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10.3748/wjg.v23.i17.3084 http://scihub22266oqcxt.onion/10.3748/wjg.v23.i17.3084 C5423045!5423045 !28533665     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28533665 &cmd=llinks): Failed to open stream: HTTP request failed! 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New flexible endoscopic controlled stapler technique for the treatment of Zenker s diverticulum: A case series |pdf=|usr=}}{{28533665 }} gab.com Text New flexible endoscopic controlled stapler technique for the treatment of Zenker s diverticulum: A case series JO: World J Gastroenterol http://www.kidney.de/pget.php?&tw=1&pmid=28533665 #FOAvip AIM: To report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy. METHODS: From November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control. RESULTS: In eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur. CONCLUSION: Flexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications. Twit Text FOAVip New flexible endoscopic controlled stapler technique for the treatment of Zenker s diverticulum: A case series ????World J Gastroenterol http://www.kidney.de/pget.php?&tw=1&pmid=28533665 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28533665 #FOAvip English Wikipedia <ref>{{Cite pmid|28533665 }}</ref> New flexible endoscopic controlled stapler technique for the treatment of Zenker s diverticulum: A case series #MMPMID28533665 Wilmsen J ; Baumbach R ; Stüker D ; Weingart V ; Neser F ; Gölder SK ; Pfundstein C ; Nötzel EC ; Rösch T ; Faiss S World J Gastroenterol 2017[May]; 23 (17 ): 3084-3091 PMID28533665 show ga AIM: To report about the combination and advantages of a stapler-assisted diverticulotomy performed by flexible endoscopy. METHODS: From November 2014 till December 2015 17 patients (8 female, 9 male, average age 69.8 years) with a symptomatic Zenker diverticulum (mean size 3.5 cm) were treated by inserting a new 5 mm fully rotatable surgical stapler (MicroCutter30 Xchange, Cardica Inc.) next to an ultrathin flexible endoscope through an overtube. The Patients were under conscious sedation with the head reclined in left position, the stapler placed centrally and pushed forward to the bottom of the diverticulum. The septum was divided by the staple rows under flexible endoscopic control. RESULTS: In eleven patients (64.7%) the stapler successfully divided the septum completely. Mean procedure time was 21 min, medium size of the septum was 2.8 cm (range 1.5 cm to 4 cm). In four patients the septum was shorter than 3 cm, in seven longer than 3 cm. To divide the septum, averagely 1.3 stapler cartridges were used. Two minor bleedings occurred. Major adverse events like perforation or secondary haemorrhage did not occur. After an average time of two days patients were discharged from the hospital. In 6 patients (35.3%) the stapler failed due to a thick septum or insufficient reclination of the head. Follow up endoscopy was performed after an average of two months in 9 patients; 4 patients (44.4%) were free of symptoms, 5 patients (55.6%) stated an improvement. A relapse of symptoms did not occur. CONCLUSION: Flexible endoscopic Zenker diverticulotomy by using a surgical stapler is a new, safe and efficient treatment modality. A simultaneously tissue opening and occlusion prevents major complications. |*Surgical Staplers [MESH] |Adult [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Esophagoscopy/adverse effects/instrumentation/*methods [MESH] |Esophagus/diagnostic imaging/surgery [MESH] |Feasibility Studies [MESH] |Female [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Recurrence [MESH] |Retrospective Studies [MESH] |Surgical Stapling/adverse effects/instrumentation/*methods [MESH] |Treatment Outcome [MESH]New flexible endoscopic controlled stapler technique for the treatment(epmc).pdf DeepDyve Pubget Overpricing