#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#
preLekára.sk / Journals / Perspectives in Surgery / 2020 - 4

Current possibilities of minimally invasive therapy of oesophageal diverticula.

Česká verzia

Authors: M. Stašek 1;  Č. Neoral 1;  R. Zhydkov 2;  R. Vrba 1;  R. Aujeský 1
Authors place of work: I. chirurgická klinika Fakultní nemocnice Olomouc 1;  Chirurgické oddělení, Nemocnice Hranice, a. s. 2
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 4, s. 152-158.
Category: Review
doi: https://doi.org/10.33699/PIS.2020.99.4.152–158

Summary

Oesophageal diverticula represent a relatively rare pathology of the oesophagus requiring a specific diagnostic and therapeutic approach. Interventional therapy is indicated for symptomatic diverticula, diverticula with other pathologies (tumour in the diverticulum, gastroesophageal reflux disease, low-malignancy gastroesophageal junction tumours). The open surgical approach is being increasingly replaced by minimally invasive surgical, endoscopic and combined methods. Surgical mini-invasive methods use transaxillary, thoracoscopic or transhiatal laparoscopic approach, often with endoscopic assistance. Endoscopic and transoral surgical procedures include various diverticulotomy techniques and submucosal tunnelling techniques (variants of peroral endoscopic myotomy). The primary concern in therapy is the reduction of symptoms, improvement of the quality of life and the patient´s safety. The resulting quality of life is affected by the frequent presence of functional diseases of the oesophagus (achalasia, hypercontractile oesophagus). Although surgical minimally invasive therapy using the laparoscopic or thoracoscopic approach is safe, it nevertheless does not exclude serious risk of complications. Randomized and observational studies comparing endoscopic and surgical methods are still missing. It is, therefore, necessary to extend the records in order to update the indication algorithm of intervention therapy, focusing mainly on safety with a clear imperative for patient centralization.

Keywords:

minimally invasive surgery of the oesophagus – epiphrenic diverticulum – Zenker’s diverticulum – laparoscopic resection – thoracoscopic resection

