Zenker 게실 환자에서 내시경적 접근법을 통해 Energy Device를 이용한 게실절개술 1예
Transoral Endoscopic Diverticulostomy of Zenker’s Diverticulum With Energy Device
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Zenker’s diverticulum (ZD) is an abnormally protruding space in the Killian triangle due toweakness between the inferior pharyngeal constrictor muscle and cricopharyngeal muscle. Arare disease that is found more often in the West than in the East, it occurs in the elderly, inducingdysphagia, globus symptom, reflux and etc. For the treatment, various transoral endoscopictechniques have been developed over the past 20 years: these include flexible and rigidendoscopy are used and several devices like scissors, staplers, CO2 laser and energy device. We report here the first case using the endoscopic energy device assisted diverticulostomy ofZD in Korea. Transoral endoscopic treatment is less invasive than classical transcervical approachtreatment, showing better clinical course and results. Both rigid endoscope and energydevice are also very familiar to head and neck surgeons, so this approach can be one of thebest treatments for ZD.
Abstract
Zenker’s diverticulum (ZD) is an abnormally protruding space in the Killian triangle due toweakness between the inferior pharyngeal constrictor muscle and cricopharyngeal muscle. Arare disease that is found more often in the West than in the East, it occurs in the elderly, inducingdysphagia, globus symptom, reflux and etc. For the treatment, various transoral endoscopictechniques have been developed over the past 20 years: these include flexible and rigidendoscopy are used and several devices like scissors, staplers, CO2 laser and energy device. We report here the first case using the endoscopic energy device assisted diverticulostomy ofZD in Korea. Transoral endoscopic treatment is less invasive than classical transcervical approachtreatment, showing better clinical course and results. Both rigid endoscope and energydevice are also very familiar to head and neck surgeons, so this approach can be one of thebest treatments for ZD.
참고문헌 (10)
- Ferreira LE, "Zenker’s diverticula:Pathophysiology, clinical presentation, and flexible endoscopic management", Dis Esophagus, 21(1), pp.1~8 (2008)
- Law R, "Zenker’s diverticulum", Clin Gastroenterol Hepatol, 12(11), pp.1773~1782 (2014)
- Goelder SK, "Endoscopic treatment of Zenker’s diverticulum with the stag beetle knife(sb knife)-feasibility and follow-up", Scand J Gastroenterol, 51(10), pp.1155~1158 (2016)
- Gutierrez OIB, "Zenker’s diverticulum per-oral endoscopic myotomy techniques : Changing paradigms", Gastrointest Endosc, 89(6 Suppl), pp.AB134~ (2019)
- Repici A, "Peroral endoscopic septotomy for short-septum Zenker’s diverticulum", Endoscopy, 52(7), pp.563~568 (2020)
- Jain D, "Efficacy and safety of f lexible endoscopic management of Zenker’s diverticulum", J Clin Gastroenterol, 52(5), pp.369~385 (2018)
- Law R, "Zenker’s diverticulum", Clin Gastroenterol Hepatol, 12(11), pp.1773~1782 (2014)
- Hondo FY, "Endoscopic treatment of Zenker’s diyerticulum by harmonic scalpel", Gastrointest Endosc, 74(3), pp.666~671 (2011)
- Ramchandani M, "New endoscopic"scissors"to treat Zenker’s diverticulum(with video)", Gastrointest Endosc, 78(4), pp.645~648 (2013)
- Klingler MJ, "Endoscopic mucosal incision and muscle interruption(MIMI)for the treatment of Zenker’s diverticulum", Surg Endosc, 35(7), pp.3896~3904 (2021)