 2.2 and 2.7 to 0.1 and 0.4, respectively (P <.0001).
Postprandial coughing (32%), halitosis (21%), and globus sensation
(32%) were less common but also significantly improved. All but 1
patient (96%) were highly satisfied with the procedure. CONCLUSIONS:
Endoscopic stapler-assisted treatment of Zenker's diverticulum
offers a very low complication rate, a very high degree of symptom
relief, and patient satisfaction.
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citation
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Stöckli S, Schmid S. Endoscopic stapler-assisted
diverticuloesophagostomy for Zenker's diverticulum: patient
satisfaction and subjective relief of symptoms. Surgery 2002;
131:158-62.
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type
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journal paper/review (English)
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date of publishing
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2-2002
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journal title
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Surgery (131/2)
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ISSN print
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0039-6060
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pages
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158-62
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PubMed
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11854693
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