Zdroje
  1. Sato H, Takeuchi M, Hashimoto S, et al. Esophageal diverticulum: New perspectives in the era of minimally invasive endoscopic treatment. World J Gastroenterol. 2019;25(12):1457−1464. doi: 10.3748/wjg.v25.i12.1457.
  2. Bonavina L, Khan NA, DeMeester TR. Pharyngoesophageal dysfunctions. The role of cricopharyngeal myotomy. Arch Surg. 1985;120:541. doi:10.1001/archsurg.1985.01390290023004.
  3. Gockel I, Rabe SM, Niebisch S. Before and after esophageal surgery: Which information is needed from the functional laboratory? Visc Med. 2018;34(2):116–121. doi:10.1159/000486556.
  4. Kim GH. Is EndoFLIP useful for predicting clinical outcomes after peroral endoscopic myotomy in patients with achalasia? Gut Liver 2019;13(1):3–4. doi:10.5009/gnl18443.
  5. Ferreira LE, Simmons DT, Baron TH. Zenker‘s diverticula: pathophysiology, clinical presentation, and flexible endoscopic management. Dis Esophagus 2008;21:1–8. doi:10.1111/j.1442-2050.2007.00795.x.
  6. Siddiq MA, Sood S, Strachan D. Pharyngeal pouch (Zenker‘s diverticulum). Postgrad Med J. 2001;77:506–511. doi:10.1136/pmj.77.910.506.
  7. Witterick IJ, Gullane PJ, Yeung E. Outcome analysis of Zenker‘s diverticulectomy and cricopharyngeal myotomy. Head Neck 1995;17:382. doi:10.1002/hed.2880170504.
  8. Barthlen W, Feussner H, Hannig C, et al. Surgical therapy of Zenker‘s diverticulum: low risk and high efficiency. Dysphagia 1990;5:13. doi:10.1007/bf02407389.
  9. Yuan Y, Zhao YF, Hu Y, et al. Surgical treatment of Zenker‘s diverticulum. Dig Surg. 2013;30:207. doi: 10.1159/000351433.
  10. Vrba R, Neoral Č, Aujeský R, et al. Zenker‘s diverticle – surgical management. Rozhl Chir. 2008;87(3):118−20.
  11. Stašek M, Aujeský R, Vrba R, et al.Indications and benefits of intra­operative esophagogastroduodeno­scopy. Wideochir Inne Tech Maloinwazyjne 2018;13(2):164–175. doi:10.5114/wiitm.2018.72740.
  12. van Overbeek JJ, Hoeksema PE, Edens ET. Microendoscopic surgery of the hypopharyngeal diverticulum using electrocoagulation or carbon dioxide laser. Ann Otol Rhinol Laryngol. 1984;93:34. doi:10.1177/000348948409300108.
  13. Wu W, He F, Lin J, et al. Peroral endoscopic myotomy with the stag beetle knife (SB Knife): Feasibility and follow-up. Med Sci Monit. 2019;25:3542–3548. doi:10.12659/MSM.914643.
  14. Goelder SK, Brueckner J, Messmann H. Endoscopic treatment of Zenker’s diverticulum with the stag beetle knife (sb knife) – feasibility and follow-up. Scand J Gastroenterol. 2016;51(10):1155−1158. doi: 10.1080/00365521.2016.1186729.
  15. Hondo FY, Maluf-Filho F, Giordano-Nappi JH, et al. Endoscopic treatment of Zenker‘s diverticulum by harmonic scalpel. Gastrointest Endosc. 2011;74:666. doi:10.1016/j.gie.2011.05.007.
  16. Andersen MF, Trolle W, Anthonsen K, et al. Long-term results using LigaSure™ 5 mm instrument for treatment of Zenker‘s diverticulum. Eur Arch Otorhinolaryngol. 2017; 274:1939. doi:10.1007/s00405-017-4489-8.
  17. Collard JM, Otte JB, Kestens PJ. Endoscopic stapling technique of esophagodiverticulostomy for Zenker‘s diverticulum. Ann Thorac Surg. 1993;56:573. doi:10.1016/0003-4975(93)90906-x.
  18. Verhaegen VJ, Feuth T, van den Hoogen FJ, et al. Endoscopic carbon dioxide laser diverticulostomy versus endoscopic staple-assisted diverticulostomy to treat Zenker‘s diverticulum. Head Neck 2011;33:154. doi: 10.1002/hed.21413.
  19. Narne S, Cutrone C, Bonavina L, et al. Endoscopic diverticulotomy for the treatment of Zenker‘s diverticulum: results in 102 patients with staple-assisted endoscopy. Ann Otol Rhinol Laryngol. 1999;108:810. doi:10.1177/000348949910800817.
  20. Mortensen M, Schaberg MR, Genden EM, et al. Transoral resection of short segment Zenker‘s diverticulum and cricopharyngeal myotomy: an alternative minimally invasive approach. Laryngoscope 2010;120:17. doi:10.1002/lary.20657.
