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Objective Fluoroscopic Outcomes After Endoscopic Staple Versus Laser Zenker's Diverticulotomy by Nina W. Zhao; Anastasiya Stasyuk; Brian O. Hernandez; Daniel J. Cates; Maggie A. Kuhn; Peter C. Belafsky is a Medicine article available to read on EtoBox.

What is Objective Fluoroscopic Outcomes After Endoscopic Staple Versus Laser Zenker's Diverticulotomy about?

Objective: Endoscopic Zenker's diverticulotomy (EZD) is typically performed via stapling (endoscopic staple diverticulotomy; ESD) or CO2 laser (endoscopic laser diverticulotomy; ELD). Conflicting reports exist on which approach provides optimal outcomes. This investigation compared objective fluoroscopic data between ESD and ELD.Methods: A retrospective review of all patients undergoing primary EZD at a tertiary center between January 1, 2014 and January 10, 2022 was performed. Patients undergoing ESD and ELD were matched by preoperative diverticulum size. Primary outcome measures were postoperative diverticulum size and change in diverticulum size from pre-to postoperative swallowing fluoroscopy. Secondary outcome measures were the Eating Assessment Tool (EAT-10) score, penetration aspiration scale (PAS), pharyngeal constriction ratio (PCR), and pharyngoesophageal segment opening (PESo).Results: Thirteen matched pairs with complete fluoroscopic data were identified. The mean (AESD) age of the cohort was 74.0 (AE8.5) years. There were no age or gender differences between groups (p > 0.05). The mean pre-operative ZD size was 1.98 (AE0.69) cm for ESD and 1.97 (AE0.72) cm for ELD; the

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Author

Nina W. Zhao; Anastasiya Stasyuk; Brian O. Hernandez; Daniel J. Cates; Maggie A. Kuhn; Peter C. Belafsky

Publisher

Wiley

Published

2023

Language

EN

Field

Medicine (Health Sciences)