Matches in SemOpenAlex for { <https://semopenalex.org/work/W2040521831> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W2040521831 endingPage "A58" @default.
- W2040521831 startingPage "A58.1" @default.
- W2040521831 abstract "<h3>Introduction</h3> Zenker’s diverticulum is a mucosal outpouching through the posterior pharyngeal wall resulting from increased hypopharyngeal pressure. Symptoms may include dysphagia and regurgitation of food. Treatment consists of myotomy of the cricopharyngeus muscle, which is commonly done through an endosurgical approach using a rigid endoscope. We describe a novel method of endoscopic diverticulotomy using a flexible diverticuloscope and an endoscopic knife. <h3>Methods</h3> With the patient under general anaesthesia, a guidewire is inserted under direct vision into the oesophageal lumen through a gastroscope. The gastroscope is removed and the guidewire is threaded through a hole on the long flap of the flexible diverticuloscope (ZD overtube, ZDO-22 _ 30;Cook Endoscopy, Winston-Salem, North Carolina). The overtube is gently advanced to 20cm until resistance is felt. The gastroscope is then inserted through the overtube and its position adjusted so that the longer flap is in the true oesophageal lumen and the shorter flap is in the diverticulum. The septum is now clearly visualised and stable between the two flaps. A 3 mm needle-knife is used to incise the septum. The cut is performed until the muscle fibres are completely cut, and then the cut is extended to a section of the anterior diverticulum and posterior oesophageal wall up to approximately 1 cm from the bottom. At the end of the procedure, one to three endoclips are placed to prevent perforation or bleeding. <h3>Results</h3> We have performed this procedure in 3 patients. 1 patient had no previous surgical intervention, 1 had recurrence following previous surgical diverticulotomy, and 1 patient had severe cervical spondylosis due to which surgery could not be performed as adequate extension of the neck for the surgical procedure was not possible. There have been no complications. <h3>Conclusion</h3> Endoscopic Zenker’s diverticulotomy can be safely performed using a flexible diverticuloscope. We demonstrate the feasibility of performing endoscopic diverticulotomy in patients with recurrence after surgery, or in those who are unsuitable for surgery. We aim to illustrate the principles and technique of this procedure by video demonstration. <h3>Disclosure of Interest</h3> None Declared." @default.
- W2040521831 created "2016-06-24" @default.
- W2040521831 creator A5038309889 @default.
- W2040521831 creator A5081395677 @default.
- W2040521831 date "2014-06-01" @default.
- W2040521831 modified "2023-10-16" @default.
- W2040521831 title "PTU-045 Flexible Endoscopic Treatment Of Zenker’s Diverticulum Using A Soft Diverticuloscope And An Endoscopic Knife – Video Abstract" @default.
- W2040521831 doi "https://doi.org/10.1136/gutjnl-2014-307263.119" @default.
- W2040521831 hasPublicationYear "2014" @default.
- W2040521831 type Work @default.
- W2040521831 sameAs 2040521831 @default.
- W2040521831 citedByCount "0" @default.
- W2040521831 crossrefType "journal-article" @default.
- W2040521831 hasAuthorship W2040521831A5038309889 @default.
- W2040521831 hasAuthorship W2040521831A5081395677 @default.
- W2040521831 hasBestOaLocation W20405218311 @default.
- W2040521831 hasConcept C105702510 @default.
- W2040521831 hasConcept C131631996 @default.
- W2040521831 hasConcept C141071460 @default.
- W2040521831 hasConcept C191897082 @default.
- W2040521831 hasConcept C192562407 @default.
- W2040521831 hasConcept C2776820786 @default.
- W2040521831 hasConcept C2776928572 @default.
- W2040521831 hasConcept C2776932221 @default.
- W2040521831 hasConcept C2777819096 @default.
- W2040521831 hasConcept C2778451229 @default.
- W2040521831 hasConcept C2778456384 @default.
- W2040521831 hasConcept C2778527123 @default.
- W2040521831 hasConcept C2779624231 @default.
- W2040521831 hasConcept C2779958274 @default.
- W2040521831 hasConcept C2780596822 @default.
- W2040521831 hasConcept C71924100 @default.
- W2040521831 hasConceptScore W2040521831C105702510 @default.
- W2040521831 hasConceptScore W2040521831C131631996 @default.
- W2040521831 hasConceptScore W2040521831C141071460 @default.
- W2040521831 hasConceptScore W2040521831C191897082 @default.
- W2040521831 hasConceptScore W2040521831C192562407 @default.
- W2040521831 hasConceptScore W2040521831C2776820786 @default.
- W2040521831 hasConceptScore W2040521831C2776928572 @default.
- W2040521831 hasConceptScore W2040521831C2776932221 @default.
- W2040521831 hasConceptScore W2040521831C2777819096 @default.
- W2040521831 hasConceptScore W2040521831C2778451229 @default.
- W2040521831 hasConceptScore W2040521831C2778456384 @default.
- W2040521831 hasConceptScore W2040521831C2778527123 @default.
- W2040521831 hasConceptScore W2040521831C2779624231 @default.
- W2040521831 hasConceptScore W2040521831C2779958274 @default.
- W2040521831 hasConceptScore W2040521831C2780596822 @default.
- W2040521831 hasConceptScore W2040521831C71924100 @default.
- W2040521831 hasIssue "Suppl 1" @default.
- W2040521831 hasLocation W20405218311 @default.
- W2040521831 hasLocation W20405218312 @default.
- W2040521831 hasOpenAccess W2040521831 @default.
- W2040521831 hasPrimaryLocation W20405218311 @default.
- W2040521831 hasRelatedWork W10714747 @default.
- W2040521831 hasRelatedWork W1249710224 @default.
- W2040521831 hasRelatedWork W2029882967 @default.
- W2040521831 hasRelatedWork W2034743922 @default.
- W2040521831 hasRelatedWork W2118157600 @default.
- W2040521831 hasRelatedWork W2118570266 @default.
- W2040521831 hasRelatedWork W2322950981 @default.
- W2040521831 hasRelatedWork W2429672007 @default.
- W2040521831 hasRelatedWork W3082874577 @default.
- W2040521831 hasRelatedWork W93911891 @default.
- W2040521831 hasVolume "63" @default.
- W2040521831 isParatext "false" @default.
- W2040521831 isRetracted "false" @default.
- W2040521831 magId "2040521831" @default.
- W2040521831 workType "article" @default.