  21. van Overbeek JJ. Pathogenesis and methods of treatment of Zenker‘s diverticulum. Ann Otol Rhinol Laryngol. 2003;112:583. doi:10.1177/000348940311200703.
  22. Mantsopoulos K, Psychogios G, Künzel J, et al. Evaluation of the different transcervical approaches for Zenker diverticulum. Otolaryngol Head Neck Surg. 2012;146:725. doi:10.1177/0194599811435304.
  23. Chang CY, Payyapilli RJ, Scher RL. Endoscopic staple diverticulostomy for Zenker‘s diverticulum: review of literature and experience in 159 consecutive cases. Laryngoscope 2003;113:957. doi:10.1097/00005537-200306000-00009.
  24. Mirza S, Dutt SN, Irving RM. Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches. J Laryngol Otol. 2003;117:93. doi:10.1258/002221503762624503.
  25. Ishioka S, Sakai P, Maluf Filho F, et al. Endoscopic incision of Zenker‘s diverticula. Endoscopy 1995;27:433. doi:10.1055/s-2007-1005736.
  26. Hashiba K, de Paula AL, da Silva JG, et al. Endoscopic treatment of Zenker‘s diverticulum. Gastrointest Endosc. 1999;49:93. doi:10.1016/s0016-5107(99)70452-9.
  27. Mulder CJ, den Hartog G, Robijn RJ, et al. Flexible endoscopic treatment of Zenker‘s diverticulum: a new approach. Endoscopy 1995;27:438. doi:10.1055/s-2007-1005737.
  28. Repici A, Pagano N, Romeo F, et al. Endoscopic flexible treatment of Zenker‘s diverticulum: a modification of the needle-knife technique. Endoscopy 2010; 42:532. doi:10.1055/s-0029-1244163.
  29. Adam SI, Paskhover B, Sasaki CT. Laser versus stapler: outcomes in endoscopic repair of Zenker diverticulum. Laryngoscope 2012;122(9):1961−6. doi:10.1002/lary.23398.
  30. Rieder E, Martinec DV, Dunst CM, Swanström LL. Flexible endoscopic Zenkers diverticulotomy with a novel bipolar forceps: a pilot study and comparison with needleknife dissection. Surg Endosc. 2011;25:3273. doi: 10.1007/s00464-011-1704-3.
  31. Tang SJ, Jazrawi SF, Chen E, et al. Flexible endoscopic clip-assisted Zenker‘s diverticulotomy: the first case series (with videos). Laryngoscope 2008;118:1199. doi:10.1097/MLG.0b013e31816e2eee.
  32. Costamagna G, Iacopini F, Tringali A, et al. Flexible endoscopic Zenker‘s diverticulotomy: cap-assisted technique vs. diverticuloscope-assisted technique. Endoscopy 2007;39:146. doi:10.1055/s-2007-966140.
  33. Halland M, Grooteman KV, Baron TH. Flexible endosopic management of Zenker‘s diverticulum: characteristics and outcomes of 52 cases at a tertiary referral center. Dis Esophagus 2016;29:273. https://doi.org/10.1111/dote.12323.
  34. Albers DV, Kondo A, Bernardo WM, et al. Endoscopic versus surgical approach in the treatment of Zenker‘s diverticulum: systematic review and meta-analysis. Endosc Int Open 2016;4:E678–E686. doi:10.1055/s-0042-106203.
  35. Brieau B, Leblanc S, Bordacahar B, et al. Submucosal tunneling endoscopic septum division for Zenker‘s diverticulum: a reproducible procedure for endoscopists who perform peroral endoscopic myotomy. Endoscopy 2017;49:613–614. doi:10.1055/s-0043-105574.
  36. Hernandez Mondragon OV, Solorzano Pineda MO, Blancas Valencia JM. Zenker‘s diverticulum: submucosal tunneling endoscopic septum division (Z-POEM). Dig Endosc. 2018;30:124. doi:10.1111/den.12958.
  37. Schick A, Yesner R. Traction diverticulum of esophagus with exsanguination: report of a case. Ann Intern Med. 1953;39:345–349. doi:10.7326/0003-4819-39-2-345.
  38. D‘Journo XB, Ferraro P, Martin J, et al. Lower oesophageal sphincter dysfunction is part of the functional abnormality in epiphrenic diverticulum. Br J Surg. 2009;96:892–900. doi:10.1002/bjs.6652.
  39. Fasano NC, Levine MS, Rubesin SE, et al. Epiphrenic diverticulum: clinical and radiographic findings in 27 patients. Dysphagia 2003;18:9–15. doi:10.1007/s00455-002-0075-2.
  40. Klaus A, Hinder RA, Swain J, et al. Mana­gement of epiphrenic diverticula. J Gastrointest Surg. 2003;7: 906−911. doi:10.1007/s11605-003-0038-4.
