Endoscopic Treatment for Zenker's Diverticulum
Clinical Outcome of Endoscopic Treatment for Zenker's Diverticulum
Istituto Clinico Humanitas
400 participants
Jan 1, 2009
OBSERVATIONAL
Conditions
Summary
Zenker's diverticulum (ZD) is a rare benign condition, due to an acquired sac-like outpouching of the mucosa and submucosa layers originating from the pharyngoesophageal junction. Endoscopic techniques like flexible endoscopic septum division (FESD) or per-oral endoscopic septotomy (POES), represent a minimally invasive alternative to surgery or to rigid endoscopic procedure to treat ZD. The goal of the research will be to evaluate the safety of the procedures and to measure Zenker-symptom severity in all patients treated by endoscopic procedures.
Eligibility
Inclusion Criteria1
- patients with symptomatic ZD treated by endoscopic procedures
Exclusion Criteria1
- pregnancy and breastfeeding
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Interventions
Patients will be placed in left lateral decubitus position, either in conscious sedation or under deep sedation with propofol or endotracheal intubation.The procedure will be performed with a flexible standard endoscope and started with initial endoscopic examination with suction of possible retained material insidethe diverticulum. An incision of the bridge between the ZD and the esophagus will be done (using one endoscopic procedure as POES or FESD or other)
Locations(1)
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NCT03948438