  41. Herbella FA, Dubecz A, Patti MG. Eso­phageal diverticula and cancer. Dis Esophagus 2012;25:153. doi: 10.1111/ j.1442-2050.2011.01226.x.
  42. Onwugbufor MT, Obirieze AC, Ortega G, et al. Surgical management of esophageal diverticulum: a review of the Nationwide Inpatient Sample database. J Surg Res. 2013;184:120−125. doi:10.1016/j.jss.2013.05.036.
  43. Hirano Y, Takeuchi H, Oxama T, et al. Minimally invasive surgery for eso­phageal epiphrenic diverticulum: the results of 133 patients in 25 published series and our experience. Surg Today 2013;43(1):1−7. doi: 10.1007/s00595-012-0386-3.
  44. Varghese TK Jr, Marshall B, Chang AC, et al. Surgical treatment of epiphrenic diverticula: a 30-year experience. Ann Thorac Surg. 2007;84(6):1801−9; discussion 1801−9. doi: 10.1016/j.athoracsur.2007.06.057.
  45. Laubert T, Hildebrand P, Roblick UJ, et al. MIS approach for diverticula of the eso­phagus. Eur J Med Res. 2010;15(9):390−6. doi:10.1186/2047-783X-15-9-390.
  46. Rosati R, Fumagalli U, Elmore U, et al. Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum. Am J Surg. 2011;201:132−135. doi:10.1016/j.amjsurg.2010.03.016.
  47. Sato H, Sato Y, Takeuchi M, et al. Salvage peroral endoscopic myotomy for esophageal diverticulum. Endoscopy 2015;47 Suppl 1 UCTN():E14−5. doi:10.1055/s-0034-1390735.
  48. Yang J, Zeng X, Yuan X, et al. An international study on the use of peroral endoscopic myotomy (POEM) in the management of esophageal diverticula: the first multicenter D-POEM experience. Endoscopy 2019;51(4):346−349. doi:10.1055/a-0759-1428.
  49. Kwiatek MA, Pandolfino JE, Hirano I, et al. Esophagogastric junction distensibility assessed with an endoscopic functional luminal imaging probe (EndoFLIP). Gastrointest Endosc. 2010;72(2):272−278. doi:10.1016/j.gie.2010.01.069.
  50. Tedesco P, Fisichella PM, Way LW, et al. Cause and treatment of epiphrenic diverticula. Am J Surg. 2005;190:891−894. doi:10.1016/j.amjsurg.2005.08.016.
  51. Sato H, Sato Y, Hashimoto S, et al. Gastrointestinal: Salvage peroral endoscopic myotomy for outflow obstruction with growing esophageal diverticulum. J Gastroenterol Hepatol. 2016;31:1237. doi: 10.1111/jgh.14599.
  52. Otani K, Tanaka S, Kawara F, et al. Distal esophageal spasm with multiple eso­phageal diverticula successfully treatedby peroral endoscopic myotomy. Clin J Gastroenterol. 2017;10:442−446. doi:10.1007/s12328-017-0768-6.
  53. Demeter M, Bánovčin P, Ďuriček M, et al. Peroral endoscopic myotomy in achalasia and large epiphrenic diverticulum. Dig Endosc. 2018;30:260−262. doi:10.1111/den.12961.
  54. Sato H, Takahashi K, Takeuchi M, et al. Epiphrenic diverticulum of the esophagus after peroral endoscopic myotomy. Endoscopy 2015;47 Suppl. 1 UCTN:E509–E510. doi:10.1055/s-0034-1393232.
  55. Badillo R, Francis D, DeVault K. Formation of large esophageal diverticulum after peroral endoscopic myotomy. Gastrointest Endosc. 2015;82:962; discussion 963. doi:10.1016/j.gie.2015.05.020.
Štítky
Surgery Orthopaedics Trauma surgery
Článek HIPEC
Článek Pseudomyxoma peritonei (PMP) and its therapy – 20 years’ experience of a single surgical department
Článek Results of surgical treatment of inferior vena cava tumor thrombi in renal cell carcinoma
Článek Surgical treatment of breast carcinoma after neoadjuvant therapy
Článek Circulating tumor DNA as a biomarker in metastatic colorectal carcinoma − case report
Článek The effects and use of negative pressure wound therapy – a set of case reports
Článek Complicated case of patient with cervical necrotising fasciitis and descending necrotizing mediastinitis − case report
Článok vyšiel v časopise

Perspectives in Surgery

Číslo 4
2020 Číslo 4
Najčítanejšie tento týždeň
Najčítanejšie v tomto čísle
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#